CommercialBilling CodesLow impact
11.03.15m, Gastric Electrical Stimulation (Enterra™), Gastric Pacing
Independence Blue Cross·PA · Gastroenterology, General Surgery, Endocrinology·Pharmacy
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
Independence Blue Cross reissued policy 11.03.15m with a minor HCPCS code narrative revision effective 10/01/2025. HCPCS code E0765 description was updated to remove the phrase 'with replaceable batteries' from the FDA nerve stimulator definition. Coverage criteria, medically necessary indications, and all billing codes remain unchanged.
Action Required
By 10/01/2025: Billing team should verify that claims for HCPCS code E0765 continue to process without disruption. No workflow changes are required as this is a descriptive text revision only—coverage status and reimbursement for gastric electrical stimulation (Enterra) remain unchanged. Ensure all prior authorization documentation still includes IRB approval verification for HDE indications (chronic intractable nausea/vomiting secondary to gastroparesis of diabetic or idiopathic etiology). No system updates needed.