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MA11.087c, Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions
Effective date
Not stated in the notice
Identified
Jun 19, 2026
Summary
Independence Blue Cross has reissued MA11.087c with no substantive changes to the policy. ESWT for all musculoskeletal conditions remains experimental/investigational and is NOT covered under Medicare Advantage plans. This is a routine annual review reissuance with no new coverage criteria or billing changes.
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What to do
Action · 5 steps
01No immediate action required.
02This is a reissuance with no policy changes.
03Billing teams should maintain current practices: deny all claims for ESWT (CPT 0101T, 0102T, 28890, 20999) for musculoskeletal conditions on Independence Blue Cross Medicare Advantage plans as experimental/investigational.
04Verify this policy remains in effect in your billing system and ensure claims are being denied appropriately with correct denial messaging.
05No workflow changes are needed unless previous claims were being processed incorrectly.
Codes mentioned
2889020999
Original notice
MA11.087c, Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions
medpolicy.ibx.com · Always check the source before changing claims.
Related changes
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