Start free
PAYER POLICY CHANGES

E1038 Insurance Policy Changes

HCPCS E1038 is officially defined as "Transport chair, adult size, patient weight capacity up to and including 300 pounds." HCPCS E1038 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 E1038 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Watch E1038

Get one email when a payer policy names E1038, 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 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)

  • BCBS New Mexico · Effective October 1, 2026

    Prior authorization required in some cases

    BCBSNM Turquoise Care (New Mexico Medicaid) Preauthorization Procedure Code List

  • Colorado Medicaid · Effective July 1, 2026

    Prior authorization required in some cases

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

FREQUENTLY ASKED QUESTIONS

Does AmeriHealth Caritas require prior authorization for E1038?

AmeriHealth Caritas lists E1038 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans, with conditions. Verify with the payer before scheduling.

Does Arizona Complete Health require prior authorization for E1038?

Arizona Complete Health lists E1038 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 Michigan require prior authorization for E1038?

BCBS Michigan lists E1038 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 E1038?

BCBS New Mexico lists E1038 on BCBSNM Turquoise Care (New Mexico Medicaid) Preauthorization Procedure Code List for medicaid managed plans, with conditions (list dated October 1, 2026). Verify with the payer before scheduling.

Does CalViva Health require prior authorization for E1038?

CalViva Health lists E1038 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 E1038?

There are 7 tracked policy changes affecting HCPCS E1038, including updates from HealthPartners, 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 E1038?

Payers that have issued tracked updates for HCPCS E1038 include: HealthPartners, BlueCross BlueShield of South Carolina, Excellus BlueCross BlueShield, Indiana Medicaid (IHCP), Aetna, Premera Blue Cross.

How do I get notified when HCPCS E1038 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS E1038. 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 E1038?

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 E1038

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for E1038 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