What insurance policy changes affect HCPCS E1399?

There are 31 tracked policy changes affecting HCPCS E1399, including updates from Blue Shield of California, PacificSource Health Plans, Connecticut Medicaid (HUSKY Health). Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS E1399?

Payers that have issued tracked updates for HCPCS E1399 include: Blue Shield of California, PacificSource Health Plans, Connecticut Medicaid (HUSKY Health), Sentara Health Plans, Health Net, Excellus BlueCross BlueShield, Blue Cross of Idaho, Blue Cross & Blue Shield of Mississippi, Humana, Maryland Medicaid, Colorado Medicaid.

How do I get notified when HCPCS E1399 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS E1399. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for HCPCS E1399?

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.

E1399 — Durable medical equipment, miscellaneous: Insurance Policy Changes

E1399 Insurance Policy Changes

HCPCS E1399 is officially defined as "Durable medical equipment, miscellaneous." HCPCS E1399 is referenced in 31 tracked payer policy changes from Blue Shield of California, PacificSource Health Plans, and 9 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS E1399 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

High impact

Continuous Passive Motion in the Home Setting (1.01.10)

Blue Shield of California·Effective Jul 1, 2026

Blue Shield of California updated its CPM (Continuous Passive Motion) home setting policy effective July 1, 2026, narrowing coverage to only two specific scenarios: post-total knee arthroplasty (up to 17 days) and post-articular cartilage repair procedures (up to 6 weeks during non-weight-bearing). All other CPM uses, including remote monitoring systems and adaptive devices, are now classified as investigational and non-covered. Billing teams must implement prior authorization requirements and enforce strict time limits for covered indications.

E1399 Insurance Policy Changes

Continuous Passive Motion in the Home Setting (1.01.10)

Medicaid and Commercial Prior Authorization Changes

2025.52 - Provider Bulletin - Policy Updates and Changes to Clinical Review Criteria

Summer 2025 Authorization Updates

20-438 Medical Policies - 1st Quarter 2020

20-437 Medial Policies - 1st Quarter 2020

20-435 Medical Policies - 1st Quarter 2020

20-944 Medical Policies - 3rd Quarter 2020

20-946 Medical Policies - 3rd Quarter 2020

21-555 Medical Policies - 2nd Quarter 2021

21-556 Medical Policies - 2nd Quarter 2021

21-558 Medical Policies - 2nd Quarter 2021

Vitrectomy Chair/ Face-Down Positioning System 1.01.52

PAP209 - Oxygen and Oxygen Equipement - Unarchived policy - defined rental months, added rental codes, removed extra language

Cooling Devices Used in the Outpatient Setting

Medical Supplies, Equipment and Appliances Durable Medical Equipment - MEDICAID - OKLAHOMA (Revised)

Medical Supplies, Equipment and Appliances Durable Medical Equipment - MEDICAID - KENTUCKY (Revised)

PT 38-26: Billing Practices of Individual Consideration Priced Items

Immersion Therapy Mattress-Bed - Medicare Advantage (Revised)

2025.45 - Anti-Embolism Stockings

Multi-Function Oscillation Lung Expansion Therapy - MEDICAID - VIRGINIA (New)

Medical Supplies, Equipment and Appliances Durable Medical Equipment - MEDICAID - VIRGINIA (New)

Medical Supplies, Equipment and Appliances Durable Medical Equipment - MEDICAID - FLORIDA (New)

Medical Supplies, Equipment and Appliances Durable Medical Equipment - MEDICAID - SOUTH CAROLINA (New)

Transcutaneous Electrical Nerve Stimulator (TENS)

Interferential Current Stimulation

Home Prothrombin Time Monitoring

20-947 Medical Policies - 3rd Quarter 2020

2025.51 - Enteral & Parenteral Supplies Used for Services Other Than Nutrition - Billing & PA Guidance

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2500527 - 09/2025)

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