CommercialAdministrativeMedium impact
05.00.85, Leadless Pacemakers
Independence Blue Cross·Cardiology, Cardiothoracic Surgery·Medical Policy
Effective date
Apr 1, 2026
We identified it
Jun 19, 2026
Summary
The leadless pacemakers policy (05.00.85) has been reissued for commercial plans with an effective date of April 1, 2026. This is a policy reissuance rather than a substantive change, maintaining existing coverage criteria for leadless pacemaker devices.
Action Required
Before April 1, 2026: Billing team should review the updated leadless pacemakers policy (05.00.85) to ensure current prior authorization and coverage criteria are being followed for leadless pacemaker procedures. Verify that any existing workflows for pacemaker billing remain compliant with the reissued policy terms.