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11.08.29e, Procedures for the Treatment of Acne

Independence Blue Cross·Dermatology·Medical Policy
Effective date
Not stated
We identified it
Jun 19, 2026
Days to comply
—

Summary

Independence Blue Cross has reissued Policy 11.08.29e confirming that laser therapy, electrosurgery, cryosurgery, and chemosurgery (chemical peels) for treating active acne remain classified as experimental/investigational and are not covered. Additionally, these same procedures for acne scarring are classified as cosmetic and are not covered for most plans. No coverage policy changes have been made; this is a reaffirmation of the existing non-coverage position.

Action Required

Action needed
No immediate billing workflow changes required. Verify that billing system denials for CPT codes 15788, 15789, 15792, 15793, 17110, 17111, 17340, and 17360 when billed for acne treatment (ICD-10: L70.0-L70.9, L73.0) are configured to cite experimental/investigational or cosmetic exclusions per Independence Blue Cross Policy 11.08.29e. Ensure denial reason codes and patient communication templates reference the non-coverage rationale. No prior authorization is required because these services are categorically non-covered.

Affected Billing Codes

15788
15789
15792
15793
17110
17111
17340
17360