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.