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Medicare AdvantageCoverageMedium impact

MA11.020, Bronchial Valves

Independence Blue Cross·Pulmonology, Cardiothoracic Surgery·Medical Policy
Effective date
Mar 5, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

Medicare Advantage policy MA11.020 for Bronchial Valves has been reissued and updated. This is a very recent change that may affect coverage or billing requirements for bronchial valve procedures.

Action Required

Action needed
By March 5, 2025: Billing team must review the updated MA11.020 Bronchial Valves policy at the provided URL to identify specific changes to coverage criteria, prior authorization requirements, or billing procedures. Update billing workflows and provider documentation requirements accordingly for Medicare Advantage patients requiring bronchial valve procedures.