Medicare AdvantageCoverageMedium impact
MA11.112, 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 MA11.112 regarding Composite Tissue Allotransplantation of the Hand(s) and Face was reissued effective 08/06/2025 and removed from active posting on 09/09/2025. This appears to be a policy withdrawal or replacement. The billing team must determine if this service is now non-covered, moved to a different policy, or subject to new requirements under Medicare Advantage plans.
Action Required
By 09/09/2025: Billing team must contact the payer (IBX Medicare Advantage) for clarification on the status of composite tissue allotransplantation procedures for hand(s) and face. Determine if: (1) the service is now non-covered, (2) it has been consolidated into another policy, or (3) new billing/prior authorization requirements apply. Update billing system rules and prior authorization protocols accordingly. Providers must be notified of any coverage changes. Failure to clarify may result in inappropriate claim denials or incorrect billing.