Medicare AdvantageBilling CodesMedium impact
01/01/2026 CPT & HCPCS Quarterly Code Update Coverage Determinations for Medicare Advantage Products
Independence Blue Cross·News & Announcements
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
Medicare Advantage plans have updated their coverage determinations for new CPT and HCPCS codes effective January 1, 2026. This quarterly update may affect billing for procedures using newly added or modified codes under Medicare Advantage products.
Action Required
By January 1, 2026: Billing team must review the full policy update at the provided URL to identify specific new or modified CPT/HCPCS codes and their coverage determinations. Update billing system rules and fee schedules to reflect any changes in Medicare Advantage coverage policies for affected codes.