Medicare AdvantageCoverageMedium impact
MA07.038k, Neuropsychological Testing for Neurologically Based Conditions
Independence Blue Cross·Neurology, Psychiatry·Medical Policy
Effective date
Nov 26, 2024
We identified it
Jun 19, 2026
Summary
Policy MA07.038k establishes coverage criteria and guidelines for neuropsychological testing in Medicare Advantage plans for patients with neurologically based conditions. This reissue (effective 11/26/2024) updates prior guidance and requires billing teams to verify medical necessity documentation and authorization requirements before submitting claims for neuropsychological testing services.
Action Required
By 2024-11-26: Billing team must review the full policy text at the provided URL to identify specific CPT codes affected, prior authorization requirements, and documentation standards for neuropsychological testing claims. Update billing software and intake processes to enforce any new authorization workflows. Contact your Medicare Advantage plan representatives to confirm specific codes and requirements covered under MA07.038k. Train providers to document medical necessity for neurologically based conditions per updated policy standards. NOTE: Full policy content was not provided in the policy change information—access the complete policy document to extract specific billing codes and implementation requirements.