Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Independence Blue CrossMedicare Advantage · Administrative · Medical Policy · Cardiology, Cardiothoracic Surgery, Critical Care +1 moreLow impact

MA11.119, Implantable Pulmonary Artery Pressure Sensors for Heart Failure Management

Effective date
Jan 13, 2025
Identified
Jun 19, 2026

Summary

Independence Blue Cross reissued MA11.119 with no substantive changes to its coverage policy for implantable pulmonary artery pressure sensors (PAPS) for heart failure management. The policy maintains Coverage with Evidence Development (CED) as the only covered pathway, requiring enrollment in approved CMS clinical studies and strict eligibility criteria. This is an administrative reissue as part of the annual review process; no billing workflow changes are required.

Get alerts when payers change rules like this one

We check Independence Blue Cross and other payers every day and email you when a change matches your specialty and state.

Get Independence Blue Cross alertsPolicy Monitoring is free. No card required.

What to do

Action · 5 steps
01No immediate action required.
02This is a reissue with no changes to coverage criteria or billing requirements.
03Billing team should verify that current authorization and billing workflows for PAPS implantation (CPT 33289) and remote monitoring (CPT 93264) already incorporate the CED requirements: patient enrollment in an approved CMS study, cardiologist referral/management, implanter's advanced training in pulmonary arterial catheterization, and all seven clinical eligibility criteria.
04If workflows are not yet aligned, update billing system to flag claims for prior authorization review to confirm CED study enrollment before processing.
05No changes to affected codes (33289, 93264, C2624, G0555) are necessary.

Codes mentioned

3328993264C2624G0555Z00.6

Original notice

MA11.119, Implantable Pulmonary Artery Pressure Sensors for Heart Failure Management
medpolicy.ibx.com · Always check the source before changing claims.
View original ↗

Related changes

See all Independence Blue Cross changes →
MA11.119, Implantable Pulmonary Artery Pressure Sensors for Heart Failure ManagementMediumEffective Jan 13, 2025 · Medical PolicyMA00.005ao, Experimental/Investigational ServicesMediumEffective Apr 1, 2025 · Medical PolicyMA05.067f, Leadless PacemakersLowEffective Jul 1, 2024 · Medical PolicyMA00.004b, Routine Costs of Clinical Trials and Coverage of Investigational Devices A and BLowNo effective date · Medical PolicyBrowse every Independence Blue Cross change in the policy list

Related policy hubs

Independence Blue Cross policiesCardiologyCardiothoracic SurgeryCritical CareInternal MedicineCode 33289Code 93264Code C2624Code G0555Code Z00.6

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account