Notification of Medicare Medical Coverage Policies Revisions January 2025

Medical Policy Name	Summary of Changes
Orthognathic Surgery	I. Annual Review BCBSNC Corporate Policy – “Orthognathic Surgery” B. LCA – Medicare Local Coverage Article Billing and Coding: Cosmetic and Reconstructive Surgery – Palmetto GBA Part A/B (A56658) II. Policy updated to reflect additional “When Coverage will not be approved” language taken directly from Corporate Policy – Orthognathic Surgery. Minor grammatical changes.

Medical Policy Name

Summary of Changes

Orthognathic Surgery

I. Annual Review

BCBSNC Corporate Policy – “Orthognathic Surgery”

B. LCA – Medicare Local Coverage Article Billing and Coding: Cosmetic and Reconstructive Surgery – Palmetto GBA Part A/B (A56658)

II. Policy updated to reflect additional “When Coverage will not be approved” language taken directly from Corporate Policy – Orthognathic Surgery. Minor grammatical changes.

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