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Independence Blue CrossMedicare Advantage · Administrative · Medical Policy · Radiology, Cardiology, Nuclear Medicine +1 moreLow impact

MA09.002ah, High-Technology Radiology Services

Act
by May 17, 2026
Effective date
May 17, 2026
Identified
Jul 2, 2026

Summary

Independence Blue Cross updated MA09.002ah to MA09.002ai, revising Carelon Medical Benefits Management's Advanced Imaging code set groupers for radiology services effective 05/17/2026. The revision does not change coverage criteria or policy intent—utilization management for high-technology radiology services remains delegated to Carelon, except for emergency room, inpatient, and observation unit stays.

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What to do

by May 17, 2026 · 3 steps
01Billing team should obtain and review the updated Carelon Medical Benefits Management Advanced Imaging code set groupers (referenced in Attachment A of MA09.002ai) to ensure claims are submitted with correct code groupings.
02No policy criteria changes require workflow modification, but confirm your billing system reflects the updated code grouper mappings to prevent claim processing delays.
03Notify providers that prior authorization for high-technology radiology services continues to route through Carelon Medical Benefits Management.

Original notice

MA09.002ah, High-Technology Radiology Services
medpolicy.ibx.com · Always check the source before changing claims.
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