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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
Days to comply

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

Action needed
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.