All PlansCoverageMedium impact
Occlusion of Uterine Arteries Using Transcatheter Embolization
Blue Cross & Blue Shield of Mississippi·MS · OB-GYN, Radiology·Medical Policy
We identified it
Jun 20, 2026
Summary
This is a fresh policy update (1 day old) outlining coverage criteria for transcatheter uterine artery embolization (UAE). The policy considers UAE medically necessary for treating uterine fibroids and postpartum hemorrhage, allows one repeat procedure for persistent symptoms, but considers UAE investigational for other conditions like cervical ectopic pregnancy and arteriovenous malformations.
Action Required
Immediately: Billing team must ensure proper coding and documentation for UAE procedures. Verify medical necessity documentation meets ACOG criteria for fibroid treatment (palpable abdominal fibroids, excessive bleeding >8 days or causing anemia, or pelvic discomfort). Flag cases for cervical ectopic pregnancy, uterine AVMs, and adenomyosis as investigational/non-covered. Update encounter forms to capture required symptom documentation.