Medicare AdvantageBilling CodesHigh impact
MA00.026x, Bundled Procedure Codes
Independence Blue Cross·MA·Medical Policy
Effective date
Dec 31, 2025
We identified it
Jun 19, 2026
Summary
MA00.026x policy addresses bundled procedure codes for Medicare Advantage plans, effective 12/31/2025. This policy change impacts how certain procedures are coded and reimbursed when multiple services are performed together. Billing teams must review bundling rules to ensure accurate code selection and avoid claim denials.
Action Required
By 12/31/2025: Billing team must review MA00.026x bundled procedure codes policy and update billing system logic to identify bundled procedure combinations. Audit current billing patterns for procedures commonly billed together and implement system edits to prevent unbundling. Notify providers of bundling requirements through updated encounter templates or billing guidelines. Update claim scrubbing rules to flag potential bundling violations before submission. Failure to apply bundling rules will result in claim denials and overpayment recovery from Medicare Advantage plans.