Coverage criteria in the policy for Mohs' micrographic surgery (MMS) were
revised to include and define the specific anatomical locations and lesion
characteristics and to include the appropriate medically necessary diagnosis
codes. Claims for MMS must include one of the diagnosis codes listed in
Attachment A of the policy.
For more information about MMS, please refer to Medical Policy #11.08.23i:
Mohs' Micrographic Surgery, which was posted as a Notification on December 27,
2017, and will go into effect March 27, 2018.
To view the Notification for this policy, visit our Medical Policy
Portal and select Accept and Go to Medical Policy Online. Then
select Commercial under Active Notifications.