Medicare AdvantageCoverageMedium impact
MA05.038, Cardiac Contractility Modulation
Independence Blue Cross·Cardiology, Cardiothoracic Surgery·Medical Policy
Effective date
Oct 28, 2025
We identified it
Jun 19, 2026
Summary
A new Medicare Advantage policy MA05.038 for Cardiac Contractility Modulation has been created, establishing coverage criteria and billing guidelines for this cardiac device therapy. This policy will take effect October 28, 2025, providing billing teams nearly a full year to prepare for implementation.
Action Required
Before October 28, 2025: Billing team should monitor for the full policy details when released to understand coverage criteria, prior authorization requirements, and specific billing codes for Cardiac Contractility Modulation procedures. Cardiology practices should prepare documentation requirements and workflow processes for this new cardiac device therapy coverage.