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Medicare AdvantageCoverageMedium impact

MA05.037a, Walkers

Independence Blue Cross·Physical Therapy, Occupational Therapy, Geriatrics +1 more·Medical Policy
Effective date
May 12, 2025
We identified it
Jun 19, 2026
Days to comply
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Summary

Independence Blue Cross Medicare Advantage policy MA05.037b (effective 05/12/2025) adds two HCPCS codes (E0152 and E1399) to the NOT COVERED category for powered walkers and walker enhancement accessories. Billing teams must deny claims for these codes and update system rules to prevent submission.

Action Required

Action needed
By 05/12/2025: Billing team must update billing system to deny claims for HCPCS codes E0152 (powered walker) and E1399 (walker enhancement accessories) for all Independence Blue Cross Medicare Advantage members. Add these codes to the system's NOT COVERED list for IBX MA plans and configure auto-denial rules. Providers should be notified via bulletin that these codes are no longer reimbursable under IBX MA coverage effective 05/12/2025. Update billing software workflows, encounter form templates, and superbill documentation to reflect non-coverage status. Claims submitted for these codes after the effective date will be denied; inform patient billing/collections staff to expect increased member responsibility notifications.

Affected Billing Codes

E0152
E1399