Medicare AdvantageBilling CodesMedium impact
MA07.009j, Routine Foot Care for Certain Medical Conditions
Independence Blue Cross·Podiatry, Family Medicine, General Practice +3 more·Medical Policy
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
Independence Blue Cross updated ICD-10 diagnosis codes for routine foot care coverage effective 10/01/2025. Multiple sclerosis (G35) was restructured with more specific codes added to Attachment C, and Type 2 diabetes in remission (E11.A) was added to Attachment B as an eligible condition. Billing teams must update diagnosis code lists to reflect these changes for claim submission and eligibility verification.
Action Required
By 10/01/2025: Billing team must update the diagnosis code validation lists in the billing system to reflect ICD-10 changes for routine foot care (CPT 11719, HCPCS G0127, G0247, S0390). REMOVE G35 (Multiple sclerosis general code) from Attachment C validation rules. ADD new specific MS codes (G35.A, G35.B0, G35.B1, G35.B2, G35.C0, G35.C1, G35.C2, G35.D) to Attachment C. ADD E11.A (Type 2 diabetes without complications in remission) to Attachment B. Update prior authorization and eligibility verification systems to recognize these codes. Train billing and front-desk staff on the new codes when submitting claims or verifying member eligibility. Failure to update codes will result in claim denials or delays for Medicare Advantage members with these diagnoses seeking routine foot care services.