Who is affected by this change?

This affects Independence Blue Cross Gastroenterology providers on Commercial plans.

When does this change take effect?

This change is effective Jan 5, 2026.

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CommercialBilling CodesMedium impact

11.03.17a, Peroral Endoscopic Myotomy (POEM) Procedures

Independence Blue Cross·Gastroenterology·Medical Policy

Effective date

Jan 5, 2026

We identified it

Jun 19, 2026

Days to comply

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Summary

This is a medical coding update for Peroral Endoscopic Myotomy (POEM) procedures under commercial insurance plans. The policy involves coding changes that will affect how POEM procedures are billed and processed.

Action Required

Action needed

By January 5, 2026: Billing team must review and implement updated coding guidelines for Peroral Endoscopic Myotomy (POEM) procedures for commercial insurance claims. Update billing software and encounter forms with new coding requirements. Contact gastroenterology providers to ensure awareness of coding changes.

Related policy hubs

Independence Blue Cross policies Gastroenterology