CommercialCoverageMedium impact
05.00.39v, Ankle-Foot/Knee-Ankle-Foot Orthoses
Independence Blue Cross·Orthopedics, PM&R (Physical Medicine & Rehab), Podiatry·Medical Policy
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
Independence Blue Cross has reissued policy 05.00.39v covering Ankle-Foot and Knee-Ankle-Foot Orthoses, effective October 1, 2025. This is a reissuance of existing policy rather than new coverage changes, but the updated version may contain modified coverage criteria or documentation requirements.
Action Required
By October 1, 2025: Review the full reissued policy at the source URL to identify any changes to coverage criteria, documentation requirements, or prior authorization rules for ankle-foot and knee-ankle-foot orthoses. Update billing procedures and provider documentation requirements accordingly based on any modifications found in the reissued policy.