Medicare AdvantageBilling CodesLow impact
MA07.023m, Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic)
Independence Blue Cross·Gastroenterology, Cardiology, Internal Medicine +1 more·Medical Policy
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
Independence Blue Cross reissued MA07.023m policy on upper gastrointestinal endoscopy (diagnostic and therapeutic) effective 10/01/2025, adding four new ICD-10 diagnosis codes related to Fontan-associated conditions (I27.840, I27.841, I27.848, I27.849) to Attachment A. The policy itself maintains existing coverage criteria for EGD procedures; this is primarily a code attachment update with no changes to covered services or billing procedures.
Action Required
By 10/01/2025: Billing team should verify that the practice's billing system and claim submission software recognize the four newly added ICD-10 diagnosis codes (I27.840, I27.841, I27.848, I27.849) for upper gastrointestinal endoscopy procedures. Update internal policy documentation to reference Attachment A with the new codes. No changes to CPT/HCPCS code billing or prior authorization requirements. This is informational confirmation of existing coverage; no workflow changes are required unless the practice currently treats patients with Fontan-associated conditions.