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PAYER POLICY CHANGES

K0002 Insurance Policy Changes

HCPCS K0002 is officially defined as "Standard hemi (low seat) wheelchair." HCPCS K0002 is referenced in 11 tracked payer policy changes from HealthPartners, L.A. Care Health Plan, and 5 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS K0002 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 rules14
Payers requiring prior auth14
  • 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

  • Excellus BlueCross BlueShield · Effective October 1, 2026

    Prior authorization required

    Excellus BCBS utilization management standard clinical review preauthorization list

FREQUENTLY ASKED QUESTIONS

Does Ambetter require prior authorization for K0002?

Ambetter lists K0002 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 K0002?

AmeriHealth Caritas lists K0002 on AmeriHealth Caritas Louisiana Act 233 prior authorization service list for medicaid managed plans, with conditions. Verify with the payer before scheduling.

Does BCBS Michigan require prior authorization for K0002?

BCBS Michigan lists K0002 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 K0002?

BCBS New Mexico lists K0002 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 K0002?

CalViva Health lists K0002 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 K0002?

There are 11 tracked policy changes affecting HCPCS K0002, including updates from HealthPartners, L.A. Care Health Plan, Independence Blue Cross. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS K0002?

Payers that have issued tracked updates for HCPCS K0002 include: HealthPartners, L.A. Care Health Plan, Independence Blue Cross, BlueCross BlueShield of South Carolina, Excellus BlueCross BlueShield, Indiana Medicaid (IHCP), Aetna.

How do I get notified when HCPCS K0002 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS K0002. 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 K0002?

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.

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Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for K0002 in one place.

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