Medicare AdvantageCoverageMedium impact
MA11.097f, Percutaneous Image-Guided Lumbar Decompression (PILD) for Spinal Stenosis
Independence Blue Cross·Orthopedics, Neurosurgery, PM&R (Physical Medicine & Rehab) +1 more·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.097f has been updated regarding Percutaneous Image-Guided Lumbar Decompression (PILD) for spinal stenosis, effective January 1, 2026. This policy change will impact coverage or billing requirements for this minimally invasive spinal procedure.
Action Required
Before January 1, 2026: Billing team must review the complete MA11.097f policy update for Percutaneous Image-Guided Lumbar Decompression procedures. Verify current coverage criteria, prior authorization requirements, and billing guidelines for Medicare Advantage plans. Update billing protocols and staff training as needed based on the full policy details.