Medicare AdvantageCoverageMedium impact
MA05.024i, Lower Limb Prostheses
Independence Blue Cross·Orthopedics, PM&R (Physical Medicine & Rehab), General Surgery +1 more·Medical Policy
Effective date
Apr 2, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA05.024i for Lower Limb Prostheses has been reissued and will be effective April 2, 2025. This is a policy reissue that may contain updated coverage criteria, billing requirements, or documentation standards for lower limb prosthetic devices and services.
Action Required
By April 2, 2025: Billing team and providers must review the complete MA05.024i Lower Limb Prostheses policy at the source URL to identify specific changes to coverage criteria, billing codes, or documentation requirements. Update billing workflows and encounter forms accordingly for all lower limb prosthetic services billed to Medicare Advantage plans.