Medicare AdvantageCoverageMedium impact
MA11.015ae, 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
Dec 19, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.015ae for wound care skin substitutes used in treating burns and chronic, non-healing wounds has been reissued with updates effective December 19, 2025. This is a policy reissue that may contain changes to coverage criteria, prior authorization requirements, or billing guidelines for skin substitute procedures.
Action Required
By December 19, 2025: Billing team must review the complete updated policy MA11.015ae at the source URL to identify specific changes to coverage criteria, prior authorization requirements, or billing guidelines for skin substitute procedures. Update billing workflows and encounter forms accordingly for Medicare Advantage plans. Contact payer if clarification needed on specific requirements.