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Independence Blue CrossMedicare Advantage · Administrative · Medical Policy · Transplant Surgery, Cardiothoracic Surgery, General Surgery +2 moreLow impact

MA11.033c, Solid Organ Transplantation and Procurement Cost of Organs and Tissues

Effective date
Sep 30, 2026
Identified
Jun 19, 2026

Summary

Independence Blue Cross reissued MA11.033c effective 09/30/2026 to reaffirm coverage for solid organ transplants (heart, lung, kidney, pancreas, liver, intestine, and multivisceral) under Medicare Advantage plans. The policy confirms that all transplant programs must maintain both Medicare and UNOS certification, and transplants must be performed at Medicare-approved facilities. No substantive coverage changes were made—this is a routine annual review reissuance.

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What to do

Action · 4 steps
01Before 09/30/2026: Billing team should verify that all transplant facility and program certifications referenced in claims are current and match Medicare-approved transplant program listings at cms.gov.
02No workflow changes are required unless your practice performs transplants; if so, confirm Medicare and UNOS certification status remains active.
03Update any internal policy documentation to reflect the 09/30/2026 effective date.
04This is a reissuance with no substantive changes to coverage criteria or billing requirements.

Codes mentioned

0199033940339443394533930S2152S2061S2060

Original notice

MA11.033c, Solid Organ Transplantation and Procurement Cost of Organs and Tissues
medpolicy.ibx.com · Always check the source before changing claims.
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Related changes

See all Independence Blue Cross changes →
MA11.033c, Solid Organ Transplantation and Procurement Cost of Organs and TissuesMediumEffective Jun 17, 2024 · Medical Policy11.00.09g, Solid Organ Transplantation and Procurement Cost of Organs and TissuesMediumEffective Jun 17, 2024 · Medical Policy11.00.09g, Solid Organ Transplantation and Procurement Cost of Organs and TissuesMediumEffective Jun 17, 2024 · Medical PolicyMA00.011u, Modifier 62: Two SurgeonsMediumEffective Jan 13, 2025 · CodingBrowse every Independence Blue Cross change in the policy list

Related policy hubs

Independence Blue Cross policiesTransplant SurgeryCardiothoracic SurgeryGeneral SurgeryNephrologyPulmonologyCode 01990Code 33940Code 33944Code 33945Code 33930Code S2152Code S2061Code S2060

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