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MA08.008g, Total Parenteral Nutrition (TPN) / Intradialytic Parenteral Nutrition (IDPN) / Intraperitoneal Nutrition (IPN)
Act
by Jan 1, 2025
Effective date
Jan 1, 2025
Identified
Jun 19, 2026
Summary
Independence Blue Cross updated MA08.008g to MA08.008h effective 01/01/2025, revising documentation requirements for Total Parenteral Nutrition (TPN), Intradialytic Parenteral Nutrition (IDPN), and Intraperitoneal Nutrition (IPN) to align with Noridian LCD 38953. Documentation requirements are now stricter and must include specific clinical justifications, permanent impairment documentation, and detailed nutritional needs assessment. Billing teams must update claims submission processes to ensure all required documentation is attached before claim submission to avoid denials.
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What to do
by Jan 1, 2025 · 6 steps
01Billing team must implement documentation checklist for all TPN/IDPN/IPN claims to ensure the following are attached before submission: (1) documentation of GI absorption impairment or motility disorder; (2) evidence that enteral nutrition was considered, tried, or contraindicated; (3) provider evaluation within 30 days or alternative monitoring documentation; (4) proof of permanent impairment; (5) complete clinical diagnosis including all related diagnoses, condition duration, estimated therapy duration, clinical course, prognosis, functional limitations, other interventions, comorbidities, past experience, and nutritional requirements.
02Update billing software workflow to flag claims missing any required elements.
03Providers must attach complete documentation with each claim for S9364.
04Claims submitted without full documentation will be denied.
05Train all coding and billing staff on new requirements by December 31, 2024.
06Update patient authorization forms to reflect new documentation standards.
Codes mentioned
S9364
Original notice
MA08.008g, Total Parenteral Nutrition (TPN) / Intradialytic Parenteral Nutrition (IDPN) / Intraperitoneal Nutrition (IPN)
medpolicy.ibx.com · Always check the source before changing claims.
Related changes
See all Independence Blue Cross changes →MA08.008h, Total Parenteral Nutrition (TPN) / Intradialytic Parenteral Nutrition (IDPN)MediumEffective Mar 16, 2026 · Medical PolicyMA08.008h, Total Parenteral Nutrition (TPN) / Intradialytic Parenteral Nutrition (IDPN)MediumEffective Mar 16, 2026 · Medical Policy08.00.17k, Total Parenteral Nutrition (TPN) / Intradialytic Parenteral Nutrition (IDPN) / Intraperitoneal Parenteral Nutrition (IPN)LowEffective Jan 1, 2025 · Medical Policy08.00.17k, Total Parenteral Nutrition (TPN) / Intradialytic Parenteral Nutrition (IDPN) / Intraperitoneal Parenteral Nutrition (IPN)MediumEffective Jan 1, 2025 · Medical PolicyBrowse every Independence Blue Cross change in the policy list