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Medicare AdvantageBilling CodesMedium impact

MA00.005aq, Experimental/Investigational Services

Independence Blue Cross·Medical Policy
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

Medicare Advantage has updated their policy MA00.005aq regarding Experimental/Investigational Services with medical coding changes. This is a recent policy update that will affect how experimental or investigational procedures and services are coded and billed for Medicare Advantage members.

Action Required

Action needed
Before October 1, 2025: Billing team must review and access the full policy MA00.005aq at the provided URL to understand specific coding changes for experimental/investigational services. Update billing system rules and staff training based on the detailed policy requirements once reviewed. Ensure proper coding compliance to avoid claim denials for experimental services.