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MA11.048d, Spinal Decompression with Interspinous and Interlaminar Devices

Independence Blue Cross·Orthopedics, Neurosurgery, Pain Management·Medical Policy
Effective date
Feb 2, 2026
We identified it
Jun 19, 2026
Days to comply

Summary

Medicare Advantage policy MA11.048d for spinal decompression procedures using interspinous and interlaminar devices has been updated with changes to coverage position, medical necessity criteria, and general guidelines. This affects reimbursement and coverage determinations for spinal decompression procedures.

Action Required

Action needed
Before February 2, 2026: Billing team must review updated policy MA11.048d for spinal decompression with interspinous and interlaminar devices. Update billing procedures to reflect new coverage position and medical necessity criteria. Providers should review documentation requirements for spinal decompression procedures to ensure compliance with updated guidelines.