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PAYER POLICY CHANGES

E0628 Insurance Policy Changes

HCPCS E0628 is officially defined as "Separate seat lift mechanism for use with patient owned furniture-electric." HCPCS E0628 is referenced in 1 tracked payer policy change from BlueCross BlueShield of South Carolina. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS E0628 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

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REFERENCE DATA

Payers with rules1
Payers requiring prior auth1
  • Centene · Effective December 31, 2025

    Prior authorization required

    Sunshine Health Title XIX, Title XXI, Managed Medical Assistance CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does Centene require prior authorization for E0628?

Centene lists E0628 on Sunshine Health Title XIX, Title XXI, Managed Medical Assistance CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

What insurance policy changes affect HCPCS E0628?

There are 1 tracked policy change affecting HCPCS E0628, including updates from BlueCross BlueShield of South Carolina. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS E0628?

Payers that have issued tracked updates for HCPCS E0628 include: BlueCross BlueShield of South Carolina.

How do I get notified when HCPCS E0628 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS E0628. You will get an email when new policy changes reference this code: daily or weekly, your choice, on every plan.

Why do payers change policies for HCPCS E0628?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

See every payer rule for E0628

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for E0628 in one place.

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