Medicare AdvantageBilling CodesLow impact
MA00.036m, Telehealth Services
Independence Blue Cross·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
Independence Blue Cross updated MA00.036m to MA00.036n effective January 1, 2026, with a retroactive HCPCS code narrative revision for G2211 as part of a standard code update. The policy continues to cover telehealth services (audio/video, audio-only, virtual check-ins, and e-visits) for Medicare Advantage members under established criteria, with no substantive coverage changes documented in this bulletin.
Action Required
By January 1, 2026: Billing team should verify that telehealth billing system rules align with this policy update, particularly for HCPCS code G2211 which underwent narrative revision. No immediate claim submission changes are required unless your practice previously received denials for these codes. Confirm that all telehealth encounter documentation includes established patient status, timing requirements (7-day/24-hour rules), and appropriate originating site criteria. Monitor for any future detailed guidance on G2211 narrative changes if claims are rejected. Note: The policy bulletin states this is a code update memo only and does not imply a full policy review was completed.