T2003 N-et; encounter/tripNon-emergency transportation; encounter/trip
Status I: not valid for Medicare (Medicare uses another code).
9 of 9 payer prior-auth lists that name T2003 require prior authorization or set conditions: Blue Cross and Blue Shield of Illinois, Humana, Molina Healthcare of Iowa, Molina Healthcare of Texas, UnitedHealthcare Community Plan.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Blue Cross and Blue Shield of Illinois | Blue Cross Community Health Plans (BCCHP), Illinois Medicaid | IL | prior auth required | Oct 1, 2026 | Illinois Medicaid Prior Authorization Code List, Effective 10/1/2026 | |
| Blue Cross and Blue Shield of Illinois | Blue Cross Community MMAI (Medicare-Medicaid Alignment Initiative) | IL | prior auth required | Jan 1, 2025 | Procedure Code List, Effective 1/1/2025 | |
| Humana | Humana LTSS (Dual/integrated plan) | IL | prior auth required | Jan 1, 2027 | Humana Dual Fully Integrated (HMO D-SNP) Illinois long-term services and supports prior authorization and notification list | |
| Humana | Humana LTSS (Dual/integrated plan) | IN | prior auth required | Jul 1, 2024 | Humana Gold Plus Integrated Indiana Long‐Term Services and Supports (LTSS) Preauthorization and Notification List Humana Gold Plus Integrated Indiana Long‐Term Services and Supports (LTSS) Preauthoriz | |
| Molina Healthcare of Iowa | Medicaid | IA | prior auth required | Jul 1, 2023 | IA Prior Authorization Matrix, effective Q3 2023 | |
| Molina Healthcare of Texas | STAR | TX | prior auth required | Feb 19, 2025 | Molina Healthcare of Texas Prior Authorization Annual Review Report (STAR), reviewed 2025-02-19 | |
| Molina Healthcare of Texas | STAR+PLUS | TX | prior auth required | Feb 19, 2025 | Molina Healthcare of Texas Prior Authorization Annual Review Report (STAR+PLUS), reviewed 2025-02-19 | |
| Molina Healthcare of Texas | STAR, STAR+PLUS, STAR Kids, CHIP (Medicaid PA code matrix) | TX | prior auth required | Feb 1, 2022 | Medicaid Behavioral Health and Medical Prior Authorization (PA) Code Matrix (Texas), 2026-Q3 | |
| UnitedHealthcare Community Plan | Massachusetts Senior Care Options (SCO) and OneCare | MA | prior auth required | Oct 1, 2026 | Prior authorization requirements for Massachusetts MA SCO OneCare Effective October 1, 2026 |
T2003 appears in 2 coverage policies from Blue Cross & Blue Shield of Mississippi, Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Blue Cross & Blue Shield of Mississippi | Ambulance And Medical Transport Services (L.9.01.400) | covered if criteria are met | payer document | |
| Premera Blue Cross | Non-covered Services and Procedures Page | 21 of 30 | ∞ | not covered | Jun 1, 2026 | payer document |
Prior authorization required or conditional in IN.
From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.