Medicare AdvantageCoverageMedium impact
MA11.025, Percutaneous Intradiscal Annuloplasty (IDET/PIRFT)
Independence Blue Cross·Orthopedics, Neurosurgery, Pain Management·Medical Policy
Effective date
Apr 30, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.025 for Percutaneous Intradiscal Annuloplasty (IDET/PIRFT) has been reissued and will take effect April 30, 2025. This affects billing for minimally invasive spine procedures used to treat chronic lower back pain from disc degeneration.
Action Required
By April 30, 2025: Billing team must review updated Medicare Advantage policy MA11.025 for Percutaneous Intradiscal Annuloplasty procedures. Verify current billing practices align with new policy requirements and update any prior authorization or documentation workflows as needed for IDET/PIRFT procedures.