Medicare AdvantageCoverageMedium impact
MA05.057d, Upper-Limb Prostheses
Independence Blue Cross·Orthopedics, PM&R (Physical Medicine & Rehab), Plastic Surgery·Medical Policy
Effective date
Apr 1, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA05.057d for Upper-Limb Prostheses has been updated with new coverage criteria or billing requirements. This policy change affects prosthetic device coverage and may impact authorization processes or documentation requirements for upper extremity prosthetics.
Action Required
By April 1, 2025: Billing team and providers must review the updated MA05.057d policy for upper-limb prostheses coverage changes. Access the full policy details at the source URL to identify specific coverage criteria, prior authorization requirements, or documentation changes. Update billing procedures and encounter forms accordingly for Medicare Advantage patients requiring upper-limb prosthetics.