Medicare AdvantageCoverageHigh impact
MA11.113j, Percutaneous Coronary Intervention, Coronary Angiography, and Arterial Ultrasound
Independence Blue Cross·Cardiology, Cardiothoracic Surgery, Vascular Surgery +1 more·Medical Policy
Effective date
Jan 1, 2025
We identified it
Jun 19, 2026
Summary
Policy MA11.113j for Percutaneous Coronary Intervention, Coronary Angiography, and Arterial Ultrasound has been updated for Medicare Advantage plans. This is a fresh policy revision that went into effect January 1, 2025, and affects cardiac procedures and imaging services.
Action Required
By January 31, 2025: Billing team must review the complete policy MA11.113j at medpolicy.ibx.com to identify specific changes to coverage criteria, prior authorization requirements, or billing guidelines for coronary interventions and angiography. Update billing system settings and provider documentation requirements accordingly. Ensure all cardiac procedure claims for Medicare Advantage members comply with the revised policy to prevent denials.