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PAYER POLICY CHANGES

E1036 Insurance Policy Changes

HCPCS E1036 is officially defined as "Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs." HCPCS E1036 is referenced in 6 tracked payer policy changes from Capital Blue Cross, UnitedHealthcare, and 4 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS E1036 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 rules14
Payers requiring prior auth14
  • 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 Illinois · Effective October 1, 2026

    Prior authorization required

    Utilization Management Process

  • BCBS New Mexico · Effective October 1, 2026

    Prior authorization required

    Medicare Advantage Prior Authorization Procedure Code List

FREQUENTLY ASKED QUESTIONS

Does AmeriHealth Caritas require prior authorization for E1036?

AmeriHealth Caritas lists E1036 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 E1036?

Anthem BCBS lists E1036 on List of items and services that require prior authorization (Medicare) for medicare advantage plans (list dated February 11, 2026). Verify with the payer before scheduling.

Does BCBS Illinois require prior authorization for E1036?

BCBS Illinois lists E1036 on Utilization Management Process for medicare advantage plans (list dated October 1, 2026). Verify with the payer before scheduling.

Does BCBS Michigan require prior authorization for E1036?

BCBS Michigan lists E1036 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 BCBS New Mexico require prior authorization for E1036?

BCBS New Mexico lists E1036 on Medicare Advantage Prior Authorization Procedure Code List for medicare advantage plans (list dated October 1, 2026). Verify with the payer before scheduling.

What insurance policy changes affect HCPCS E1036?

There are 6 tracked policy changes affecting HCPCS E1036, including updates from Capital Blue Cross, UnitedHealthcare, BlueCross BlueShield of South Carolina. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS E1036?

Payers that have issued tracked updates for HCPCS E1036 include: Capital Blue Cross, UnitedHealthcare, BlueCross BlueShield of South Carolina, Indiana Medicaid (IHCP), Aetna, Independence Blue Cross.

How do I get notified when HCPCS E1036 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS E1036. 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 E1036?

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 E1036

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for E1036 in one place.

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