Start free
PAYER POLICY CHANGES

E0652 Insurance Policy Changes

HCPCS E0652 is officially defined as "Pneumatic compressor, segmental home model with calibrated gradient pressure." HCPCS E0652 is referenced in 15 tracked payer policy changes from Harvard Pilgrim Health Care, BlueCross BlueShield of South Carolina, and 7 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS E0652 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Watch E0652

Get one email when a payer policy names E0652, a payer adds or drops it from a prior auth list, or Medicare changes its NCCI pairs, unit limit, payment or coverage articles.

No account needed. We send a confirmation link first, and every email has a one-click stop link.

REFERENCE DATA

Payers with rules19
Payers requiring prior auth19
  • Anthem BCBS · Effective November 1, 2026

    Prior authorization required

    Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial)

  • BCBS Michigan · Effective October 13, 2026

    Prior authorization required in some cases

    BCBSM and BCN procedure codes for which providers must request prior authorization (commercial lines)

  • BCBS Arizona · Effective October 1, 2026

    Prior authorization required

    AZ Blue Medicare Advantage Prior Authorization Requirements Code List (Updated 10/01/2026)

FREQUENTLY ASKED QUESTIONS

Does Ambetter require prior authorization for E0652?

Ambetter lists E0652 on Ambetter from Arizona Complete Health CMS-0057-F prior authorization requirements for exchange plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does AmeriHealth Caritas require prior authorization for E0652?

AmeriHealth Caritas lists E0652 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans, with conditions. Verify with the payer before scheduling.

Does Anthem BCBS require prior authorization for E0652?

Anthem BCBS lists E0652 on Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial) for commercial plans (list dated November 1, 2026). Verify with the payer before scheduling.

Does Arizona Complete Health require prior authorization for E0652?

Arizona Complete Health lists E0652 on Arizona Complete Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does BCBS Arizona require prior authorization for E0652?

BCBS Arizona lists E0652 on AZ Blue Medicare Advantage Prior Authorization Requirements Code List (Updated 10/01/2026) for medicare advantage plans (list dated October 1, 2026). Verify with the payer before scheduling.

What insurance policy changes affect HCPCS E0652?

There are 15 tracked policy changes affecting HCPCS E0652, including updates from Harvard Pilgrim Health Care, BlueCross BlueShield of South Carolina, Excellus BlueCross BlueShield. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS E0652?

Payers that have issued tracked updates for HCPCS E0652 include: Harvard Pilgrim Health Care, BlueCross BlueShield of South Carolina, Excellus BlueCross BlueShield, Blue Shield of California, Anthem BCBS, Indiana Medicaid (IHCP), Sentara Health Plans, Aetna, Blue Cross & Blue Shield of Mississippi.

How do I get notified when HCPCS E0652 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS E0652. 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 E0652?

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 E0652

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for E0652 in one place.

See every payer rule

RELATED

All billing codesJ3590C9399J3490992159921399202

Get alerts for changes like this

Save a search and get email alerts when a new policy change matches your filters: daily or weekly, your choice, on every plan.

Create a free alertHow Policy Monitoring works