When does this change take effect?

This change is effective Apr 30, 2025.

CommercialCoverageMedium impact

05.00.39v, Ankle-Foot/Knee-Ankle-Foot Orthoses

Q: Who is affected by this change?

This affects Independence Blue Cross Orthopedics, PM&R (Physical Medicine & Rehab), Physical Therapy providers on Commercial plans.

Independence Blue Cross·Orthopedics, PM&R (Physical Medicine & Rehab), Physical Therapy·Medical Policy

Effective date

Apr 30, 2025

We identified it

Jun 19, 2026

Days to comply

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Summary

This is a reissued policy for Ankle-Foot/Knee-Ankle-Foot Orthoses (AFO/KAFO) under commercial plans. The policy has been updated and will be effective April 30, 2025, but only summary information is currently available.

Action Required

Action needed

Before April 30, 2025: Billing team should review the full policy details at the provided URL to understand specific changes to AFO/KAFO coverage requirements. Monitor for detailed policy content release and update billing procedures accordingly for commercial plans.

Related policy hubs

Independence Blue Cross policies Orthopedics PM&R (Physical Medicine & Rehab)Physical Therapy