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PAYER POLICY CHANGES

T2007 Insurance Policy Changes

HCPCS T2007 is officially defined as "Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments." HCPCS T2007 is referenced in 4 tracked payer policy changes from Blue Shield of California, Capital Blue Cross, and 2 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS T2007 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 rules4
Payers requiring prior auth4
  • Aetna · Effective November 1, 2026

    Prior authorization required

    Participating provider precertification list for Aetna

  • CalViva Health · Effective December 31, 2025

    Prior authorization required

    CalViva Health CMS-0057-F prior authorization requirements

  • Community Health Plan of Imperial Valley · Effective December 31, 2025

    Prior authorization required

    Community Health Plan of Imperial Valley CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does Aetna require prior authorization for T2007?

Aetna lists T2007 on Participating provider precertification list for Aetna for commercial plans (list dated November 1, 2026). Verify with the payer before scheduling.

Does CalViva Health require prior authorization for T2007?

CalViva Health lists T2007 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 T2007?

Capital Blue Cross lists T2007 on Capital Blue Cross single source preauthorization code list for commercial plans. Verify with the payer before scheduling.

Does Community Health Plan of Imperial Valley require prior authorization for T2007?

Community Health Plan of Imperial Valley lists T2007 on Community Health Plan of Imperial Valley 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 T2007?

There are 4 tracked policy changes affecting HCPCS T2007, including updates from Blue Shield of California, Capital Blue Cross, Excellus BlueCross BlueShield. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS T2007?

Payers that have issued tracked updates for HCPCS T2007 include: Blue Shield of California, Capital Blue Cross, Excellus BlueCross BlueShield, BCBS Arizona.

How do I get notified when HCPCS T2007 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS T2007. 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 T2007?

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 T2007

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for T2007 in one place.

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RELATED

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