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PAYER POLICY CHANGES

E0970 Insurance Policy Changes

HCPCS E0970 is officially defined as "No. 2 footplates, except for elevating leg rest." HCPCS E0970 is referenced in 1 tracked payer policy change from Excellus BlueCross BlueShield. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS E0970 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 rules8
Payers requiring prior auth8
  • 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)

  • Colorado Medicaid · Effective July 1, 2026

    Prior authorization required

    Colorado Health First Colorado Fee Schedule (Prior Authorization Needed column)

  • Florida Blue · Effective March 27, 2026

    Prior authorization required

    Prior Authorization List: HMO – Marketplace Qualified Health Plans

FREQUENTLY ASKED QUESTIONS

Does AmeriHealth Caritas require prior authorization for E0970?

AmeriHealth Caritas lists E0970 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

Does BCBS Michigan require prior authorization for E0970?

BCBS Michigan lists E0970 on BCBSM and BCN procedure codes for which providers must request prior authorization (commercial lines) for commercial plans, with conditions (list dated October 13, 2026). Verify with the payer before scheduling.

Does CalViva Health require prior authorization for E0970?

CalViva Health lists E0970 on CalViva Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Capital Blue Cross require prior authorization for E0970?

Capital Blue Cross lists E0970 on Capital Blue Cross single source preauthorization code list for commercial plans. Verify with the payer before scheduling.

Does Colorado Medicaid require prior authorization for E0970?

Colorado Medicaid lists E0970 on Colorado Health First Colorado Fee Schedule (Prior Authorization Needed column) for medicaid ffs plans (list dated July 1, 2026). Verify with the payer before scheduling.

What insurance policy changes affect HCPCS E0970?

There are 1 tracked policy change affecting HCPCS E0970, including updates from Excellus BlueCross BlueShield. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS E0970?

Payers that have issued tracked updates for HCPCS E0970 include: Excellus BlueCross BlueShield.

How do I get notified when HCPCS E0970 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS E0970. 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 E0970?

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 E0970

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for E0970 in one place.

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