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Updated policies for Mohs' micrographic surgery

January 2, 2018

Coverage criteria in the policies 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 policies.

For more information about MMS, please refer to the following Independence policies, which were posted as Notifications on December 27, 2017, and will go into effect March 27, 2018:

  • Commercial: #11.08.23i: Mohs' Micrographic Surgery
  • Medicare Advantage: #MA11.018b: Mohs' Micrographic Surgery
To view the Notifications for these policies, visit our Medical Policy Portal and select Accept and Go to Medical Policy Online. Then select Commercial or Medicare Advantage under Active Notifications.


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