Back to dashboard
Medicare AdvantageAdministrativeLow impact

MA11.012f, Endovascular Grafts for Abdominal Aortic Aneurysms (AAA), Aorto-Iliac Aneurysms, and Infrarenal Aortic Aneurysms

Independence Blue Cross·NJ · Cardiothoracic Surgery, Vascular Surgery, General Surgery·Medical Policy
Effective date
Not stated
We identified it
Jun 19, 2026
Days to comply
—

Summary

This is a reissue with no substantive changes to MA11.012f. Independence Blue Cross reaffirmed its continuing coverage position for endovascular graft repair of abdominal aortic aneurysms (AAA), aorto-iliac aneurysms, and infrarenal aortic aneurysms using FDA-approved devices. No new billing requirements, coverage criteria, or code updates are included in this publication.

Action Required

Action needed
No immediate action required. This is a reissue with no changes to the existing policy. Billing teams should confirm that current billing practices for CPT codes 33894, 33895, and 34701 continue to align with the documented medical necessity criteria (FDA-approved devices, anatomic appropriateness, patient stability for emergency cases). Maintain current documentation requirements for all claims submitted under this policy.

Affected Billing Codes

33894
33895
34701