When does this change take effect?

This change is effective Jan 1, 2026.

Medicare AdvantageCoverageMedium impact

MA11.113m, Percutaneous Coronary Intervention, Coronary Angiography, and Arterial Ultrasound

Q: Who is affected by this change?

This affects Independence Blue Cross Cardiology, Vascular Surgery, Cardiothoracic Surgery, Radiology providers on Medicare Advantage plans.

Independence Blue Cross·Cardiology, Vascular Surgery, Cardiothoracic Surgery +1 more·Medical Policy

Effective date

Jan 1, 2026

We identified it

Jun 19, 2026

Days to comply

—

Summary

Medicare Advantage policy MA11.113m covering percutaneous coronary intervention, coronary angiography, and arterial ultrasound procedures has been updated. The specific changes are not detailed in the summary, but billing teams should review the full policy for any modifications to coverage criteria or requirements.

Action Required

Action needed

Before January 1, 2026: Billing team must review the complete MA11.113m policy at the source URL to identify specific changes to coverage criteria, prior authorization requirements, or documentation standards for percutaneous coronary intervention, coronary angiography, and arterial ultrasound procedures. Update billing software and provider workflows accordingly for Medicare Advantage claims.

Related policy hubs

Independence Blue Cross policies Cardiology Vascular Surgery Cardiothoracic Surgery Radiology