Medicare AdvantageCoverageMedium impact
MA07.001c, Hyperbaric Oxygen Therapy
Independence Blue Cross·Wound Care, General Surgery, Plastic Surgery +2 more·Medical Policy
Effective date
Apr 21, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage has updated the medical necessity criteria for Hyperbaric Oxygen Therapy (MA07.001c). This change affects coverage requirements and approval processes for hyperbaric treatments under Medicare Advantage plans.
Action Required
By April 21, 2025: Review updated medical necessity criteria for Hyperbaric Oxygen Therapy claims. Billing team must ensure all documentation meets new Medicare Advantage requirements before submitting claims. Providers should verify updated coverage criteria to avoid claim denials.