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 Sep 3, 2025.

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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

Sep 3, 2025

We identified it

Jun 19, 2026

Days to comply

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Summary

Medicare Advantage policy MA11.115 covering Direct Endoscopic Necrosectomy (DEN) for pancreatic necrosis treatment has been reissued. This policy affects coverage and billing procedures for this specialized endoscopic procedure used to treat infected pancreatic tissue.

Action Required

Action needed

By September 3, 2025: Billing team should review the updated MA11.115 policy details for Direct Endoscopic Necrosectomy procedures. Contact IBX or access the full policy document to understand any changes to coverage criteria, documentation requirements, or billing procedures for Medicare Advantage patients requiring this procedure.

Related policy hubs

Independence Blue Cross policies Gastroenterology General Surgery