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PAYER POLICY CHANGES

K1023 Insurance Policy Changes

HCPCS K1023 is officially defined as "Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm." HCPCS K1023 is referenced in 1 tracked payer policy change from Premera Blue Cross. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS K1023 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 rules3
Payers requiring prior auth3
  • Arizona Complete Health · Effective December 31, 2025

    Prior authorization required

    Arizona Complete Health CMS-0057-F prior authorization requirements

  • Centene · Effective December 31, 2025

    Prior authorization required

    Sunshine Health Title XIX, Title XXI, Managed Medical Assistance CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does AmeriHealth Caritas require prior authorization for K1023?

AmeriHealth Caritas lists K1023 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans, with conditions. Verify with the payer before scheduling.

Does Arizona Complete Health require prior authorization for K1023?

Arizona Complete Health lists K1023 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 Centene require prior authorization for K1023?

Centene lists K1023 on Sunshine Health Title XIX, Title XXI, Managed Medical Assistance 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 K1023?

There are 1 tracked policy change affecting HCPCS K1023, including updates from Premera Blue Cross. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS K1023?

Payers that have issued tracked updates for HCPCS K1023 include: Premera Blue Cross.

How do I get notified when HCPCS K1023 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS K1023. 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 K1023?

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 K1023

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for K1023 in one place.

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