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PAYER POLICY CHANGES

E1037 Insurance Policy Changes

HCPCS E1037 is officially defined as "Transport chair, pediatric size." HCPCS E1037 is referenced in 7 tracked payer policy changes from HealthPartners, BlueCross BlueShield of South Carolina, and 4 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS E1037 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 rules10
Payers requiring prior auth10
  • 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 Ambetter require prior authorization for E1037?

Ambetter lists E1037 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 E1037?

AmeriHealth Caritas lists E1037 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 E1037?

Anthem BCBS lists E1037 on List of items and services that require prior authorization (Medicaid IN) for medicaid managed plans (list dated February 11, 2026). Verify with the payer before scheduling.

Does BCBS Michigan require prior authorization for E1037?

BCBS Michigan lists E1037 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 E1037?

CalViva Health lists E1037 on CalViva Health 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 E1037?

There are 7 tracked policy changes affecting HCPCS E1037, including updates from HealthPartners, BlueCross BlueShield of South Carolina, Indiana Medicaid (IHCP). Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS E1037?

Payers that have issued tracked updates for HCPCS E1037 include: HealthPartners, BlueCross BlueShield of South Carolina, Indiana Medicaid (IHCP), Aetna, Independence Blue Cross, Premera Blue Cross.

How do I get notified when HCPCS E1037 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS E1037. 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 E1037?

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 E1037

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for E1037 in one place.

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