Medicare AdvantageBilling CodesHigh impact
MA00.026y, Bundled Procedure Codes
Independence Blue Cross·Cardiology, Physical Therapy, Geriatrics +2 more·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
Independence Blue Cross updated MA00.026y (Bundled Procedure Codes policy) effective 01/01/2026 to reflect annual CPT/HCPCS code changes. Procedure code 77417 was added to always-bundled services; six cardiology codes (92921, 92925, 92929, 92934, 92938, 92944) were removed from bundling; 15 new codes (including physical therapy and remote patient monitoring codes) were added to non-separately-reimbursable services; two obsolete codes were removed; and G0136 narrative was revised. Billing teams must update systems to reflect these code status changes to avoid claim denials and improper billing.
Action Required
By 01/01/2026: Billing team must update claims processing system and billing software to reflect code status changes. ADDITIONS: (1) Add CPT 77417 to Attachment A (always-bundled codes); (2) Add CPT codes 97007, 97008, 97009, 99445, 99470 and HCPCS codes G0570, G0660, G0661, G0662, G0663, G0664, G0665, G0666, G0667, G0668 to Attachment B (not eligible for separate reimbursement). REMOVALS: (1) Remove CPT codes 92921, 92925, 92929, 92934, 92938, 92944 from Attachment A bundling rules; (2) Remove codes 0662T and 0663T from Attachment B. REVISION: Review and update system logic for G0136 per revised narrative in Attachment B. Providers must NOT bill members for codes remaining in Attachments A, B, or C. Update encounter forms, billing templates, and superbill software. Configure system edits to deny claims for bundled codes billed separately on same date of service. Train billing staff on removed codes (92921-92944) which are now separately billable. Failure to implement will result in improper claim denials for newly-removable codes and improper payments/denials for newly-added bundled codes.