CommercialCoverageMedium impact
11.08.19s, Prophylactic Mastectomy, Oophorectomy/Salpingo-Oophorectomy, and Hysterectomy
Independence Blue Cross·OB-GYN, General Surgery, Oncology·Medical Policy
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
A commercial insurance policy regarding prophylactic mastectomy, oophorectomy/salpingo-oophorectomy, and hysterectomy procedures has been updated. This is a fresh policy change that affects coverage and billing for preventive surgical procedures, particularly those performed for cancer risk reduction.
Action Required
By October 1, 2025: Billing team must review the updated policy at the provided URL to understand specific coverage changes for prophylactic surgical procedures. Update billing protocols and prior authorization requirements as specified in the full policy. Notify surgical teams and update encounter forms for affected procedures.