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PAYER POLICY CHANGES

E1039 Insurance Policy Changes

HCPCS E1039 is officially defined as "Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds." HCPCS E1039 is referenced in 6 tracked payer policy changes from HealthPartners, BlueCross BlueShield of South Carolina, and 3 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS E1039 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 rules9
Payers requiring prior auth9
  • 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

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

FREQUENTLY ASKED QUESTIONS

Does AmeriHealth Caritas require prior authorization for E1039?

AmeriHealth Caritas lists E1039 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans, with conditions. Verify with the payer before scheduling.

Does BCBS Michigan require prior authorization for E1039?

BCBS Michigan lists E1039 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 E1039?

BCBS New Mexico lists E1039 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 E1039?

CalViva Health lists E1039 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 E1039?

Capital Blue Cross lists E1039 on Capital Blue Cross single source preauthorization code list for commercial plans. Verify with the payer before scheduling.

What insurance policy changes affect HCPCS E1039?

There are 6 tracked policy changes affecting HCPCS E1039, 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 E1039?

Payers that have issued tracked updates for HCPCS E1039 include: HealthPartners, BlueCross BlueShield of South Carolina, Indiana Medicaid (IHCP), Aetna, Premera Blue Cross.

How do I get notified when HCPCS E1039 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS E1039. 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 E1039?

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 E1039

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for E1039 in one place.

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