CommercialCoverageMedium impact
11.03.05e, Frenectomy, Frenotomy, or Frenoplasty for Ankyloglossia (Tongue-Tie)
Independence Blue Cross·ENT (Ear, Nose & Throat), Oral & Maxillofacial Surgery, Plastic Surgery +1 more·Medical Policy
Effective date
Mar 4, 2026
We identified it
Jun 19, 2026
Summary
IBX has reissued their medical policy for frenectomy, frenotomy, or frenoplasty procedures for ankyloglossia (tongue-tie) treatment. This is a policy reissue that will become effective March 4, 2026, indicating potential changes to coverage criteria or billing requirements for these procedures.
Action Required
Before March 4, 2026: Billing team must review the updated IBX policy 11.03.05e for frenectomy, frenotomy, or frenoplasty procedures for tongue-tie treatment. Access the full policy at the provided URL to identify any changes to coverage criteria, documentation requirements, or prior authorization needs. Update billing procedures and provider guidelines accordingly.