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05.00.71c, Standing Frames
Effective date
Not stated in the notice
Identified
Jun 19, 2026
Summary
Independence Blue Cross reissued Medical Policy 05.00.71c on 04/02/2025 to communicate the Company's continuing position on standing frames. No substantive changes to coverage criteria, billing codes, or documentation requirements were made—this is a routine policy reaffirmation. The policy continues to cover nonpowered standing frames (single-position, multipositional, and dynamic) when medical necessity criteria are met, with specific HCPCS codes E0638, E0641, and E0642 eligible for coverage.
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What to do
Action · 4 steps
01No immediate action required.
02This is a routine policy reissue with no substantive changes to coverage criteria, coding, or documentation requirements.
03Billing team should confirm that current billing system rules align with the three covered HCPCS codes (E0638, E0641, E0642) and verify that all standing frame claims include required documentation: (1) appropriate rehabilitation evaluation, (2) medical necessity supporting neuromuscular condition with impaired standing ability, (3) wheelchair dependence, (4) appropriate for individual's disability and size, (5) home use, and (6) available caregiver.
04No system updates or workflow changes are necessary at this time.
Codes mentioned
E0638E0641E0642
Original notice
05.00.71c, Standing Frames
medpolicy.ibx.com · Always check the source before changing claims.