Medicare AdvantageBilling CodesHigh impact
MA11.120a, Renal Denervation for Uncontrolled Hypertension
Independence Blue Cross·Cardiology, Internal Medicine, Nephrology·Medical Policy
Effective date
Apr 1, 2026
We identified it
Jun 19, 2026
Summary
INCOMPLETE POLICY DATA: The policy document provided contains only metadata (title, effective date, source URL) but does NOT include the actual policy content, specific billing codes, coverage criteria, or clinical guidelines for renal denervation procedures. The billing team cannot implement changes without the full policy text detailing what codes are affected, coverage requirements, and any prior authorization mandates.
Action Required
CRITICAL: By 2026-03-15 (3 weeks before effective date), Billing team must: (1) Obtain the COMPLETE MA11.120a policy text from the URL provided or directly from IBX; (2) Extract all specific CPT codes (likely 36XX, 7XXX range for catheter/denervation procedures) and HCPCS codes for renal denervation; (3) Identify prior authorization requirements and covered patient criteria; (4) Update billing system rules and templates to reflect new renal denervation coverage/coding changes; (5) Train providers and front desk on documentation and authorization workflows. WITHOUT the full policy text, billing claims for renal denervation procedures will be submitted incorrectly or denied effective 04/01/2026. Request full policy document immediately.