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Independence Blue CrossMedicare Advantage · Billing Codes · Medical Policy · Gastroenterology, Family Medicine, Internal Medicine +2 moreHigh impact

MA00.003ad, Preventive Care Services

Effective date
Jul 1, 2025
Identified
Jun 19, 2026

Summary

Independence Blue Cross updated MA00.003ad preventive care policy effective 07/01/2025, replacing four HCPCS codes and removing three codes for colorectal cancer screening procedures. Four codes (J0165, J2312, J2313, J3373) are now added as covered services, while J0171, J2310, J2311, J3370 are terminated, and G0106, G0120, G0122 are retroactively removed effective 01/01/2025. Billing teams must update systems to reflect these code changes to avoid claim denials.

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What to do

Action · 8 steps
01By 07/01/2025: Billing team must update all billing software and claim submission systems to.
02ADD codes J0165, J2312, J2313, J3373 as covered services for preventive colorectal cancer screening.
03REMOVE/BLOCK codes J0171, J2310, J2311, J3370 from being billed to Independence Blue Cross Medicare Advantage plans.
04RETROACTIVELY DENY or correct any claims submitted with G0106, G0120, G0122 on or after 01/01/2025.
05Update encounter templates and provider education materials to reflect new covered codes.
06Verify that billing rules in electronic health records (EHR) and clearinghouse systems reflect these changes.
07Claims submitted with terminated codes after 07/01/2025 will be denied.
08Audit any colorectal cancer screening claims billed between 01/01/2025 and 06/30/2025 using the three retroactively removed codes (G0106, G0120, G0122) and submit corrected claims if necessary.

Codes mentioned

J0165J2312J2313J3373J0171J2310J2311J3370G0106G0120G0122

Original notice

MA00.003ad, Preventive Care Services
medpolicy.ibx.com · Always check the source before changing claims.
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Related changes

See all Independence Blue Cross changes →
00.06.02av, Preventive Care ServicesHighEffective Jul 1, 2025 · Medical PolicyMA00.003ac, Preventive Care ServicesMediumEffective Apr 1, 2025 · Medical PolicyMA00.003ae, Preventive Care ServicesHighEffective Oct 1, 2025 · Medical PolicyMA00.003ae, Preventive Care ServicesHighEffective Oct 1, 2025 · Medical PolicyBrowse every Independence Blue Cross change in the policy list

Related policy hubs

Independence Blue Cross policiesGastroenterologyFamily MedicineInternal MedicineGeneral PracticeGeneral SurgeryCode J0165Code J2312Code J2313Code J3373Code J0171Code J2310Code J2311Code J3370Code G0106Code G0120Code G0122

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