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Medicare AdvantageCoverageMedium impact

07/01/2025 CPT & HCPCS Quarterly Code Update Coverage Determinations for Medicare Advantage Products

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

Summary

Medicare Advantage plans have issued quarterly updates to CPT and HCPCS code coverage determinations effective July 1, 2025. This is a routine quarterly update that may affect which procedures and services are covered under Medicare Advantage products.

Action Required

Action needed
By July 15, 2025: Billing team should access the full policy document at the provided URL to review specific CPT and HCPCS code changes for Medicare Advantage plans. Update billing system coverage rules and eligibility verification processes based on any new coverage determinations. Notify providers of any changes to commonly used codes in your practice.