When does this change take effect?

This change is effective Apr 1, 2025.

CommercialCoverageMedium impact

11.14.21l, Microprocessor-Controlled Prostheses for Lower-Extremity Amputees

Q: Who is affected by this change?

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

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

Effective date

Apr 1, 2025

We identified it

Jun 19, 2026

Days to comply

—

Summary

This is a policy update regarding microprocessor-controlled prostheses for lower-extremity amputees under commercial insurance plans. The policy has been updated with an effective date of April 1, 2025, but specific changes are not detailed in the summary provided.

Action Required

Action needed

By April 1, 2025: Billing team should review the full policy document at the provided URL to understand specific changes to coverage criteria, prior authorization requirements, or billing procedures for microprocessor-controlled lower-extremity prostheses. Update billing protocols and staff training accordingly once full policy details are obtained.

Related policy hubs

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