Medicare AdvantageAdministrativeLow impact
MA05.005g, Automatic External Cardioverter Defibrillators (Wearable and Nonwearable)
Independence Blue Cross·NJ · Cardiology, Critical Care, Internal Medicine·Medical Policy
We identified it
Jun 19, 2026
Summary
Independence Blue Cross (IBX) has reissued Medicare Advantage policy MA05.005g regarding coverage for wearable and nonwearable automatic external defibrillators (AEDs). The policy maintains existing coverage criteria based on Medicare guidelines and adds ICD-10 code I21.B (Myocardial infarction with coronary microvascular dysfunction) to the policy attachments. This is a continuation of the company's existing position with no substantive changes to coverage requirements or billing codes.
Action Required
No immediate action required. The billing team should verify that current systems accurately reflect the coverage criteria for wearable AED (K0606) and nonwearable AED (E0617) devices under Medicare Advantage plans. Confirm that ICD-10 code I21.B is included in the diagnosis code lists (Attachment A for wearable; Attachment B for nonwearable) within the practice's billing system. Monitor for any future policy updates, as IBX has superseded version MA05.005g with MA05.005h.