E0186 Air pressure mattressAir pressure mattress
1 of 1 payer prior-auth lists that name E0186 require prior authorization or set conditions: Rocky Mountain Health Plans.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| 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 |
E0186 appears in 4 coverage policies from Aetna, Anthem, Capital Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Hospital Beds and Accessories (0543) | listed, no stance | Sep 23, 2026 | payer 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, OH, 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.