Medicare AdvantageCoverageLow impact
MA11.115, Direct Endoscopic Necrosectomy (DEN) for the Treatment of Pancreatic Necrosis
Independence Blue Cross·Gastroenterology, General Surgery·Medical Policy
Effective date
Jun 10, 2026
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.115 for Direct Endoscopic Necrosectomy (DEN) for pancreatic necrosis treatment has been reissued with updates effective June 10, 2026. This is a specialized gastroenterology procedure policy that may affect coverage criteria or billing requirements for this specific endoscopic treatment.
Action Required
By June 10, 2026: Review updated MA11.115 policy at the source URL to identify specific changes to coverage criteria, prior authorization requirements, or documentation needs for Direct Endoscopic Necrosectomy procedures. Update billing protocols and provider guidelines accordingly for Medicare Advantage patients requiring pancreatic necrosis treatment.