When does this change take effect?

This change is effective Apr 2, 2025.

CommercialCoverageMedium impact

05.00.31e, Pulse Oximetry Devices in the Home Setting

Q: Who is affected by this change?

This affects Independence Blue Cross Pulmonology, Cardiology, Critical Care, Internal Medicine, Family Medicine providers on Commercial plans.

Independence Blue Cross·Pulmonology, Cardiology, Critical Care +2 more·Medical Policy

Effective date

Apr 2, 2025

We identified it

Jun 19, 2026

Days to comply

—

Summary

The pulse oximetry devices policy for home settings has been reissued with updates effective April 2, 2025. This policy covers coverage and billing requirements for home pulse oximetry equipment under commercial insurance plans.

Action Required

Action needed

By April 2, 2025: Billing team must review the updated pulse oximetry policy at the provided URL to identify any changes to coverage criteria, prior authorization requirements, or billing procedures for home pulse oximetry devices. Update billing protocols and prior authorization workflows accordingly for commercial patients requiring home pulse oximetry monitoring.

Related policy hubs

Independence Blue Cross policies Pulmonology Cardiology Critical Care Internal Medicine Family Medicine