CommercialCoverageMedium impact
11.08.15ac, Reconstructive Breast Surgery and Post-Mastectomy Prostheses
Independence Blue Cross·Plastic Surgery, General Surgery, OB-GYN +1 more·Medical Policy
Effective date
Apr 1, 2025
We identified it
Jun 19, 2026
Summary
This is a policy update for reconstructive breast surgery and post-mastectomy prostheses coverage under commercial plans. The policy was updated and became effective April 1, 2025, but specific content changes are not detailed in the summary provided.
Action Required
By April 1, 2025: Billing team should review the full policy document at the provided URL to understand specific changes to reconstructive breast surgery and post-mastectomy prostheses coverage requirements. Update billing procedures and prior authorization workflows for commercial plans accordingly based on the detailed policy content.