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MA05.042a, Pulse Oximetry Device in the Home Setting

Independence Blue Cross·NJ · Pulmonology, Cardiology, Critical Care +2 more·Medical Policy
Effective date
Not stated
We identified it
Jun 19, 2026
Days to comply
—

Summary

Independence Blue Cross reissued MA05.042a with no substantive changes to the pulse oximetry coverage policy for Medicare Advantage members. Pulse oximeters (E0445) and replacement probes (A4606) remain non-covered in the home setting, consistent with Medicare's position. This is a routine annual policy reissuance with no impact to current billing practices.

Action Required

Action needed
No action required. This is a reissuance with no changes to coverage policy. Billing team should verify that current claim denial procedures for E0445 and A4606 remain in place for Independence Blue Cross Medicare Advantage members in New Jersey. No workflow updates needed.

Affected Billing Codes

E0445
A4606