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PAYER POLICY CHANGES

K0900 Insurance Policy Changes

HCPCS K0900 is officially defined as "Customized durable medical equipment, other than wheelchair." HCPCS K0900 is referenced in 3 tracked payer policy changes from Capital Blue Cross and Premera Blue Cross. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS K0900 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 rules10
Payers requiring prior auth10
  • Anthem BCBS · Effective November 1, 2026

    Prior authorization required

    Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial)

  • 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)

  • CountyCare Health Plan · Effective April 23, 2026

    Prior authorization required

    CountyCare Prior Authorization Look-Up Tool (All Codes)

FREQUENTLY ASKED QUESTIONS

Does AmeriHealth Caritas require prior authorization for K0900?

AmeriHealth Caritas lists K0900 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

Does Anthem BCBS require prior authorization for K0900?

Anthem BCBS lists K0900 on Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial) for commercial plans (list dated November 1, 2026). Verify with the payer before scheduling.

Does BCBS Michigan require prior authorization for K0900?

BCBS Michigan lists K0900 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 K0900?

CalViva Health lists K0900 on CalViva Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Capital Blue Cross require prior authorization for K0900?

Capital Blue Cross lists K0900 on Capital Blue Cross single source preauthorization code list for commercial plans. Verify with the payer before scheduling.

What insurance policy changes affect HCPCS K0900?

There are 3 tracked policy changes affecting HCPCS K0900, including updates from Capital Blue Cross, Premera Blue Cross. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS K0900?

Payers that have issued tracked updates for HCPCS K0900 include: Capital Blue Cross, Premera Blue Cross.

How do I get notified when HCPCS K0900 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS K0900. 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 K0900?

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 K0900

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for K0900 in one place.

See every payer rule

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