CommercialCoverageMedium impact
11.06.10a, Laparoscopic, Percutaneous, and Transcervical Techniques for Uterine Fibroid Myolysis
Independence Blue Cross·OB-GYN·Medical Policy
Effective date
Mar 5, 2025
We identified it
Jun 19, 2026
Summary
Policy 11.06.10a has been reissued effective March 5, 2025, addressing coverage and clinical criteria for laparoscopic, percutaneous, and transcervical techniques used in uterine fibroid myolysis procedures. The billing team must review the full policy details to identify any changes to covered procedures, billing codes, prior authorization requirements, or documentation standards compared to the previous version.
Action Required
By March 5, 2025: Billing team must obtain and review the complete policy text from the provided URL to identify specific CPT/HCPCS codes affected, prior authorization requirements, and documentation standards. Update billing system rules, encounter forms, and provider communication materials accordingly. Communicate any changes to OB/GYN providers and surgical staff who perform fibroid myolysis procedures. Ensure all claims submitted after the effective date comply with updated coverage criteria to prevent denials.