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PAYER POLICY CHANGES

K0008 Insurance Policy Changes

HCPCS K0008 is officially defined as "Custom manual wheelchair/base." HCPCS K0008 is referenced in 4 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 K0008 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 rules15
Payers requiring prior auth15
  • 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 Illinois · Effective October 1, 2026

    Prior authorization required in some cases

    Blue Cross Community Health Plans (Illinois Medicaid) Prior Authorization Code List

  • BCBS New Mexico · Effective October 1, 2026

    Prior authorization required in some cases

    BCBSNM Turquoise Care (New Mexico Medicaid) Preauthorization Procedure Code List

FREQUENTLY ASKED QUESTIONS

Does Ambetter require prior authorization for K0008?

Ambetter lists K0008 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 K0008?

AmeriHealth Caritas lists K0008 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 K0008?

Anthem BCBS lists K0008 on List of items and services that require prior authorization (Medicaid NY) for medicaid managed plans (list dated February 11, 2026). Verify with the payer before scheduling.

Does Arizona Complete Health require prior authorization for K0008?

Arizona Complete Health lists K0008 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 Illinois require prior authorization for K0008?

BCBS Illinois lists K0008 on Blue Cross Community Health Plans (Illinois Medicaid) Prior Authorization Code List for medicaid managed plans, with conditions (list dated October 1, 2026). Verify with the payer before scheduling.

What insurance policy changes affect HCPCS K0008?

There are 4 tracked policy changes affecting HCPCS K0008, including updates from BlueCross BlueShield of South Carolina, Excellus BlueCross BlueShield, Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS K0008?

Payers that have issued tracked updates for HCPCS K0008 include: BlueCross BlueShield of South Carolina, Excellus BlueCross BlueShield, Aetna.

How do I get notified when HCPCS K0008 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS K0008. 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 K0008?

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 K0008

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for K0008 in one place.

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