Medicare AdvantageCoverageMedium impact
MA11.097f, Percutaneous Image-Guided Lumbar Decompression (PILD) for Spinal Stenosis
Independence Blue Cross·Orthopedics, Neurosurgery, PM&R (Physical Medicine & Rehab) +1 more·Medical Policy
Effective date
Jun 10, 2026
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.097f for Percutaneous Image-Guided Lumbar Decompression (PILD) for Spinal Stenosis has been reissued with an effective date of June 10, 2026. This is a policy update that affects coverage and billing requirements for this specialized spine procedure under Medicare Advantage plans.
Action Required
By June 10, 2026: Billing team must review updated Medicare Advantage policy MA11.097f for Percutaneous Image-Guided Lumbar Decompression procedures. Update billing protocols and prior authorization requirements as specified in the full policy. Ensure providers are aware of any new coverage criteria or documentation requirements for PILD procedures.