Medicare AdvantageBilling CodesMedium impact
MA00.005ao, Experimental/Investigational Services
Independence Blue Cross·Medical Policy
Effective date
Apr 1, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage has updated their policy MA00.005ao regarding Experimental/Investigational Services with medical coding changes. This policy affects how experimental or investigational procedures and services should be coded and billed for Medicare Advantage members.
Action Required
Before April 1, 2025: Billing team must review and update coding practices for experimental/investigational services per policy MA00.005ao. Access the full policy details at the provided URL to understand specific coding requirements. Verify current procedures comply with updated guidelines to prevent claim denials.