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Medicare AdvantageBilling CodesMedium impact

10/01/2025 CPT & HCPCS Quarterly Code Update Coverage Determinations for Medicare Advantage Products

Independence Blue Cross·News & Announcements
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

Medicare Advantage has released quarterly CPT and HCPCS code updates with new coverage determinations effective October 1, 2025. This routine quarterly update affects billing codes and coverage policies for Medicare Advantage products.

Action Required

Action needed
By October 1, 2025: Billing team must review the detailed quarterly code update at the source URL to identify specific CPT and HCPCS code changes. Update billing software with any new code additions, deletions, or coverage determination changes for Medicare Advantage plans. Verify coverage policies for affected codes before submitting claims.