Medicare AdvantageCoverageMedium impact
MA11.117, Peroral Endoscopic Myotomy (POEM) Procedures
Independence Blue Cross·Gastroenterology, General Surgery·Medical Policy
Effective date
Sep 18, 2024
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.117 for Peroral Endoscopic Myotomy (POEM) procedures has been reissued and is now effective as of September 18, 2024. This policy update affects coverage and billing requirements for POEM procedures under Medicare Advantage plans.
Action Required
Immediately: Billing team should review the complete MA11.117 policy document at the provided URL to understand current coverage criteria and billing requirements for POEM procedures under Medicare Advantage plans. Verify that any pending or future POEM procedure claims comply with the updated policy guidelines effective September 18, 2024.