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CommercialBilling CodesMedium impact

12.01.01bs, Experimental/Investigational Services

Independence Blue Cross·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Days to comply

Summary

Policy 12.01.01bs regarding Experimental/Investigational Services has been updated with medical coding changes. This is a recent policy update that will affect how experimental or investigational procedures and services are coded and billed.

Action Required

Action needed
Before January 1, 2026: Billing team must review and update coding procedures for experimental/investigational services according to policy 12.01.01bs. Access the full policy details at the provided URL to identify specific coding requirements and update billing system rules accordingly. Ensure all staff are trained on new coding guidelines to prevent claim denials.