CommercialReimbursementMedium impact
00.01.68c, Multiple Procedure Payment Reduction Guidelines for Physical, Occupational, and Speech Therapy Services
Independence Blue Cross·Physical Therapy, Occupational Therapy, PM&R (Physical Medicine & Rehab)·Claims & Billing
Effective date
Dec 1, 2025
We identified it
Jun 19, 2026
Summary
IBX Commercial has implemented new Multiple Procedure Payment Reduction (MPPR) guidelines for physical therapy, occupational therapy, and speech therapy services, affecting how multiple procedures performed on the same day will be reimbursed. This represents a coverage and reimbursement position change that will impact billing for therapy services.
Action Required
Before December 1, 2025: Billing team must review and update therapy billing procedures to comply with new MPPR guidelines for IBX Commercial plans. Contact IBX or review full policy details at the provided URL to understand specific reduction percentages and affected procedure combinations. Update billing software rules to account for reduced reimbursement on secondary procedures performed same day.