Medicare AdvantageCoverageMedium impact
MA11.028l, Sacral Nerve Stimulation (SNS) and Posterior Tibial Nerve Stimulation (PTNS) for the Control of Incontinence
Independence Blue Cross·Urology, OB-GYN, Gastroenterology·Medical Policy
Effective date
Jan 21, 2026
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.028l regarding Sacral Nerve Stimulation (SNS) and Posterior Tibial Nerve Stimulation (PTNS) for incontinence control has been reissued with an effective date of January 21, 2026. This is a fresh policy update that may contain changes to coverage criteria, prior authorization requirements, or billing guidelines for these nerve stimulation procedures.
Action Required
Before January 21, 2026: Billing team and providers should review the complete MA11.028l policy update for any changes to coverage criteria, prior authorization requirements, or documentation standards for sacral nerve stimulation and posterior tibial nerve stimulation procedures. Update billing workflows and encounter forms as needed based on the full policy details.