Medicare AdvantageCoverageMedium impact
MA05.057e, Upper-Limb Prostheses
Independence Blue Cross·Orthopedics, PM&R (Physical Medicine & Rehab), Plastic Surgery +1 more·Medical Policy
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA05.057e for Upper-Limb Prostheses has been updated with new coverage or billing requirements effective October 1, 2025. This fresh policy update may affect authorization, coverage criteria, or billing procedures for upper limb prosthetic devices.
Action Required
By October 1, 2025: Billing team must review the complete MA05.057e policy document at the source URL to identify specific changes to upper-limb prostheses coverage, prior authorization requirements, or billing procedures. Update billing system rules and staff workflows accordingly for all Medicare Advantage plans.