CommercialAdministrativeLow impact
05.00.30p, Noninvasive Respiratory Assist Devices (RADs): Continuous Positive Airway Pressure (CPAP) Devices, Auto-Adjusting Positive Airway Pressure (APAP) and Bi-Level Devices
Independence Blue Cross·Sleep Medicine, Pulmonology, Internal Medicine +1 more·Medical Policy
We identified it
Jun 19, 2026
Summary
Independence Blue Cross reissued policy 05.00.30p on 10/29/2025 to communicate the company's continuing position on noninvasive respiratory assist devices (CPAP, APAP, and Bi-Level devices). The policy was reviewed and reissued with no substantive changes to coverage criteria, medical necessity requirements, or billing codes. The most recent update added ICD-10 code J44.89 (Other specified chronic obstructive pulmonary disease) effective 10/01/2023.
Action Required
No immediate action required. This is a policy reissuance confirming the company's continuing position with no substantive changes to coverage criteria or billing processes. Billing team should verify this policy remains current in their system and note the 10/29/2025 reissue date for compliance documentation. No changes to prior authorization requirements, billing codes, or medical necessity criteria have been introduced in this update.