Medicare AdvantageCoverageMedium impact
MA11.097e, Percutaneous Image-Guided Lumbar Decompression (PILD) for Spinal Stenosis
Independence Blue Cross·Orthopedics, Neurosurgery, Pain Management +1 more·Medical Policy
Effective date
Apr 2, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.097e for Percutaneous Image-Guided Lumbar Decompression (PILD) for spinal stenosis has been reissued and will become effective April 2, 2025. This policy update affects coverage and billing requirements for PILD procedures used to treat lumbar spinal stenosis.
Action Required
Before April 2, 2025: Billing team must review updated MA11.097e policy for PILD procedures and verify current coverage criteria, prior authorization requirements, and documentation standards for Medicare Advantage plans. Update billing protocols and provider guidance accordingly to ensure compliance with new policy terms.