Active Notifications
The notifications listed below represent new policy versions that are scheduled to become active on the intended Policy Effective Date. These notifications allow you to become familiar with the new policy version in advance of its release. Please check back frequently as notifications are posted often.
 
   

Policy Effective Date
Notification Title
Notification Issue Date
Hide details for 05/17/202005/17/2020
Hide details for
High-Technology Radiology Services
02/17/2020
Attachment A (High-Technology Radiology Services Code List) to MA09.002m High-Technology Radiology Services
Hide details for 06/15/202006/15/2020
Artificial Intervertebral Disc Insertion
03/11/2020
Denervation of the Spinal Nerves for Chronic Pain
03/11/2020
Epidural, Paravertebral Facet, and Sacroiliac Joint Injections for Spinal Pain Management
03/11/2020
Hide details for
Meniscal Allograft Transplantation and Meniscal Implants
03/11/2020
Attachment A (ICD-10-CM codes) to MA11.081b Meniscal Allograft Transplantation and Meniscal Implants
Hide details for
Musculoskeletal Services
03/11/2020
Attachment A (Procedure Codes for Spine) to MA00.047c Musculoskeletal Services
Attachment B (Procedure Codes for Joints) to MA00.047c Musculoskeletal Services
Attachment C (Procedures Codes for Interventional Pain Management) to MA00.047c Musculoskeletal Services
Hide details for
Reimbursement for Components of Comprehensive Laboratory Panels
05/15/2020
Attachment A (CPT Codes) to MA01.006a Reimbursement for Components of Comprehensive Laboratory Panels
Spinal Cord and Dorsal Root Ganglion Stimulation
03/11/2020
Spinal Discectomy
03/11/2020
Spinal Fusion
03/11/2020
Spinal Laminectomy
03/11/2020
Hide details for 07/01/202007/01/2020
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Preventive Care Services
04/01/2020
Attachment A (Visits and Examinations) to MA00.003n Preventive Care Services
Attachment B (Screening Services) to MA00.003n Preventive Care Services
Attachment C (Therapy and Counseling) to MA00.003n Preventive Care Services
Attachment C1 (Medical Nutrition Therapy ICD 10 Codes) to MA00.003n Preventive Care Services
Attachment D (Vaccines) to MA00.003n Preventive Care Services
Attachment D1 (Hepatitis B Vaccine ICD 10 Coding) to MA00.003n Preventive Care Services









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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.