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05.00.67v, Wheelchair Options and Accessories
Act
by Jun 8, 2026
Effective date
Jun 8, 2026
Identified
Jun 19, 2026
Summary
Independence Blue Cross updated policy 05.00.67v effective June 8, 2026, adding critical billing restrictions for wheelchair mounting hardware codes E1033 and E1034. These codes cannot be billed together with specific seat/back cushion codes (E0953, E0955, E0956, E0957, E0960) and cannot be used for wheelchair seat or back cushion mounting hardware. The policy also reorganized benefit contract exclusion language and clarified cross-references to power mobility device policies.
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What to do
by Jun 8, 2026 · 6 steps
01Billing team must update billing software and submission logic to enforce new code bundling restrictions.
02Configure system to prevent billing E1033 in combination with codes E0953, E0956, E0957, or E0960 on the same claim.
03Configure system to prevent billing E1034 in combination with codes E0953, E0955, E0957, or E0960 on the same claim.
04Add validation rules to block E1033 and E1034 when used for wheelchair seat cushion or back cushion mounting hardware—ensure claims processing rejects these combinations before submission.
05Update billing team training and medical necessity documentation templates to clarify appropriate use of mounting hardware codes.
06Audit all pending/submitted claims from June 8, 2026 forward for violations; resubmit corrected claims to avoid denials.
If missed: Failure to implement these restrictions will result in claim denials and potential overpayment recovery.
Codes mentioned
E1033E1034E0953E0955E0956E0957E0960E0973K0017K0018K0020E2209E0990K0046K0047K0053K0195E2201E2202E2203E2204E2227E2359E2361E2363E2365E2371K0733E1002E1003E1004E1005E1006E1007E1008E1010E1012
Original notice
05.00.67v, Wheelchair Options and Accessories
medpolicy.ibx.com · Always check the source before changing claims.
Related changes
See all Independence Blue Cross changes →MA05.046k, Wheelchair Options and AccessoriesHighEffective Jun 8, 2026 · Medical PolicyMA05.023e, Wheelchair Cushions and SeatingHighEffective Nov 16, 2026 · Medical PolicyMA05.023d, Wheelchair Cushions and SeatingMediumEffective Apr 1, 2025 · Medical PolicyMA05.046j, Wheelchair Options and AccessoriesMediumEffective Apr 1, 2025 · Medical PolicyBrowse every Independence Blue Cross change in the policy list
Related policy hubs
Independence Blue Cross policiesPhysical TherapyOccupational TherapyGeriatricsPM&R (Physical Medicine & Rehab)Code E1033Code E1034Code E0953Code E0955Code E0956Code E0957Code E0960Code E0973Code K0017Code K0018Code K0020Code E2209Code E0990Code K0046Code K0047Code K0053Code K0195Code E2201Code E2202Code E2203Code E2204Code E2227Code E2359Code E2361Code E2363Code E2365Code E2371Code K0733Code E1002Code E1003Code E1004Code E1005Code E1006Code E1007Code E1008Code E1010Code E1012