Medicare AdvantageAdministrativeMedium impact
MA11.011h, Ventricular Assist Devices (VADs)
Independence Blue Cross·Cardiology, Cardiothoracic Surgery, Critical Care·Medical Policy
Effective date
Apr 21, 2025
We identified it
Jun 19, 2026
Summary
Policy MA11.011h regarding Ventricular Assist Devices (VADs) has been updated effective April 21, 2025. This is a general description, guidelines, or informational update to the existing VAD policy. The billing team should review the full policy text to identify any changes to coverage criteria, prior authorization requirements, or billing guidelines that may affect VAD-related claims.
Action Required
By April 21, 2025: Billing team must access and review the full MA11.011h policy text at https://medpolicy.ibx.com/ibc/ma/Pages/Site-Activity-View.aspx?FilterField1=MPSiteActivityLogMonth&FilterValue1=04&FilterField2=MPSiteActivityLogYear&FilterValue2=2025. Identify any changes to VAD coverage, prior authorization requirements, documentation standards, or applicable billing codes. Update internal billing guidelines, encounter forms, and billing system rules accordingly. Notify cardiothoracic surgery and cardiology providers of any new requirements. Failure to implement policy changes may result in claim denials for VAD-related procedures and services.