Medicare AdvantageCoverageMedium impact
MA11.015ac, Wound Care: Skin Substitutes for the Treatment of Burns and Chronic, Non-Healing Wounds
Independence Blue Cross·Wound Care, Dermatology, Plastic Surgery +2 more·Medical Policy
Effective date
Apr 1, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.015ac for wound care skin substitutes used in treating burns and chronic, non-healing wounds has been updated effective April 1, 2025. This policy change affects coverage and billing requirements for skin substitute products and procedures used in wound care treatment.
Action Required
Immediately: Billing team must review the updated MA11.015ac policy for wound care skin substitutes at the provided URL to understand new coverage criteria and documentation requirements. Update billing procedures and prior authorization workflows for wound care skin substitute claims for Medicare Advantage patients to ensure compliance with the new policy effective April 1, 2025.