Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Independence Blue CrossMedicare Advantage · Coverage · Medical Policy · Cardiology, Internal Medicine, Geriatrics +2 moreHigh impact

MA12.010c, Remote Patient Monitoring

Effective date
Jan 1, 2025
Identified
Jun 19, 2026

Summary

Independence Blue Cross updated MA12.010c to MA12.010d, revising CPT code narratives for remote therapeutic monitoring (98975, 98976, 98977). This version clarifies that RPM is covered only for acute decompensated heart failure in home settings with prior program approval, and specifies that codes 98975, 98976, and 98977 are NOT eligible for separate reimbursement under this policy.

Get alerts when payers change rules like this one

We check Independence Blue Cross and other payers every day and email you when a change matches your specialty and state.

Get Independence Blue Cross alertsPolicy Monitoring is free. No card required.

What to do

Action · 6 steps
01Effective immediately (as of 01/01/2025): Billing team must update billing software to mark CPT codes 98975, 98976, and 98977 as NOT ELIGIBLE FOR SEPARATE REIMBURSEMENT under Independence Blue Cross Medicare Advantage plans.
02Do not bill these codes independently for RPM services.
03Additionally, update system rules to deny or flag claims for HCPCS code S9110 (telemonitoring) as ineligible.
04Providers submitting RPM programs must send submissions to UMprogramsubmission@ibx.com with required documentation (clinical parameters, data transmission methods, device identification, technical support plan, monitoring frequency/duration, and outcome tracking methods) BEFORE billing any RPM-related services.
05Train billing staff that RPM coverage requires prior program approval and is limited to acute decompensated heart failure in home settings only.
06Claims submitted without prior program approval or for ineligible settings/diagnoses will be denied.

Codes mentioned

989759897698977S9110I50.1I50.20I50.21I50.22I50.23I50.30I50.31I50.32I50.33I50.40

Original notice

MA12.010c, Remote Patient Monitoring
medpolicy.ibx.com · Always check the source before changing claims.
View original ↗

Related changes

See all Independence Blue Cross changes →
MA12.010c, Remote Patient MonitoringHighEffective Jan 1, 2025 · Medical PolicyMA12.010d, Remote Patient MonitoringHighEffective Jan 1, 2026 · Medical Policy12.00.04, Remote Physiologic Monitoring and Remote Therapeutic MonitoringMediumEffective Dec 2, 2026 · Medical PolicyMA12.010e, Remote Physiologic Monitoring and Remote Therapeutic MonitoringHighEffective Nov 30, 2026 · Medical PolicyBrowse every Independence Blue Cross change in the policy list

Related policy hubs

Independence Blue Cross policiesCardiologyInternal MedicineGeriatricsFamily MedicinePulmonologyCode 98975Code 98976Code 98977Code S9110Code I50.1Code I50.20Code I50.21Code I50.22Code I50.23Code I50.30Code I50.31Code I50.32Code I50.33Code I50.40

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account