CommercialCoverageMedium impact
11.02.10p, Endovascular Grafts for Abdominal Aortic Aneurysms (AAA), Aorto-Iliac Aneurysms, and Infrarenal Aortic Aneurysms
Independence Blue Cross·Vascular Surgery, Cardiothoracic Surgery, General Surgery·Medical Policy
Effective date
May 28, 2025
We identified it
Jun 19, 2026
Summary
Policy 11.02.10p was reissued on 05/28/2025 regarding coverage and billing for endovascular grafts used to treat abdominal aortic aneurysms (AAA), aorto-iliac aneurysms, and infrarenal aortic aneurysms. The billing team must review the full policy text to identify any changes from the previous version and update prior authorization requirements, billing codes, and clinical documentation standards accordingly.
Action Required
By 06/28/2025: Billing team must obtain and review the complete policy text at https://medpolicy.ibx.com/ibc/Commercial/Pages/Site-Activity-View.aspx?FilterField1=MPSiteActivityLogMonth&FilterValue1=05&FilterField2=MPSiteActivityLogYear&FilterValue2=2025#commercial-11-02-10p to identify specific CPT and HCPCS codes affected. Compare against the previous version to identify changes. Update billing system rules for prior authorization requirements for endovascular graft procedures. Providers must document medical necessity and anatomical candidacy per updated policy criteria. Claims submitted without compliance to new policy terms may be denied or delayed.