Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Independence Blue CrossCommercial · Documentation · Medical Policy · Critical Care, Internal Medicine, Gastroenterology +5 moreMedium impact

08.00.17k, Total Parenteral Nutrition (TPN) / Intradialytic Parenteral Nutrition (IDPN) / Intraperitoneal Parenteral Nutrition (IPN)

Act
by Jan 1, 2025
Effective date
Jan 1, 2025
Identified
Jun 19, 2026

Summary

Independence Blue Cross reissued policy 08.00.17k on Total Parenteral Nutrition (TPN), Intradialytic Parenteral Nutrition (IDPN), and Intraperitoneal Parenteral Nutrition (IPN) effective 01/01/2025 with no substantive coverage changes. Documentation requirements were revised to align with Noridian Local Coverage Determination LCD 38953 (effective 01/01/2024). The policy confirms coverage criteria for TPN as initial therapy for malnutrition and specifies macronutrient guidelines by clinical state.

Get alerts when payers change rules like this one

We check Independence Blue Cross and other payers every day and email you when a change matches your specialty and state.

Get Independence Blue Cross alertsPolicy Monitoring is free. No card required.

What to do

by Jan 1, 2025 · 5 steps
01Billing team must review and update documentation requirements for all TPN/IDPN/IPN claims submitted to Independence Blue Cross Commercial plans to ensure alignment with Noridian LCD 38953 standards.
02Verify that medical necessity documentation includes: (1) evidence that patient cannot maintain adequate nutrition orally/enterally, (2) malnutrition screening by qualified provider, and (3) one of the specified clinical indicators (BMI <20, weight loss criteria, reduced muscle mass, GI dysfunction, acute/chronic disease inflammation, or at-risk status).
03Update claim submission templates and provider education materials.
04Ensure all claims for HCPCS codes S9364 and S9365 include complete documentation per the revised requirements.
05Claims lacking updated documentation alignment may be denied or subject to additional review.

Codes mentioned

S9364S9365

Original notice

08.00.17k, Total Parenteral Nutrition (TPN) / Intradialytic Parenteral Nutrition (IDPN) / Intraperitoneal Parenteral Nutrition (IPN)
medpolicy.ibx.com · Always check the source before changing claims.
View original ↗

Related changes

See all Independence Blue Cross changes →
08.00.17k, Total Parenteral Nutrition (TPN) / Intradialytic Parenteral Nutrition (IDPN) / Intraperitoneal Parenteral Nutrition (IPN)LowEffective Jan 1, 2025 · Medical PolicyMA08.008g, Total Parenteral Nutrition (TPN) / Intradialytic Parenteral Nutrition (IDPN) / Intraperitoneal Nutrition (IPN)HighEffective Jan 1, 2025 · Medical PolicyMA08.008h, Total Parenteral Nutrition (TPN) / Intradialytic Parenteral Nutrition (IDPN)MediumEffective Mar 16, 2026 · Medical PolicyMA08.008h, Total Parenteral Nutrition (TPN) / Intradialytic Parenteral Nutrition (IDPN)MediumEffective Mar 16, 2026 · Medical PolicyBrowse every Independence Blue Cross change in the policy list

Related policy hubs

Independence Blue Cross policiesCritical CareInternal MedicineGastroenterologyNephrologyGeneral SurgeryOncologyPediatricsPharmacyCode S9364Code S9365

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account