CommercialCoverageMedium impact
11.03.15m, Gastric Electrical Stimulation (Enterra™), Gastric Pacing
Independence Blue Cross·Gastroenterology, General Surgery·Pharmacy
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
The IBX Commercial policy for Gastric Electrical Stimulation (Enterra™) and Gastric Pacing has been updated with new coverage criteria or billing requirements effective October 1, 2025. This affects billing for gastric stimulator devices and related procedures.
Action Required
By October 1, 2025: Billing team must review the updated IBX Commercial policy for Gastric Electrical Stimulation (Enterra™) at the provided URL to understand new coverage criteria and billing requirements. Update prior authorization processes and documentation requirements for gastric stimulator procedures as specified in the new policy guidelines.