CommercialCoverageLow impact
11.06.07e, Ovarian and Internal Iliac Vein Embolization as Treatment for Pelvic Congestion Syndrome
Independence Blue Cross·OB-GYN, Vascular Surgery, Radiology·Medical Policy
Effective date
Jan 1, 2025
We identified it
Jun 19, 2026
Summary
Policy 11.06.07e regarding Ovarian and Internal Iliac Vein Embolization for Pelvic Congestion Syndrome has been updated with changes to general description, guidelines, or informational content. This is a general informational update that may affect coverage criteria or documentation requirements for this specialized gynecological procedure.
Action Required
By January 15, 2025: Billing team should review the updated policy at the IBX medical policy website to understand any changes to coverage criteria, documentation requirements, or billing guidelines for ovarian and internal iliac vein embolization procedures. Update internal procedures and inform providers of any new requirements.