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MA11.119, Implantable Pulmonary Artery Pressure Sensors for Heart Failure Management

Independence Blue Cross·Cardiology·Medical Policy
Effective date
Apr 1, 2026
We identified it
Jun 19, 2026
Days to comply

Summary

Medicare Advantage policy MA11.119 regarding implantable pulmonary artery pressure sensors for heart failure management has been reissued and will take effect April 1, 2026. This update may affect coverage criteria, billing requirements, or documentation standards for these specialized cardiac devices.

Action Required

Action needed
Before April 1, 2026: Billing team should review the full policy MA11.119 for implantable pulmonary artery pressure sensors to identify any changes to coverage criteria, prior authorization requirements, or billing procedures. Update billing protocols and provider documentation requirements accordingly for heart failure patients receiving these devices.