Medicare AdvantageCoverageMedium impact
MA11.015ag, Wound Care: Skin Substitutes for the Treatment of Burns and Chronic, Non-Healing Wounds
Independence Blue Cross·Wound Care, Plastic Surgery, General Surgery +1 more·Medical Policy
Effective date
Apr 1, 2026
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.015ag for wound care skin substitutes used in treating burns and chronic, non-healing wounds has been updated. This policy affects coverage and billing for skin substitute products and related wound care procedures.
Action Required
Before April 1, 2026: Billing team must review updated MA11.015ag policy for wound care skin substitutes to understand new coverage criteria and billing requirements. Update billing procedures and encounter forms for burn treatment and chronic wound care services. Ensure proper documentation requirements are met for Medicare Advantage claims.