CommercialCoverageMedium impact
05.00.29o, Automatic External Cardioverter Defibrillators (Wearable and Nonwearable)
Independence Blue Cross·Cardiology, Critical Care, Emergency Medicine·Medical Policy
Effective date
Apr 2, 2025
We identified it
Jun 19, 2026
Summary
Policy 05.00.29o regarding Automatic External Cardioverter Defibrillators (Wearable and Nonwearable) has been reissued effective April 2, 2025. This is a recent policy update that may affect coverage, billing, or documentation requirements for AED devices. The billing team must review the full policy text to identify specific coverage changes, billing code requirements, or prior authorization mandates.
Action Required
By April 2, 2025: Billing team must obtain and review the full text of policy 05.00.29o from https://medpolicy.ibx.com/ibc/Commercial/Pages/Site-Activity-View.aspx?FilterField1=MPSiteActivityLogMonth&FilterValue1=04&FilterField2=MPSiteActivityLogYear&FilterValue2=2025#commercial-05-00-29o to identify: (1) specific CPT/HCPCS codes affected, (2) coverage restrictions or requirements for wearable vs. nonwearable AEDs, (3) prior authorization requirements, and (4) documentation mandates. Update billing software, encounter forms, and provider education materials accordingly. Do not process AED claims under old policy guidance after April 2, 2025.