CommercialBilling CodesLow 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
Independence Blue Cross reissued policy 11.03.15m with a minor HCPCS code narrative revision to E0765, removing the phrase 'with replaceable batteries' from the code description. The coverage policy itself remains unchanged—Enterra gastric electrical stimulation continues to be covered only for chronic intractable nausea and vomiting secondary to gastroparesis of diabetic or idiopathic etiology. This is a code update only with no impact to coverage criteria or billing procedures.
Action Required
No immediate action required. This is a informational reissue with only a technical HCPCS code narrative update to E0765. Billing team may update internal code reference documentation to reflect the revised E0765 description (removed 'with replaceable batteries' language), but billing practices and claim submission procedures remain unchanged. Continue to verify medical necessity per existing HDE indication and maintain IRB approval documentation as required.