CommercialDocumentationMedium impact
11.02.17i, Endovascular Stent Graft Repair of Thoracic Aortic Aneurysms and Nonaneurysmal Lesions
Independence Blue Cross·Cardiothoracic Surgery, Vascular Surgery, Radiology·Medical Policy
Effective date
Jan 1, 2025
We identified it
Jun 19, 2026
Summary
Policy 11.02.17i was updated effective January 1, 2025, with changes to medical necessity criteria, medical coding guidelines, and general description for endovascular stent graft repair of thoracic aortic aneurysms and nonaneurysmal lesions. The billing team must review updated medical necessity requirements and coding guidelines to ensure accurate claim submission and avoid denials.
Action Required
By January 31, 2025: Billing team must obtain and review the complete policy text from the source URL to identify specific affected CPT/HCPCS codes and updated medical necessity criteria. Update billing system rules, prior authorization protocols, and provider encounter documentation templates to reflect new requirements. Communicate changes to providers and coding staff. Failure to implement updated medical necessity criteria may result in claim denials for thoracic aortic aneurysm and nonaneurysmal lesion procedures.