Medicare AdvantageCoverageHigh impact
MA05.044v, Durable Medical Equipment (DME)
Independence Blue Cross·Orthopedics, PM&R (Physical Medicine & Rehab), Pain Management +3 more·Medical Policy
Effective date
Nov 10, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA05.044v for Durable Medical Equipment (DME) has been updated with changes to coverage positions, medical coding requirements, and general guidelines. This affects how DME claims are processed and reimbursed for Medicare Advantage members.
Action Required
By November 10, 2025: Billing team must review the complete MA05.044v policy at the source URL to identify specific changes to DME coverage, coding, and reimbursement requirements. Update billing system rules and staff training based on the detailed policy changes. Monitor for claim denials related to DME billing after the effective date.