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PAYER POLICY CHANGES

E2343 Insurance Policy Changes

HCPCS E2343 is officially defined as "Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches." HCPCS E2343 is referenced in 4 tracked payer policy changes from BlueCross BlueShield of South Carolina, Aetna, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS E2343 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 rules16
Payers requiring prior auth16
  • 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 Arizona · Effective October 1, 2026

    Prior authorization required

    AZ Blue Medicare Advantage Prior Authorization Requirements Code List (Updated 10/01/2026)

  • Colorado Medicaid · Effective July 1, 2026

    Prior authorization required

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

FREQUENTLY ASKED QUESTIONS

Does Ambetter require prior authorization for E2343?

Ambetter lists E2343 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 E2343?

AmeriHealth Caritas lists E2343 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 E2343?

Anthem BCBS lists E2343 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 Arizona Complete Health require prior authorization for E2343?

Arizona Complete Health lists E2343 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 Arizona require prior authorization for E2343?

BCBS Arizona lists E2343 on AZ Blue Medicare Advantage Prior Authorization Requirements Code List (Updated 10/01/2026) for medicare advantage plans (list dated October 1, 2026). Verify with the payer before scheduling.

What insurance policy changes affect HCPCS E2343?

There are 4 tracked policy changes affecting HCPCS E2343, including updates from BlueCross BlueShield of South Carolina, Aetna, Premera Blue Cross. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS E2343?

Payers that have issued tracked updates for HCPCS E2343 include: BlueCross BlueShield of South Carolina, Aetna, Premera Blue Cross.

How do I get notified when HCPCS E2343 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS E2343. 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 E2343?

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 E2343

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for E2343 in one place.

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