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MA11.093a, Surgical Treatments of Athletic Pubalgia

Independence Blue Cross·Orthopedics, General Surgery, Sports Medicine·Medical Policy
Effective date
Apr 29, 2026
We identified it
Jun 19, 2026
Days to comply

Summary

Medicare Advantage policy MA11.093a for Surgical Treatments of Athletic Pubalgia has been reissued with an effective date of April 29, 2026. This policy update affects surgical procedures for athletic pubalgia (sports hernias) and may contain changes to coverage criteria or prior authorization requirements.

Action Required

Action needed
Before April 29, 2026: Review the complete policy MA11.093a at the source URL to identify specific changes to surgical treatments of athletic pubalgia. Update billing protocols and prior authorization workflows as needed for Medicare Advantage patients requiring these procedures.