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Independence Blue CrossMedicare Advantage · Billing Codes · Medical Policy · Pulmonology, Physical Therapy, NeurologyMedium impact

MA05.001l, High-Frequency Chest Wall Oscillation Devices

Effective date
Nov 17, 2025
Identified
Jun 19, 2026

Summary

This is a reissue of MA05.001l with no substantive coverage changes to HFCWO device policy. However, two immunodeficiency ICD-10 codes (D81.810, D81.82, D84.1) have been deleted and two myasthenia gravis codes (G70.00, G70.01) have been added to the covered diagnosis list, effective 11/17/2025.

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What to do

Action · 5 steps
01By 11/17/2025: Billing team must update diagnosis code validation rules in billing software.
02REMOVE codes D81.810 (Biotinidase deficiency), D81.82 (APDS), and D84.1 (Complement system defects) from the list of covered diagnoses for HFCWO devices (E0483, A7025, A7026).
03ADD codes G70.00 (Myasthenia gravis without exacerbation) and G70.01 (Myasthenia gravis with exacerbation) as newly covered diagnoses for HFCWO claims.
04Update prior authorization templates and claim scrubbing logic to reject claims with deleted codes and accept claims with new G70 codes when medical necessity criteria are met.
05Notify providers of the diagnosis code changes to prevent claim denials.

Codes mentioned

A7025A7026E0483D81.810D81.82D84.1G70.00G70.01

Original notice

MA05.001l, High-Frequency Chest Wall Oscillation Devices
medpolicy.ibx.com · Always check the source before changing claims.
View original ↗

Related changes

See all Independence Blue Cross changes →
05.00.14s, High-Frequency Chest Wall Oscillation DevicesLowEffective Nov 17, 2025 · Medical PolicyMA05.001l, High-Frequency Chest Wall Oscillation DevicesMediumEffective Nov 17, 2025 · Medical Policy05.00.14s, High-Frequency Chest Wall Oscillation DevicesLowEffective Nov 17, 2025 · Medical PolicyMA05.001j, High-Frequency Chest Wall Oscillation DevicesMediumEffective Oct 17, 2024 · Medical PolicyBrowse every Independence Blue Cross change in the policy list

Related policy hubs

Independence Blue Cross policiesPulmonologyPhysical TherapyNeurologyCode A7025Code A7026Code E0483Code D81.810Code D81.82Code D84.1Code G70.00Code G70.01

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