Site Activity
This page provides a monthly listing of publication activity on the Medical Policy Portal including Policy Notifications, New Policies, Updated Policies, Coding Updates, Reissued Policies, and Archived Policies. To view publication activity from prior months, select Past Site Activity.

Past Site Activity

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Notifications
The following Independence Blue Cross commercial policies have been posted prior to their effective date.
00.01.68, Multiple Procedure Payment Reduction Guidelines for Physical, Occupational, and Speech Therapy Services
Notification: 08/01/2019 | Effective: 09/01/2019 | Posted: 08/01/2019
Type of policy change: This is a new policy.

09.00.46x, High-Technology Radiology Services (Independence)
Notification: 08/16/2019 | Effective: 11/10/2019 | Posted: 08/16/2019
Type of policy change: Medical Necessity Criteria


New Policies
The following commercial policies have been newly developed to communicate coverage and/or reimbursement positions, reporting requirements, and other processes and procedures for doing business with Independence Blue Cross
05.00.80, Cranial Electrotherapy Stimulation
Notification: 07/12/2019 | Effective: 08/12/2019 | Posted: 08/12/2019
Type of policy change: This is a new policy.

08.01.59, Polatuzumab Vedotin-Piiq (Polivy™)
Effective: 08/26/2019 | Posted: 08/26/2019
Type of policy change: This is a new policy.

00.01.68, Multiple Procedure Payment Reduction Guidelines for Physical, Occupational, and Speech Therapy Services
Notification: 08/01/2019 | Effective: 09/01/2019 | Posted: 08/30/2019
Type of policy change: This is a new policy.


Updated Policies
The following commercial policies have been reviewed and updated to communicate current coverage and/or reimbursement positions, reporting requirements, and other procedures for doing business with Independence Blue Cross.
11.00.14f, Treatment of Twin-Twin Transfusion Syndrome (TTTS)
Notification: 05/14/2019 | Effective: 08/12/2019 | Posted: 08/12/2019
Type of policy change: Coverage and/or Reimbursement Position; Medical Coding; General Description, Guidelines, or Informational Update

00.10.01ab, Services Paid Above Capitation for Health Maintenance Organization (HMO) and Health Maintenance Organization Point-of-Service (HMO-POS) Primary Care Providers
Effective: 08/19/2019 | Posted: 08/19/2019
Type of policy change: Coverage and/or Reimbursement Position

08.00.90j, Paclitaxel Protein-bound Particles for Injectable Suspension (Albumin-bound)/(Abraxane® for Injectable Suspension)
Effective: 08/26/2019 | Posted: 08/26/2019
Type of policy change: Medical Necessity Criteria; Medical Coding


Reissue Policies
The following commercial policies have been reviewed, and no substantive changes were made.
11.15.24a, Migraine Deactivation Surgery
Reissue Effective: 07/31/2019 | Reissue Posted: 08/01/2019

11.15.20o, Deep Brain Stimulation (DBS)
Reissue Effective: 07/31/2019 | Reissue Posted: 08/01/2019

00.01.56a, National Correct Coding Initiative (NCCI) Code Pair Edits
Reissue Effective: 08/14/2019 | Reissue Posted: 08/15/2019

12.04.03c, Air Ambulance Services
Reissue Effective: 08/14/2019 | Reissue Posted: 08/15/2019

05.00.37f, Compression Garments
Reissue Effective: 08/14/2019 | Reissue Posted: 08/15/2019

07.07.01n, Routine Foot Care for Certain Medical Conditions
Reissue Effective: 08/14/2019 | Reissue Posted: 08/15/2019

07.02.05j, External Counterpulsation (ECP)
Reissue Effective: 08/28/2019 | Reissue Posted: 08/29/2019

(Not Categorized)
00.01.25at, PPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative Services
Effective: 08/19/2019 | Posted: 08/19/2019


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Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.