Who is affected by this change?

This affects Independence Blue Cross Gastroenterology, General Surgery providers on Medicare Advantage plans.

When does this change take effect?

This change is effective Jan 5, 2026.

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Medicare AdvantageBilling CodesMedium impact

MA11.117a, Peroral Endoscopic Myotomy (POEM) Procedures

Independence Blue Cross·Gastroenterology, General Surgery·Medical Policy

Effective date

Jan 5, 2026

We identified it

Jun 19, 2026

Days to comply

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Summary

Medicare Advantage policy MA11.117a for Peroral Endoscopic Myotomy (POEM) procedures has been updated with medical coding changes. This is a very recent update that may affect billing and coding requirements for POEM procedures under Medicare Advantage plans.

Action Required

Action needed

By January 5, 2026: Billing team must review the full policy details at the provided URL to understand specific coding changes for POEM procedures. Update billing software and encounter forms with any new coding requirements for Medicare Advantage patients undergoing Peroral Endoscopic Myotomy procedures.

Related policy hubs

Independence Blue Cross policies Gastroenterology General Surgery