E0181 Press pad alternating w/ pumPowered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty
3 of 3 payer prior-auth lists that name E0181 require prior authorization or set conditions: Blue Cross and Blue Shield of New Mexico, Blue Shield of California Promise Health Plan, Rocky Mountain Health Plans.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Blue Shield of California Promise Health Plan | Promise Health Plan Medi-Cal | CA | prior auth required | Sep 1, 2026 | Medi-Cal Prior Authorization List | |
| Blue Cross and Blue Shield of New Mexico | Turquoise Care (New Mexico Medicaid) | NM | prior auth required | Oct 1, 2026 | New Mexico Medicaid Benefit Preauthorization Procedure Code List 10/1/26 | |
| Rocky Mountain Health Plans | Rocky Mountain Medicare Advantage D-SNP | CO | prior auth required | Feb 1, 2025 | Rocky Mountain Health Plans Medicare Advantage Dual-Special Needs Plans – prior authorization Effective February 1, 2025 |
E0181 appears in 3 coverage policies from Aetna, Anthem, Capital Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Pressure Reducing Support Surfaces (0430) | covered if criteria are met | Jul 10, 2026 | payer document |
| Anthem | Pressure-Reducing Support Surfaces (CG-DME-16) | covered if criteria are met | Aug 13, 2026 | payer document |
| Capital Blue Cross | Hospital Beds and Accessories (MP 6.001) Procedure codes | covered if criteria are met | Mar 1, 2026 | payer document |
Prior authorization required or conditional in CO, LA, MA, MS, ND, NY, VA, WA, WV.
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.