CommercialAdministrativeLow impact
09.00.10z, Brachytherapy and Accelerated Whole Breast Irradiation using Three-Dimensional Conformation Radiation Therapy
Independence Blue Cross·Radiation Oncology, Oncology, General Surgery·Medical Policy
We identified it
Jun 19, 2026
Summary
Independence Blue Cross reissued policy 09.00.10z on 06/11/2025 as part of its annual review process. The policy maintains existing coverage for brachytherapy and accelerated whole breast irradiation (AWBI) with no substantive changes to medical necessity criteria, covered procedures, or billing codes. However, the policy now explicitly applies only to members with Independence Administrators as claims administrator and groups NOT enrolled in UM vendor programs; groups with UM vendor enrollment are excluded upon renewal.
Action Required
No immediate billing action required. Verify member eligibility before submitting claims for brachytherapy or AWBI procedures by confirming: (1) Independence Administrators serves as claims administrator, and (2) the member's group has NOT enrolled in the UM vendor program. If a group has enrolled in the UM vendor program upon renewal, this policy is no longer applicable—contact the carrier for updated guidance. Continue maintaining supporting medical necessity documentation in patient records per policy requirements.