CommercialBilling CodesLow impact
11.14.01i, Mentoplasty or Genioplasty
Independence Blue Cross·PA · Plastic Surgery, Oral & Maxillofacial Surgery, ENT (Ear, Nose & Throat)·Medical Policy
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
Independence Blue Cross reissued Policy 11.14.01i with ICD-10 code description updates (effective 10/01/2025) and conducted an annual review reissuance (effective 03/04/2026). The policy coverage criteria for mentoplasty/genioplasty remain unchanged—procedures are covered when medically necessary for specific conditions (congenital deformities, trauma, OSA, etc.) but excluded when performed for cosmetic purposes. Seven ICD-10 codes were updated with clarified terminology (e.g., 'craniosynostosis unspecified' to 'craniosynostosis, unspecified type'), but these are formatting updates only with no impact on coverage determinations.
Action Required
By 10/01/2025: Billing team should verify that ICD-10 code descriptions in billing software and prior authorization templates reflect the updated terminology for codes Q75.001, Q75.002, Q75.009, Q75.021, Q75.022, and Q75.029 (e.g., change 'craniosynostosis unspecified' to 'craniosynostosis, unspecified type'). No changes to coverage criteria, CPT codes, or claim submission logic are required. This is a code description maintenance update only. Failure to update descriptions may cause claim matching errors but will not affect reimbursement eligibility.