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CommercialCoverageMedium impact

11.03.11q, Procedures for the Treatment of Gastroesophageal Reflux Disease (GERD)

Independence Blue Cross·Gastroenterology, General Surgery, Internal Medicine·Medical Policy
Effective date
Jul 9, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

Policy 11.03.11q regarding procedures for GERD treatment was reissued effective July 9, 2025. The full policy text was not provided in this notification, so specific billing, coverage, or procedural changes cannot be determined. Billing team must obtain the complete policy document to identify affected codes, prior authorization requirements, or coverage modifications.

Action Required

Action needed
Before July 9, 2025: Billing team must access the full policy text at https://medpolicy.ibx.com/ibc/Commercial/Pages/Site-Activity-View.aspx?FilterField1=MPSiteActivityLogMonth&FilterValue1=07&FilterField2=MPSiteActivityLogYear&FilterValue2=2025#commercial-11-03-11q to identify: (1) specific CPT/HCPCS codes affected, (2) prior authorization requirements, (3) coverage limitations, and (4) documentation requirements. Update billing software, encounter forms, and provider guidance accordingly. Without the complete policy content, claims may be processed incorrectly or denied after the effective date.