Medicare AdvantageCoverageLow impact
MA11.115, Direct Endoscopic Necrosectomy (DEN) for the Treatment of Pancreatic Necrosis
Independence Blue Cross·Gastroenterology, General Surgery·Medical Policy
Effective date
Jan 20, 2025
We identified it
Jun 19, 2026
Summary
A new Medicare Advantage policy MA11.115 has been established for Direct Endoscopic Necrosectomy (DEN) for treating pancreatic necrosis, effective January 20, 2025. This policy will establish coverage criteria and billing guidelines for this specialized endoscopic procedure used to treat infected pancreatic tissue death.
Action Required
By January 20, 2025: Review the full policy details at the provided URL to understand coverage criteria for Direct Endoscopic Necrosectomy procedures. Gastroenterology and general surgery teams should familiarize themselves with the new Medicare Advantage guidelines for pancreatic necrosis treatment to ensure proper billing and documentation.