Start free
PAYER POLICY CHANGES

E1092 Insurance Policy Changes

HCPCS E1092 is officially defined as "Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests." HCPCS E1092 is referenced in 3 tracked payer policy changes from BlueCross BlueShield of South Carolina, Excellus BlueCross BlueShield, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS E1092 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Watch E1092

Get one email when a payer policy names E1092, 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 rules12
Payers requiring prior auth12
  • 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)

  • CountyCare Health Plan · Effective April 23, 2026

    Prior authorization required

    CountyCare Prior Authorization Look-Up Tool (All Codes)

FREQUENTLY ASKED QUESTIONS

Does Ambetter require prior authorization for E1092?

Ambetter lists E1092 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 E1092?

AmeriHealth Caritas lists E1092 on AmeriHealth Caritas Louisiana Act 233 prior authorization service list for medicaid managed plans, with conditions. Verify with the payer before scheduling.

Does Anthem BCBS require prior authorization for E1092?

Anthem BCBS lists E1092 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 Michigan require prior authorization for E1092?

BCBS Michigan lists E1092 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 E1092?

CalViva Health lists E1092 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 E1092?

There are 3 tracked policy changes affecting HCPCS E1092, including updates from BlueCross BlueShield of South Carolina, Excellus BlueCross BlueShield, Premera Blue Cross. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS E1092?

Payers that have issued tracked updates for HCPCS E1092 include: BlueCross BlueShield of South Carolina, Excellus BlueCross BlueShield, Premera Blue Cross.

How do I get notified when HCPCS E1092 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS E1092. 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 E1092?

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 E1092

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for E1092 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