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
 
                                                                                          

Notifications
The following Independence Blue Cross Medicare Advantage policies have been posted prior to their effective date.
MA06.002b, In Vitro Allergy Testing
Notification: 02/22/2019 | Effective: 03/25/2019 | Posted: 02/22/2019
Type of policy change: Medical Necessity Criteria; General Description, Guidelines, or Informational Update


New Policies
The following Medicare Advantage 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.
MA08.104, Emapalumab-lzsg (Gamifant®)
Effective: 02/25/2019 | Posted: 02/25/2019
Type of policy change: This is a new policy.


Updated Policies
The following Medicare Advantage 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.
MA08.007n, Medicare Part B vs. Part D Crossover Drugs
Notification: 01/25/2019 | Effective: 02/25/2019 | Posted: 02/25/2019
Type of policy change: Medical Coding

MA06.004a, In Vivo Allergy Sensitivity Testing
Effective: 02/25/2019 | Posted: 02/25/2019
Type of policy change: General Description, Guidelines, or Informational Update


Reissue Policies
The following Medicare Advantage policies have been reviewed, and no substantive changes were made.
MA05.036b, Commode Chairs
Reissue Effective: 02/13/2019 | Reissue Posted: 02/13/2019

MA05.029b, Heating Pads and Heat Lamps
Reissue Effective: 02/13/2019 | Reissue Posted: 02/13/2019

MA05.037, Walkers
Reissue Effective: 02/13/2019 | Reissue Posted: 02/13/2019

MA05.030c, Spinal Orthoses
Reissue Effective: 02/13/2019 | Reissue Posted: 02/13/2019

MA05.035b, Cold Therapy Devices
Reissue Effective: 02/13/2019 | Reissue Posted: 02/13/2019

MA05.052b, Canes and Crutches
Reissue Effective: 02/13/2019 | Reissue Posted: 02/14/2019

MA05.050a, Eye Prostheses and Scleral Cover Shell
Reissue Effective: 02/13/2019 | Reissue Posted: 02/14/2019

MA07.007e, Pulmonary Function Tests
Reissue Effective: 02/13/2019 | Reissue Posted: 02/14/2019

MA11.036c, Surgical Treatment of Nails
Reissue Effective: 02/13/2019 | Reissue Posted: 02/14/2019

MA05.059, Electrical Continence Aid
Reissue Effective: 02/13/2019 | Reissue Posted: 02/14/2019

MA05.033a, External Breast Prosthesis
Reissue Effective: 02/14/2019 | Reissue Posted: 02/14/2019

MA05.002c, Hospital Beds and Accessories
Reissue Effective: 02/14/2019 | Reissue Posted: 02/14/2019

MA12.008, Medical Necessity
Reissue Effective: 02/14/2019 | Reissue Posted: 02/14/2019

MA05.067a, Leadless Pacemakers
Reissue Effective: 02/14/2019 | Reissue Posted: 02/14/2019

MA05.019a, Continuous Passive Motion (CPM) Devices in the Home Setting
Reissue Effective: 02/27/2019 | Reissue Posted: 02/28/2019


Coding Update
The following Medicare Advantage policies have been reviewed and updated to add new and revised medical codes (e.g., ICD-9 and ICD-10 diagnosis codes; CPT® and HCPCS codes; revenue codes) and/or remove terminated medical codes.
MA03.003f, Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service
Effective: 01/01/2019 | Posted: 02/13/2019

MA00.030m, Laboratory Services for Members Enrolled in Health Maintenance Organization (HMO) or Health Maintenance Organization Point-of-Service (HMO-POS) Products
Effective: 01/01/2019 | Posted: 02/18/2019

MA00.033f, Services Paid Above Capitation for Health Maintenance Organization (HMO) and Health Maintenance Organization Point-of-Service (HMO-POS) Primary Care Providers
Effective: 01/01/2019 | Posted: 02/18/2019


Archived Policies
Independence Blue Cross has determined that it is no longer necessary for the following Medicare Advantage policy to remain active.
MA07.060a, Oral and Maxillofacial Prosthesis
Notification: 02/22/2019 | Archive Effective: 03/25/2019 | Posted: 02/22/2019










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