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Independence Blue CrossCommercial · Billing Codes · Medical Policy · Pulmonology, Neurology, Physical Therapy +1 moreLow impact

05.00.14s, High-Frequency Chest Wall Oscillation Devices

Act
by Nov 17, 2025
Effective date
Nov 17, 2025
Identified
Oct 2, 2026

Summary

Independence Blue Cross reissued policy 05.00.14s for High-Frequency Chest Wall Oscillation (HFCWO) devices with no substantive coverage changes, but removed three rare immunodeficiency ICD-10 codes (D81.810, D81.82, D84.1) and added two myasthenia gravis codes (G70.00, G70.01) effective 11/17/2025. The policy confirms coverage remains limited to specific respiratory and neuromuscular diagnoses with documented standard treatment failure.

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What to do

by Nov 17, 2025 · 3 steps
01Billing team must update diagnosis code lists in billing software to remove D81.810, D81.82, and D84.1 from the covered diagnosis list for HFCWO claims (E0483, A7025, A7026), and add G70.00 and G70.01 as newly covered diagnoses.
02Verify that myasthenia gravis claims for HFCWO devices now include documentation of standard treatment failure and meet all other medical necessity criteria.
03No workflow changes needed for claim submission; only update diagnosis code validation rules in the system.

Codes mentioned

A7025A7026E0483D81.810D81.82D84.1G70.00G70.01

Original notice

05.00.14s, High-Frequency Chest Wall Oscillation Devices
medpolicy.ibx.com · Always check the source before changing claims.
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Related changes

See all Independence Blue Cross changes →
MA05.001l, High-Frequency Chest Wall Oscillation DevicesMediumEffective Nov 17, 2025 · Medical PolicyMA05.001l, High-Frequency Chest Wall Oscillation DevicesMediumEffective Nov 17, 2025 · Medical Policy05.00.14s, High-Frequency Chest Wall Oscillation DevicesLowEffective Nov 17, 2025 · Medical PolicyMA05.001j, High-Frequency Chest Wall Oscillation DevicesMediumEffective Oct 17, 2024 · Medical PolicyBrowse every Independence Blue Cross change in the policy list

Related policy hubs

Independence Blue Cross policiesPulmonologyNeurologyPhysical TherapyPM&R (Physical Medicine & Rehab)Code A7025Code A7026Code E0483Code D81.810Code D81.82Code D84.1Code G70.00Code G70.01

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