Medicare AdvantageCoverageMedium impact
MA05.067f, Leadless Pacemakers
Independence Blue Cross·Cardiology, Cardiothoracic Surgery·Medical Policy
Effective date
Apr 2, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA05.067f for leadless pacemakers has been reissued and will be effective April 2, 2025. This is a policy update that may affect coverage criteria, billing requirements, or documentation standards for leadless pacemaker procedures under Medicare Advantage plans.
Action Required
By April 2, 2025: Billing team and cardiology providers must review the updated MA05.067f leadless pacemaker policy at the provided URL to identify any changes to coverage criteria, prior authorization requirements, or documentation standards. Update billing workflows and encounter forms accordingly for Medicare Advantage patients receiving leadless pacemaker procedures.