CommercialCoverageMedium impact
05.00.25k, Cranial Remolding Orthoses (Helmets)
Independence Blue Cross·Pediatrics, Neurosurgery, Plastic Surgery·Medical Policy
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
Independence Blue Cross updated their medical policy for cranial remolding orthoses (helmets) effective October 1, 2025. This policy affects coverage criteria and billing requirements for cranial helmets used to treat positional plagiocephaly and other cranial deformities in infants.
Action Required
Immediately: Billing team should review the updated cranial remolding orthoses policy at the provided URL to identify specific changes to coverage criteria, prior authorization requirements, and billing procedures. Update encounter forms and billing protocols for cranial helmet procedures to ensure compliance with new policy requirements.