CommercialCoverageMedium impact
09.00.48h, Radioembolization for Primary and Metastatic Tumors of the Liver
Independence Blue Cross·Oncology, Radiation Oncology, Radiology +1 more·Medical Policy
Effective date
Jun 11, 2025
We identified it
Jun 19, 2026
Summary
Policy 09.00.48h regarding radioembolization for primary and metastatic liver tumors has been reissued effective June 11, 2025. This is a recent policy update that may contain revised coverage criteria, medical necessity requirements, or prior authorization guidelines for radioembolization procedures. The billing team must review the full policy text to identify specific billing code changes, coverage modifications, or authorization requirements that differ from previous guidance.
Action Required
By June 11, 2025: Billing team must obtain and review the complete full policy text from the provided URL to identify specific CPT, HCPCS, and ICD-10 codes affected by this reissue. Update billing software, prior authorization protocols, and provider documentation templates based on the detailed policy requirements. Notify oncology, radiation-oncology, and interventional radiology providers of any changes to radioembolization coverage criteria or authorization requirements. Test billing workflows with updated parameters before the effective date to prevent claim denials.