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Medicare AdvantageCoverageMedium impact

Orthognathic Surgery - Medicare Advantage (Revised)

Humana·Oral & Maxillofacial Surgery, Dentistry, Plastic Surgery·Medicare Advantage
Effective date
Feb 2, 2026
We identified it
Jun 24, 2026
Days to comply

Summary

Humana Medicare Advantage has updated their orthognathic surgery coverage policy with revised criteria for medical necessity determination. The policy establishes specific documentation requirements and measurement thresholds for jaw surgery coverage, including anteroposterior discrepancies of 4mm or more, vertical discrepancies 2+ standard deviations from norms, and transverse discrepancies of 3-4mm or greater.

Action Required

Action needed
Before February 2, 2026: Billing team must update pre-authorization documentation requirements for orthognathic surgery cases to include clinical photographs/dental models, detailed functional impairment descriptions, imaging documentation, and specific measurement criteria (4mm+ anteroposterior discrepancies, 2+ standard deviation vertical discrepancies, 3-4mm+ transverse discrepancies). Providers must document skeletal deformity source and permanency. Note that CT scans (76376, 76377) are now considered integral and not separately billable.

Affected Billing Codes

21085
21100
21110
21125
21127
21141
21142
21143
21145
21146
21147
21150
21151
21154
21155
21159
21160
21188
21193
21194
21195
21196
21198
21199
21206
21208
21210
21215
21244
21247
21299
76376
76377