Medicare AdvantageCoverageMedium impact
MA11.087c, Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions
Independence Blue Cross·Orthopedics, PM&R (Physical Medicine & Rehab), Sports Medicine +1 more·Medical Policy
Effective date
Jul 9, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.087c for Extracorporeal Shock Wave Therapy (ESWT) for musculoskeletal conditions has been reissued and then removed on the same day (09/09/2025), with a future effective date of 07/09/2025. This suggests a policy that was posted in error or requires revision before implementation.
Action Required
Monitor for reposting of this ESWT policy before July 9, 2025 effective date. Since the policy was removed same-day after posting, watch for updated guidance on Medicare Advantage coverage and billing requirements for extracorporeal shock wave therapy procedures. Billing team should flag any ESWT claims for Medicare Advantage patients and verify coverage requirements once policy is republished.