Medicare AdvantageCoverageMedium impact
MA11.028k, Sacral Nerve Stimulation (SNS) and Posterior Tibial Nerve Stimulation (PTNS) for the Control of Incontinence
Independence Blue Cross·Urology, OB-GYN, Gastroenterology·Medical Policy
Effective date
May 28, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.028k regarding Sacral Nerve Stimulation (SNS) and Posterior Tibial Nerve Stimulation (PTNS) for incontinence control has been reissued with an effective date of May 28, 2025. This is a policy reissue that will affect billing and coverage criteria for these specialized nerve stimulation procedures.
Action Required
By May 28, 2025: Billing team must review the updated MA11.028k policy for any changes to coverage criteria, prior authorization requirements, or billing guidelines for Sacral Nerve Stimulation and Posterior Tibial Nerve Stimulation procedures. Update billing system and encounter forms with any new requirements. Notify providers of any documentation changes needed for incontinence treatment claims.