Medicare AdvantageCoverageMedium impact
MA11.119, Implantable Pulmonary Artery Pressure Sensors for Heart Failure Management
Independence Blue Cross·Cardiology, Critical Care, Internal Medicine·Medical Policy
Effective date
Jan 13, 2025
We identified it
Jun 19, 2026
Summary
A new Medicare Advantage policy MA11.119 has been established for implantable pulmonary artery pressure sensors used in heart failure management. This policy will define coverage criteria and billing requirements for these cardiac monitoring devices starting January 13, 2025.
Action Required
By January 13, 2025: Billing team must review the full policy MA11.119 to understand coverage criteria and prior authorization requirements for implantable pulmonary artery pressure sensors. Update billing workflows for heart failure patients requiring these devices. Contact Medicare Advantage plans to confirm specific billing procedures and documentation requirements.