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MA07.048a, Instrument-Based Vision Screening
Effective date
Not stated in the notice
Identified
Jun 19, 2026
Summary
Independence Blue Cross reissued MA07.048a on 06/10/2026 to reaffirm its continuing position that instrument-based vision screening (CPT 99174, 99177) is considered an integral part of Evaluation and Management services and is NOT separately reimbursable. Providers may not bill members for this service. The policy applies to Medicare Advantage plans, including New Jersey MA lines of business effective 01/01/2024.
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What to do
Action · 6 steps
01Billing team must ensure that CPT codes 99174 and 99177 (instrument-based vision screening) are NOT billed separately to Independence Blue Cross Medicare Advantage plans.
02These services must be included as part of the E&M code billed for the visit.
03Update billing system edits to prevent standalone submission of these codes.
04Audit recent claims to identify any denied or inappropriately submitted charges for CPT 99174/99177.
05Notify all participating providers that members cannot be billed for instrument-based vision screening services, whether performed alone or with other services.
06Verify that electronic claim submission rules and encounter forms reflect this bundled payment requirement.
Codes mentioned
9917499177
Original notice
MA07.048a, Instrument-Based Vision Screening
medpolicy.ibx.com · Always check the source before changing claims.