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CommercialBilling CodesMedium impact

12.01.01bp, Experimental/Investigational Services

Independence Blue Cross·Medical Policy
Effective date
Apr 1, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

IBC/Independence Blue Cross has updated their medical policy for Experimental/Investigational Services with coding changes. This appears to be a medical coding update that will affect how experimental or investigational procedures and services are billed and processed.

Action Required

Action needed
Before April 1, 2025: Billing team must review updated experimental/investigational services policy 12.01.01bp on IBC portal. Update billing procedures for any experimental or investigational services to ensure compliance with new coding requirements. Verify coverage determinations for investigational procedures before billing.