Medicare AdvantageBilling CodesMedium impact
MA05.044u, Durable Medical Equipment (DME)
Independence Blue Cross·Physical Therapy, Occupational Therapy, Geriatrics +3 more·Medical Policy
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
Independence Blue Cross Medicare Advantage policy MA05.044v (effective 10/01/2025) updates DME coverage with narrative revisions to HCPCS codes E0765 and E0986, and adds three new codes (E0150, E0658, E0659) to the covered DME list. This supersedes the previous version MA05.044u and requires billing teams to update code coverage references and ensure claims for new codes are processed correctly.
Action Required
By October 1, 2025: Billing team must update all billing system references to use policy MA05.044v (superseding MA05.044u). (1) Update coverage databases to reflect narrative changes for HCPCS codes E0765 and E0986—review updated policy text and confirm billing edits align with new descriptions. (2) Add HCPCS codes E0150, E0658, and E0659 to the covered DME list in billing software (Attachment A1 codes). (3) Verify that all DME claims for these codes include required documentation: timely signed provider orders, delivery confirmation contemporaneous with delivery, and medical necessity supporting the DME criteria (7 requirements listed in policy). (4) Audit any pending or recently denied claims for these codes and resubmit if documentation is complete. Failure to update will result in incorrect claim processing, potential denials for newly added codes, and compliance issues with IBX Medicare Advantage plan requirements.