Medicare AdvantageCoverageMedium impact
MA11.118, Endoscopic Submucosal Dissection (ESD)
Independence Blue Cross·Gastroenterology, General Surgery·Medical Policy
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
A new Medicare Advantage policy MA11.118 has been created covering Endoscopic Submucosal Dissection (ESD) procedures, effective October 1, 2025. This establishes coverage criteria and billing guidelines for this specialized endoscopic procedure used to remove early-stage gastrointestinal tumors.
Action Required
Before October 1, 2025: Billing team must review the full MA11.118 policy details at the source URL to understand coverage criteria, prior authorization requirements, and documentation needs for Endoscopic Submucosal Dissection procedures. Update billing workflows and staff training for Medicare Advantage ESD claims processing.