Medicare AdvantageCoverageMedium impact
MA05.024j, Lower Limb Prostheses
Independence Blue Cross·Orthopedics, PM&R (Physical Medicine & Rehab), General Surgery +1 more·Medical Policy
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA05.024j for Lower Limb Prostheses has been updated with an effective date of October 1, 2025. This is a very recent policy change that may affect coverage criteria, prior authorization requirements, or billing procedures for lower limb prosthetic devices and services.
Action Required
By October 1, 2025: Billing team must review the complete MA05.024j Lower Limb Prostheses policy update at the provided URL to identify specific changes to coverage criteria, prior authorization requirements, or billing procedures. Update billing workflows and staff training accordingly for all Medicare Advantage prosthetic claims.