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Independence Blue CrossMedicare Advantage · Billing Codes · Medical Policy · Family Medicine, Internal Medicine, Gastroenterology +1 moreMedium impact

MA00.003ac, Preventive Care Services

Act
by Apr 1, 2025
Effective date
Apr 1, 2025
Identified
Jun 19, 2026

Summary

Independence Blue Cross updated MA00.003ac preventive care policy effective 04/01/2025 with retroactive application to 06/27/2024. Three HCPCS codes changed: G0567 added for HCV screening, J1308 added for colorectal cancer screening, and J1810 and S0028 removed from colorectal cancer screening services. Billing teams must update systems to reflect these code changes immediately.

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What to do

by Apr 1, 2025 · 7 steps
01Billing team must update billing system to reflect HCPCS code changes for Medicare Advantage preventive services.
02Add code G0567 for Hepatitis C Virus (HCV) screening claims with retroactive processing back to 06/27/2024.
03Add code J1308 for colorectal cancer screening procedure-related services.
04Remove and reject codes J1810 and S0028 from colorectal cancer screening billing — do not submit these codes on or after 04/01/2025.
05Update claim scrubbing rules and encoder software.
06Verify that any claims submitted between 06/27/2024 and 04/01/2025 using J1810 or S0028 are identified for resubmission with corrected codes or G0567 as appropriate.
07Communicate code changes to providers and front-desk staff.
If missed: Failure to update may result in claim denials or rejection for terminated codes.

Codes mentioned

G0567J1308J1810S0028

Original notice

MA00.003ac, Preventive Care Services
medpolicy.ibx.com · Always check the source before changing claims.
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Related policy hubs

Independence Blue Cross policiesFamily MedicineInternal MedicineGastroenterologyInfectious DiseaseCode G0567Code J1308Code J1810Code S0028

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