CommercialCoverageHigh impact
11.00.09g, Solid Organ Transplantation and Procurement Cost of Organs and Tissues
Independence Blue Cross·Transplant Surgery, General Surgery·Medical Policy
Effective date
Apr 2, 2025
We identified it
Jun 19, 2026
Summary
Policy 11.00.09g regarding Solid Organ Transplantation and Procurement Cost of Organs and Tissues was reissued effective 04/02/2025. Without access to the full policy text content, specific billing impacts cannot be determined. The billing team must review the complete policy document to identify changes to coverage, billing codes, prior authorization requirements, or documentation standards for transplant-related services.
Action Required
By 04/02/2025: Billing team must obtain and thoroughly review the complete policy text for 11.00.09g from https://medpolicy.ibx.com/ibc/Commercial/Pages/Site-Activity-View.aspx?FilterField1=MPSiteActivityLogMonth&FilterValue1=04&FilterField2=MPSiteActivityLogYear&FilterValue2=2025#commercial-11-00-09g. Identify all specific billing code changes, prior authorization requirements, and documentation updates. Update billing system workflows, encounter forms, and provider alerts accordingly. Communicate changes to transplant surgery and procurement teams. Failure to implement changes may result in claim denials for transplant-related services.