Medicare AdvantageBilling CodesMedium impact
MA05.053o, Insertion of Implantable Infusion Pumps
Independence Blue Cross·Oncology, Pain Management, Neurology +1 more·Pharmacy
Effective date
Oct 1, 2026
We identified it
Oct 2, 2026
Summary
Independence Blue Cross added HCPCS code A4228 (supplies for maintenance of non-insulin, device-drug combination infusion catheter, per week) to MA05.053o effective 10/01/2026. This expands covered supply codes for implantable infusion pump maintenance. Billing teams must update systems to recognize and process this new code for Medicare Advantage members.
Action Required
By 09/30/2026: Billing team must update billing system to recognize and process HCPCS code A4228 for Independence Blue Cross Medicare Advantage plans. Add A4228 to the list of medically necessary codes for implantable infusion pump supply maintenance. Train billing staff that A4228 covers non-insulin, device-drug combination infusion catheter supplies (per week). Update claim submission templates and prior authorization workflows to include A4228 alongside existing codes A4220 and A4221. Verify that the system maps A4228 to the correct revenue code and fee schedule. Test claims processing for A4228 before the effective date to prevent claim denials or delays.