CommercialCoverageMedium impact
05.00.59p, Lower Limb Prostheses
Independence Blue Cross·Orthopedics, PM&R (Physical Medicine & Rehab), Vascular Surgery·Medical Policy
Effective date
Apr 2, 2025
We identified it
Jun 19, 2026
Summary
Policy 05.00.59p for Lower Limb Prostheses has been reissued and will become effective April 2, 2025. This is a commercial policy update that may affect coverage criteria, prior authorization requirements, or billing procedures for lower limb prosthetic devices.
Action Required
By April 2, 2025: Billing team must review the full updated policy 05.00.59p for Lower Limb Prostheses at the provided URL to identify specific changes to coverage criteria, prior authorization requirements, or billing procedures. Update billing system and staff training accordingly for all lower limb prosthetic claims.