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05.00.60l, Pressure-Reducing Support Surfaces
Effective date
Oct 28, 2026
Identified
Nov 3, 2026
Summary
Independence Blue Cross added a face-to-face encounter and written order requirement prior to delivery and/or prior authorization for HCPCS code E0194 (Air fluidized bed), effective 10/28/2026. The practice must obtain prior authorization before scheduling or delivering this device for covered members.
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What to do
Action · 5 steps
01Effective 10/28/2026: Get prior authorization from Independence Blue Cross before scheduling or delivering HCPCS code E0194 (Air fluidized bed) for Commercial members.
02Ensure the prescribing provider documents a face-to-face encounter with the patient and provides a written order prior to delivery.
03Update charge entry and prior auth tracking to require authorization before claims are submitted.
04Tell providers and clinical staff that E0194 now requires prior auth and a documented face-to-face encounter with written order.
05Claims for E0194 submitted without prior authorization will be denied.
Codes mentioned
E0194
Original notice
05.00.60l, Pressure-Reducing Support Surfaces
medpolicy.ibx.com · Always check the source before changing claims.