Medicare AdvantageCoverageMedium impact
04/01/2025 CPT & HCPCS Quarterly Code Update Coverage Determinations for Medicare Advantage Products
Independence Blue Cross·News & Announcements
Effective date
Apr 1, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage plans have updated their quarterly CPT and HCPCS code coverage determinations effective April 1, 2025. This routine quarterly update affects which procedures and services are covered under Medicare Advantage products.
Action Required
By April 1, 2025: Billing team should review the full policy details at the provided URL to identify specific code changes and coverage updates. Update billing system rules and coverage verification processes for any affected CPT and HCPCS codes. Verify coverage for Medicare Advantage patients before scheduling procedures that may have changed coverage status.