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CommercialBilling CodesMedium impact

07.07.01r, Routine Foot Care for Certain Medical Conditions

Independence Blue Cross·PA · Podiatry, Family Medicine, General Practice +3 more·Medical Policy
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Days to comply
—

Summary

Independence Blue Cross updated ICD-10 diagnosis codes for routine foot care coverage effective 10/01/2025. Multiple sclerosis (G35) was restructured into specific subtypes (G35.A, G35.B0-B2, G35.C0-C2, G35.D) in Attachment C, and a new Type 2 diabetes code (E11.A) was added to Attachment B. Billing teams must update diagnosis code validation logic to ensure claims use the new specific MS codes and recognize the new diabetes remission code.

Action Required

Action needed
By 10/01/2025: Billing team must update the claims system to recognize the seven new multiple sclerosis ICD-10 codes (G35.A, G35.B0, G35.B1, G35.B2, G35.C0, G35.C1, G35.C2, G35.D) as eligible for routine foot care coverage under Attachment C. Remove the old non-specific G35 code from the system. Add E11.A (Type 2 diabetes mellitus without complications in remission) to Attachment B eligible diagnosis codes. Update charge capture templates and superbills used by podiatrists and primary care providers to reflect the new specific MS codes. Test claims submission with the new codes before the effective date. Flag and review any pending claims using the old G35 code and resubmit with the appropriate specific subtype code once system is updated. Failure to update will result in claim denials when providers submit with the new specific MS codes.

Affected Billing Codes

11719
G0127
G0247
S0390
G35.A
G35.B0
G35.B1
G35.B2
G35.C0
G35.C1
G35.C2
G35.D
E11.A