CommercialCoverageMedium impact
11.15.03o, Insertion of Implantable Infusion Pumps
Independence Blue Cross·Pain Management, Oncology, Neurology +1 more·Pharmacy
Effective date
Jul 8, 2026
We identified it
Jul 9, 2026
Summary
Policy 11.15.03o regarding insertion of implantable infusion pumps has been reissued and updated for commercial plans, effective July 8, 2026. The billing team must review this policy to identify specific coverage, authorization, or coding changes that may affect claims for infusion pump insertion procedures.
Action Required
By July 8, 2026: Billing team must obtain and review the complete policy text for 11.15.03o to identify specific billing codes, prior authorization requirements, coverage criteria, and documentation needs for implantable infusion pump insertion claims. Update billing system rules, prior authorization workflows, and claim submission procedures accordingly. Coordinate with providers to ensure compliance with any new documentation or clinical criteria requirements. NOTE: The provided policy summary does not include the detailed clinical content needed to implement billing changes—access the full policy document at the source URL to complete this implementation.