CommercialCoverageLow impact
11.14.30, Composite Tissue Allotransplantation of the Hand(s) and Face
Independence Blue Cross·Transplant Surgery, Plastic Surgery·Medical Policy
Effective date
Aug 6, 2025
We identified it
Jun 19, 2026
Summary
Policy 11.14.30 regarding Composite Tissue Allotransplantation (CTA) of the Hand(s) and Face was reissued effective August 6, 2025. This is a specialized transplant procedure policy that may contain updates to coverage criteria, prior authorization requirements, or billing guidance for hand and face transplant procedures. The billing team must review the full policy text to identify specific code changes, authorization requirements, or documentation updates.
Action Required
By September 6, 2025: Billing and clinical teams should obtain and review the complete policy text from the provided URL to identify: (1) any specific CPT or HCPCS codes affected; (2) prior authorization requirements; (3) medical necessity documentation requirements; (4) coverage limitations or exclusions. Update billing system rules, prior auth workflows, and provider communication as needed based on policy details. Flag any procedures billed under this policy for compliance review. NOTE: The policy summary provided does not contain specific billing codes or requirements—the full policy document must be reviewed to take concrete action.