Who is affected by this change?

This affects Independence Blue Cross Plastic Surgery, General Surgery providers on Commercial plans.

When does this change take effect?

This change is effective Mar 4, 2026.

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CommercialCoverageMedium impact

11.08.12i, Surgery for Gynecomastia

Independence Blue Cross·Plastic Surgery, General Surgery·Medical Policy

Effective date

Mar 4, 2026

We identified it

Jun 19, 2026

Days to comply

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Summary

The Surgery for Gynecomastia policy (11.08.12i) has been reissued for commercial plans with an effective date of March 4, 2026. This appears to be a policy refresh or update to existing coverage guidelines for gynecomastia surgical procedures.

Action Required

Action needed

Before March 4, 2026: Review updated Surgery for Gynecomastia policy 11.08.12i at the provided URL to identify any changes in coverage criteria, prior authorization requirements, or billing guidelines. Update internal protocols and staff training materials accordingly for commercial plan patients seeking gynecomastia surgery.

Related policy hubs

Independence Blue Cross policies Plastic Surgery General Surgery