CommercialCoverageMedium impact
11.08.15ad, Reconstructive Breast Surgery and Post-Mastectomy Prostheses
Independence Blue Cross·Plastic Surgery, General Surgery, Oncology +1 more·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
Policy 11.08.15ad regarding Reconstructive Breast Surgery and Post-Mastectomy Prostheses has been updated for commercial plans. This is a very recent update that will take effect January 1, 2026, and may impact coverage criteria, billing requirements, or documentation standards for breast reconstruction procedures and prosthetic devices.
Action Required
Before January 1, 2026: Billing team must review the full policy details at the provided URL to understand specific changes to reconstructive breast surgery and post-mastectomy prostheses requirements. Update billing procedures, prior authorization workflows, and documentation requirements based on the detailed policy content. Notify providers of any new coverage criteria or documentation standards.