CommercialCoverageMedium impact
05.00.81a, Osteogenic Stimulators (non-invasive, invasive/semi-invasive, electrical and ultrasound)
Independence Blue Cross·Orthopedics, Neurosurgery, Pain Management +1 more·Medical Policy
Effective date
Apr 2, 2025
We identified it
Jun 19, 2026
Summary
Policy 05.00.81a regarding Osteogenic Stimulators (non-invasive, invasive/semi-invasive, electrical and ultrasound) was reissued effective April 2, 2025. The billing team must review the full policy text to identify specific coverage, billing code, and prior authorization requirements for osteogenic stimulator procedures and devices.
Action Required
By April 30, 2025: Billing team must obtain and review the complete policy text from the provided URL (https://medpolicy.ibx.com/ibc/Commercial/Pages/Site-Activity-View.aspx?FilterField1=MPSiteActivityLogMonth&FilterValue1=04&FilterField2=MPSiteActivityLogYear&FilterValue2=2025#commercial-05-00-81a) to identify specific CPT/HCPCS codes, prior authorization requirements, and coverage parameters for osteogenic stimulator services. Update billing system rules, encounter forms, and provider documentation templates accordingly. Verify whether prior authorization is required before submitting claims. Communicate changes to providers who order or perform osteogenic stimulator procedures. Failure to comply may result in claim denials or delayed reimbursement.