Medicare AdvantageCoverageMedium impact
MA05.057d, Upper-Limb Prostheses
Independence Blue Cross·Orthopedics, PM&R (Physical Medicine & Rehab), Plastic Surgery·Medical Policy
Effective date
Sep 3, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA05.057d for Upper-Limb Prostheses has been reissued and will take effect September 3, 2025. This policy update may affect coverage criteria, prior authorization requirements, or billing procedures for upper extremity prosthetic devices and related services.
Action Required
Before September 3, 2025: Billing team must review the complete MA05.057d policy document at the source URL to identify specific changes to upper-limb prostheses coverage, prior authorization requirements, and billing procedures. Update billing system rules and staff training materials based on the detailed policy content once available.