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Independence Blue CrossCommercial · Billing Codes · Medical Policy · OB-GYN, Gastroenterology, Internal Medicine +2 moreHigh impact

00.06.02au, Preventive Care Services

Effective date
Apr 1, 2025
Identified
Jun 19, 2026

Summary

Independence Blue Cross updated policy 00.06.02au to 00.06.02ba, effective 04/01/2025, with HCPCS code changes for preventive care services. Key changes: G0567 added for Hepatitis C screening (retroactive to 06/27/2024), J1308 added for colorectal cancer screening services, and codes J1810 and S0028 terminated from colorectal cancer screening, with J1094 and J1810 also terminated from contraceptive services. Billing teams must update systems to reflect these code additions and deletions immediately.

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What to do

Action · 9 steps
01By 04/01/2025: Billing team must update billing software to.
02ADD codes G0567 (Hepatitis C screening), J1308 (colorectal cancer screening services) to covered preventive care.
03REMOVE/TERM codes J1810 and S0028 from colorectal cancer screening procedures.
04REMOVE/TERM codes J1094 and J1810 from contraceptive services.
05For claims dated 06/27/2024 forward, apply $0 cost-share when G0567 is billed at participating providers.
06Update encounter forms and billing templates.
07Verify member benefits before processing.
08Claims submitted with terminated codes (J1810, S0028, J1094) after 04/01/2025 will be denied or require manual review.
09Note: G0567 retroactive claims (06/27/2024–03/31/2025) should be reprocessed if previously denied.

Codes mentioned

G0567J1308J1810S0028J1094

Original notice

00.06.02au, Preventive Care Services
medpolicy.ibx.com · Always check the source before changing claims.
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Related policy hubs

Independence Blue Cross policiesOB-GYNGastroenterologyInternal MedicineFamily MedicineInfectious DiseaseCode G0567Code J1308Code J1810Code S0028Code J1094

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