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Medicare AdvantageBilling CodesHigh impact

MA00.010av, PPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative Services

Independence Blue Cross·PA · Radiology, Pathology, Physical Therapy +1 more·Network
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Days to comply
—

Summary

Independence Blue Cross updated Medicare Advantage policy MA00.010av to MA00.010aw effective 01/01/2026, adding 39 new CPT/HCPCS codes across DME, laboratory, and radiology services, revising narratives for 8 existing codes, and terminating 23 codes. Billing teams must update systems to reflect these code additions, deletions, and narrative changes to ensure accurate reimbursement for PPO members.

Action Required

Action needed
By January 1, 2026: Billing team must update billing system and claim submission software to reflect policy version MA00.010aw. ADDITIONS: Add 39 new codes to allowed code lists (A4295, A4296, A4297, 0600U-0613U, 81354, 81524, 87182, 87183, 87494, 87627, 87812, 70471-70473, 77436-77439). DELETIONS: Remove 23 terminated codes from allowed/billable code lists (0033U, 0131U, 0132U, 0135U, 0544U, 0550U, 0551U, 0042T, 0394T, G6003-G6017). REVISIONS: Update code narratives/descriptions in system for A4351, A4352, 83015, 83018, 77402, 77407, 77412. Verify that claims using terminated codes will deny with appropriate denial messaging. Update Attachments A1, A2, B2.1, B2.2, B3, C1, and C2 in practice management system. Test billing rules before January 1, 2026 to prevent claim rejections and denials for Independence Blue Cross Medicare Advantage PPO members.

Affected Billing Codes

A4295
A4296
A4297
A4351
A4352
81354
81524
83015
83018
87182
87183
87494
87627
87812
70471
70472
70473
77402
77407
77412
77436
77437
77438
77439
G6003
G6004
G6005
G6006
G6007
G6008
G6009
G6010
G6011
G6012
G6013
G6014
G6015
G6016
G6017