CommercialCoverageMedium impact
11.06.07e, Ovarian and Internal Iliac Vein Embolization as Treatment for Pelvic Congestion Syndrome
Independence Blue Cross·Radiology, Vascular Surgery·Medical Policy
Effective date
Mar 5, 2025
We identified it
Jun 19, 2026
Summary
This is a reissued medical policy (effective 03/05/2025) regarding ovarian and internal iliac vein embolization as a treatment for pelvic congestion syndrome. The billing team must review the full policy text to determine coverage criteria, prior authorization requirements, and applicable billing codes for this interventional procedure.
Action Required
By 03/05/2025: Billing team must obtain and review the complete policy text at the source URL to identify: (1) specific CPT/HCPCS codes for ovarian and internal iliac vein embolization procedures, (2) prior authorization requirements, (3) medical necessity criteria, and (4) any coverage limitations. Update billing system rules, encounter forms, and provider education materials accordingly. Notify providers and interventional radiology/vascular surgery staff of coverage changes. Implement any new prior authorization workflows before the effective date to prevent claim denials.