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Independence Blue CrossCommercial · Documentation · Medical Policy · Orthopedics, PM&R (Physical Medicine & Rehab), Physical Therapy +1 moreMedium impact

05.00.39y, Ankle-Foot/Knee-Ankle-Foot Orthosis

Effective date
Oct 28, 2026
Identified
Oct 20, 2026

Summary

Independence Blue Cross updated Medical Policy 05.00.39y effective 10/28/2026, adding two microprocessor-controlled HCPCS codes (L2006, L2221) to the experimental/investigational section and adding face-to-face requirements for three prefabricated AFO codes (L1906, L1933, L1952). The Not Covered section was revised for clarity without substantive intent changes.

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What to do

Action · 4 steps
01Billing team should implement face-to-face visit documentation requirements in the EMR and billing system for HCPCS codes L1906, L1933, and L1952 when billing to Independence Blue Cross Commercial plans.
02Update claims submission workflows to flag codes L2006 and L2221 as experimental/investigational and apply appropriate prior authorization and medical necessity review processes per IBC policy.
03Providers should ensure encounter documentation explicitly records face-to-face evaluation for the three prefabricated AFO codes to support claim processing.
04Verify current applicability to individual member benefits, as state mandates do not automatically apply to all plans.

Codes mentioned

L2006L2221L1906L1933L1952

Original notice

05.00.39y, Ankle-Foot/Knee-Ankle-Foot Orthosis
medpolicy.ibx.com · Always check the source before changing claims.
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Related changes

See all Independence Blue Cross changes →
MA05.010n, Ankle-Foot/Knee-Ankle-Foot OrthosisMediumEffective Oct 28, 2026 · Medical PolicyMA05.010k, Ankle-Foot/Knee-Ankle-Foot OrthosesMediumEffective Apr 1, 2025 · Medical Policy12.01.01bu, Experimental/Investigational ServicesHighEffective Jul 1, 2026 · Medical PolicyMA05.010l, Ankle-Foot/Knee-Ankle-Foot OrthosisMediumEffective Jul 1, 2026 · Medical PolicyBrowse every Independence Blue Cross change in the policy list

Related policy hubs

Independence Blue Cross policiesOrthopedicsPM&R (Physical Medicine & Rehab)Physical TherapyPodiatryCode L2006Code L2221Code L1906Code L1933Code L1952

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