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PAYER POLICY CHANGES

E2619 Insurance Policy Changes

HCPCS E2619 is officially defined as "Replacement cover for wheelchair seat cushion or back cushion, each." HCPCS E2619 is referenced in 1 tracked payer policy change from BlueCross BlueShield of South Carolina. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS E2619 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)

  • Florida Blue · Effective March 27, 2026

    Prior authorization required

    Prior Authorization List: HMO – Marketplace Qualified Health Plans

  • Anthem BCBS · Effective February 11, 2026

    Prior authorization required

    List of items and services that require prior authorization (Medicaid IN)

FREQUENTLY ASKED QUESTIONS

Does AmeriHealth Caritas require prior authorization for E2619?

AmeriHealth Caritas lists E2619 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 E2619?

Anthem BCBS lists E2619 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 E2619?

Arizona Complete Health lists E2619 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 E2619?

BCBS Michigan lists E2619 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 E2619?

CalViva Health lists E2619 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 E2619?

There are 1 tracked policy change affecting HCPCS E2619, including updates from BlueCross BlueShield of South Carolina. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS E2619?

Payers that have issued tracked updates for HCPCS E2619 include: BlueCross BlueShield of South Carolina.

How do I get notified when HCPCS E2619 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS E2619. 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 E2619?

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 E2619

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for E2619 in one place.

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