When does this change take effect?

This change is effective Oct 1, 2025.

CommercialAdministrativeMedium impact

05.00.47u, Knee Orthoses

Q: Who is affected by this change?

This affects Independence Blue Cross Orthopedics, PM&R (Physical Medicine & Rehab), Sports Medicine, Family Medicine providers on Commercial plans.

Independence Blue Cross·Orthopedics, PM&R (Physical Medicine & Rehab), Sports Medicine +1 more·Medical Policy

Effective date

Oct 1, 2025

We identified it

Jun 19, 2026

Days to comply

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Summary

Policy 05.00.47u for Knee Orthoses has been reissued effective October 1, 2025. This is a summary-only update with no detailed content provided about specific changes to coverage, billing, or authorization requirements for knee braces and orthotic devices.

Action Required

Action needed

By October 1, 2025: Billing team should review the full policy document at the provided URL to identify specific changes to knee orthoses coverage, billing requirements, or prior authorization. Update billing procedures and encounter forms based on any new requirements found in the complete policy.

Related policy hubs

Independence Blue Cross policies Orthopedics PM&R (Physical Medicine & Rehab)Sports Medicine Family Medicine