Medicare AdvantageCoverageMedium impact
MA05.024k, Lower Limb Prostheses
Independence Blue Cross·Orthopedics, PM&R (Physical Medicine & Rehab), General Surgery +1 more·Medical Policy
Effective date
Apr 1, 2026
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA05.024k for Lower Limb Prostheses has been updated with new coverage or billing requirements. This policy specifically affects prosthetic services and billing for Medicare Advantage members only.
Action Required
Before April 1, 2026: Billing team must review the complete MA05.024k policy at the provided URL to understand specific changes to lower limb prostheses coverage requirements. Update billing procedures and prior authorization processes as specified in the full policy. Coordinate with prosthetics providers to ensure compliance with new Medicare Advantage requirements.