Medicare AdvantageBilling CodesMedium impact
MA07.046h, Corneal Pachymetry Using Ultrasound
Independence Blue Cross·Ophthalmology·Medical Policy
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
Independence Blue Cross MA07.046h policy was reissued with no substantive changes on 10/01/2025, but three new ICD-10 diagnosis codes (H40.841, H40.842, H40.843) were added as medically necessary for corneal pachymetry using ultrasound. Billing teams must update their systems to recognize these glaucoma-related codes as supporting coverage for CPT 76514.
Action Required
By 10/15/2025: Billing team must update the billing system and claim submission processes to recognize ICD-10 codes H40.841, H40.842, and H40.843 as medically necessary diagnoses supporting coverage for CPT 76514 (corneal pachymetry using ultrasound) under Independence Blue Cross Medicare Advantage plans. Update internal policy reference materials and provider communication to reflect these three new diagnosis codes. Ensure that claims with these codes are not subject to medical necessity denial. Communicate the change to providers performing ophthalmologic ultrasounds to ensure accurate coding on encounter forms.