Medicare AdvantageBilling CodesHigh impact
MA11.113m, Percutaneous Coronary Intervention, Coronary Angiography, and Arterial Ultrasound
Independence Blue Cross·Cardiology, Cardiothoracic Surgery, Radiology +1 more·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
Independence Blue Cross updated policy MA11.113m to MA11.113o effective 01/01/2026, removing 6 CPT codes (92921, 92925, 92929, 92934, 92938, 92944), adding 2 new CPT codes (92930, 92945), and revising 6 existing CPT codes for percutaneous coronary intervention and coronary angiography procedures. The policy continues to delegate utilization management to Carelon Medical Benefits Management with no changes to coverage criteria or medical necessity determinations.
Action Required
By 01/01/2026: Billing team must update billing software and claim submission systems to remove CPT codes 92921, 92925, 92929, 92934, 92938, and 92944 from all claim templates and validation rules. Add new CPT codes 92930 and 92945 to billing software. Update code descriptions and billing rules for revised codes 92920, 92924, 92928, 92933, 92937, and 92943. Notify cardiology providers and interventional radiologists of code changes. Update Carelon prior authorization submission processes to reflect new code list in Attachment A. Test all claim submissions with new codes in staging environment before go-live. Claims submitted on or after 01/01/2026 using terminated codes will be denied.