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Independence Blue CrossMedicare Advantage · Administrative · Medical Policy · NJ · Transplant Surgery, Infectious Disease, PathologyLow impact

MA06.018a, Immune Cell Function Assay

Effective date
Not stated in the notice
Identified
Jun 19, 2026

Summary

This is a reissue with no changes to Independence Blue Cross Medicare Advantage policy MA06.018a. The policy maintains its longstanding position that immune cell function assays (ImmuKnow®) are considered experimental/investigational and are NOT covered for Medicare Advantage members in New Jersey, regardless of FDA clearance. No workflow changes are required.

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What to do

Action · 4 steps
01No action required.
02This is a reissue with no changes to the existing policy.
03Billing team should confirm that CPT 86352 (Cellular function assay) continues to be denied for all Independence Blue Cross Medicare Advantage members in New Jersey.
04No updates to billing rules, prior authorization requirements, or documentation templates are necessary.

Codes mentioned

86352

Original notice

MA06.018a, Immune Cell Function Assay
medpolicy.ibx.com · Always check the source before changing claims.
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Related changes

See all Independence Blue Cross changes →
MA06.018a, Immune Cell Function AssayLowNo effective date · Medical Policy06.02.37a, Immune Cell Function AssayLowNo effective date · Medical Policy06.02.37a, Immune Cell Function AssayLowNo effective date · Medical PolicyBrowse every Independence Blue Cross change in the policy list

Related policy hubs

Independence Blue Cross policiesNJ policy changesTransplant SurgeryInfectious DiseasePathologyCode 86352

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