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Medicare AdvantageAdministrativeLow impact

MA10.008d, Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD)

Independence Blue Cross·NJ · Cardiology, Vascular Surgery, Physical Therapy +1 more·Medical Policy
Effective date
Not stated
We identified it
Jun 19, 2026
Days to comply
—

Summary

This is a reissue with no changes to MA10.008d. The policy confirms Independence Blue Cross's continuing position on Supervised Exercise Therapy (SET) for symptomatic Peripheral Artery Disease (PAD), covering up to 36 sessions over 12 weeks (with possible extension to 72 sessions) for Medicare Advantage members in New Jersey. No billing code changes, coverage modifications, or documentation requirements have been altered.

Action Required

Action needed
No immediate action required. This is a routine annual policy reissue with no substantive changes. Billing team should verify that current systems are already configured to: (1) Recognize CPT 93668 for PAD rehabilitation sessions; (2) Accept the listed ICD-10 diagnosis codes (I70.211-I70.219, I70.411-I70.419, I70.511-I70.513, and others) for SET claims; (3) Enforce the 36-session limit over 12 weeks as standard, with capability to extend to 72 sessions upon review. No updates to billing software, prior authorization workflows, or encounter forms are needed unless they are currently not aligned with the existing policy.

Affected Billing Codes

93668
I70.211
I70.212
I70.213
I70.218
I70.219
I70.411
I70.412
I70.413
I70.418
I70.419
I70.511
I70.512
I70.513