Medicare AdvantageCoverageMedium impact
MA11.067e, Labiaplasty
Independence Blue Cross·Plastic Surgery, OB-GYN·Medical Policy
Effective date
Feb 24, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.067e for labiaplasty has been updated with changes to medical necessity criteria and medical coding requirements. This affects how labiaplasty procedures must be documented and billed for Medicare Advantage plans.
Action Required
By February 24, 2025: Billing team and providers must review updated medical necessity criteria for labiaplasty procedures under Medicare Advantage plans. Update documentation templates to ensure compliance with new medical necessity requirements and verify correct coding guidelines are followed. Access full policy details at the source URL to understand specific criteria changes.