Medicare AdvantageCoverageMedium impact
MA11.087c, Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions
Independence Blue Cross·Orthopedics, PM&R (Physical Medicine & Rehab), Pain Management +2 more·Medical Policy
Effective date
Mar 4, 2026
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.087c for Extracorporeal Shock Wave Therapy (ESWT) for musculoskeletal conditions has been reissued with an effective date of March 4, 2026. This is a policy update that may affect coverage criteria, prior authorization requirements, or billing guidelines for ESWT procedures.
Action Required
Before March 4, 2026: Billing team must review the complete updated policy MA11.087c for ESWT musculoskeletal treatments at the source URL to identify specific changes to coverage criteria, prior authorization requirements, or documentation standards. Update billing workflows and provider protocols accordingly based on the detailed policy content.