Medicare AdvantageCoverageMedium impact
MA05.033d, External Breast Prostheses
Independence Blue Cross·Oncology, Plastic Surgery, General Surgery·Medical Policy
Effective date
Apr 2, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA05.033d for External Breast Prostheses has been reissued and updated. The billing team should review the updated policy details to understand any changes to coverage criteria, billing requirements, or documentation standards for external breast prostheses.
Action Required
By April 2, 2025: Billing team must access the full policy document at the provided URL to review updated coverage criteria and billing requirements for external breast prostheses. Update billing system rules and encounter forms if new requirements are specified in the complete policy.