← Back to list
MA00.002t, Continuous Glucose Monitors and Home Blood Glucose Monitors and Supplies
Effective date
Oct 5, 2026
Identified
Sep 5, 2026
Summary
Independence Blue Cross updated MA00.002t to clarify coverage criteria and benefits for continuous glucose monitors (CGM) and home blood glucose monitor supplies, effective 10/05/2026. New HCPCS code E2103 was added to reimbursement edits Column I, and 19 additional HCPCS codes (E0607, E2100, E2101, A4233-A4236, A4244-A4247, A4250, A4253, A4255-A4259) were added to Column II. Policy language was revised for clarity regarding short-term and long-term CGM systems, preferred brands, and medical necessity criteria aligned with current Medicare guidelines.
Get alerts when payers change rules like this one
We check Independence Blue Cross and other payers every day and email you when a change matches your specialty and state.
Get Independence Blue Cross alertsPolicy Monitoring is free. No card required.
What to do
Action · 5 steps
01By 10/05/2026, the billing team must.
02Update billing software to recognize newly added HCPCS codes E2103 (Column I reimbursement edits) and E0607, E2100, E2101, A4233-A4236, A4244-A4247, A4250, A4253, A4255-A4259 (Column II reimbursement edits).
03Verify that CPT codes 95249 and 95250 for short-term interstitial CGM and HCPCS codes A4238, A4239, and E2102 for non-implanted CGM systems are properly configured in the billing system for Medicare Advantage claims.
04Update claim submission templates and prior authorization workflows to reflect the revised medical necessity criteria, including documentation requirements for diabetes self-management education, glucose self-test frequency (minimum 3 per day), intensive insulin regimen status, and poor glycemic control documentation.
05Train billing staff and providers on the updated criteria to ensure accurate coding and documentation.
If missed: Failure to implement these changes will result in claim denials for CGM services and supplies submitted on or after the effective date.
Codes mentioned
9524995250A4238A4239E2102E2103E0607E2100E2101A4233A4234A4235A4236A4244A4245A4246A4247A4250A4253A4255A4256A4257A4258A4259
Original notice
MA00.002t, Continuous Glucose Monitors and Home Blood Glucose Monitors and Supplies
medpolicy.ibx.com · Always check the source before changing claims.
Related changes
See all Independence Blue Cross changes →MA00.002t, Continuous Glucose Monitors and Home Blood Glucose Monitors and SuppliesMediumEffective Oct 5, 2026 · Medical PolicyMA00.002s, Continuous Glucose Monitors and Home Blood Glucose Monitors and SuppliesMediumEffective Oct 1, 2026 · Medical PolicyMA00.002r, Continuous Glucose Monitors and Home Blood Glucose Monitors and SuppliesMediumEffective Apr 1, 2025 · Medical PolicyMA00.002r, Continuous Glucose Monitors and Home Blood Glucose Monitors and SuppliesMediumEffective Apr 1, 2025 · Medical PolicyBrowse every Independence Blue Cross change in the policy list
Related policy hubs
Independence Blue Cross policiesEndocrinologyInternal MedicineFamily MedicinePediatricsOB-GYNGeriatricsCode 95249Code 95250Code A4238Code A4239Code E2102Code E2103Code E0607Code E2100Code E2101Code A4233Code A4234Code A4235Code A4236Code A4244Code A4245Code A4246Code A4247Code A4250Code A4253Code A4255Code A4256Code A4257Code A4258Code A4259