Medicare AdvantageCoverageMedium impact
MA11.099f, Dermabrasion for Rhinophyma, Septoplasty, Rhinoplasty, and Septorhinoplasty
Independence Blue Cross·ENT (Ear, Nose & Throat), Plastic Surgery·Medical Policy
Effective date
Mar 30, 2026
We identified it
Jun 19, 2026
Summary
Policy MA11.099f has been updated regarding coverage and reimbursement for dermabrasion procedures for rhinophyma and septoplasty/rhinoplasty/septorhinoplasty procedures effective March 30, 2026. This is a recent Medicare Advantage policy change that may affect billing codes and reimbursement positions for nasal and facial procedures.
Action Required
By March 30, 2026: Billing team must review the complete policy text at the provided URL to identify specific CPT/HCPCS codes affected by this coverage and reimbursement change. Update billing system rules, fee schedules, and prior authorization requirements as specified in MA11.099f. Notify ENT and plastic surgery providers of any changes to covered procedures and documentation requirements. Verify that all claims submitted after the effective date comply with the new coverage position. The policy summary provided does not contain specific codes—obtain the full policy document to implement required changes before the effective date.