CommercialCoverageLow impact
05.00.29o, Automatic External Cardioverter Defibrillators (Wearable and Nonwearable)
Independence Blue Cross·Cardiology, Critical Care, Emergency Medicine +1 more·Medical Policy
We identified it
Jun 19, 2026
Summary
Independence Blue Cross reissued policy 05.00.29p on 04/02/2025 to communicate the Company's continuing position on automatic external cardioverter defibrillators (wearable and nonwearable). This is a policy reaffirmation with no substantive coverage changes; the most recent meaningful update was an ICD-10 code addition (I21.B) effective 10/01/2023. Billing teams should verify their systems reflect current covered indications and applicable diagnosis codes.
Action Required
No immediate action required. This is a policy reaffirmation with no new coverage restrictions or billing code changes. Billing team should verify that their claim submission systems include the current ICD-10 codes listed in Attachments A and B (including I21.B added 10/01/2023) and that all wearable AED claims (CPT 93292, 93745; HCPCS K0606, K0607, K0608) and nonwearable AED claims (HCPCS E0617) are being submitted with appropriate medical necessity documentation per policy criteria. Review claim denials for the past 12 months related to these codes to identify any gaps in prior authorization or documentation practices.