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Medicare AdvantageBilling CodesMedium impact

MA00.005ar, Experimental/Investigational Services

Independence Blue Cross·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Days to comply

Summary

Medicare Advantage has updated their policy MA00.005ar regarding Experimental/Investigational Services with medical coding changes. This policy change affects how experimental or investigational procedures and services should be coded and billed for Medicare Advantage patients.

Action Required

Action needed
Before January 1, 2026: Billing team must review and update coding practices for experimental/investigational services per MA00.005ar policy. Access the full policy at the provided URL to understand specific coding requirements and ensure compliance with Medicare Advantage guidelines for experimental procedures.