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05.00.71c, Standing Frames
Effective date
Not stated in the notice
Identified
Jun 25, 2026
Summary
Independence Blue Cross reissued standing frames policy 05.00.71c on 06/24/2026 to communicate the Company's continuing position. This is a routine reissue with no substantive coverage changes—the medical necessity criteria, covered HCPCS codes (E0638, E0641, E0642), documentation requirements, and benefit exclusions remain unchanged from the original 03/22/2017 effective date.
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What to do
Action · 4 steps
01No immediate action required.
02This is a routine policy reissue with no substantive changes to coverage, coding, or documentation requirements.
03Billing team should confirm that current claim submission processes for standing frames (E0638, E0641, E0642) already include: (1) verification of medical necessity criteria (neuromuscular impairment, wheelchair use, caregiver availability, home use), (2) timely written orders signed by treating provider, and (3) proof of delivery documentation.
04No workflow modifications are necessary.
Codes mentioned
E0638E0641E0642
Original notice
05.00.71c, Standing Frames
medpolicy.ibx.com · Always check the source before changing claims.