`E0232` Warming card for nwt

Warming card for use with the non contact wound warming device and non contact wound warming wound cover

Medicare coverage: Non-covered by Medicare
Status: active (October 2026 file)

Medically Unlikely Edits (effective October 1, 2026)

Practitioner: max 0 units per day (clinical), rationale: CMS Policy
Outpatient hospital: max 0 units per day (clinical), rationale: CMS Policy
DME supplier: max 0 units per day (clinical), rationale: CMS Policy

Payer policies and prior authorization for E0232

4 of 4 payer prior-auth lists that name E0232 require prior authorization or set conditions: Humana, UnitedHealthcare Community Plan.

Payer	Plan	State	Prior auth	Conditions	Since	Source
Humana	Humana Healthy Horizons	OK	prior auth required		Jan 1, 2027	Humana Healthy Horizons® in Oklahoma Prior Authorization Notification List (PAL) The following preauthorization and notification list
UnitedHealthcare Community Plan	Massachusetts OneCare	MA	prior auth under conditions	Cost over $1,000	Nov 1, 2025	Prior authorization requirements for Massachusetts OneCare Effective November 1, 2025
UnitedHealthcare Community Plan	Massachusetts Senior Care Options (SCO)	MA	prior auth under conditions	Prior authorization is required only for a retail purchase or cumulative rental cost of more than	Nov 1, 2025	CPT® is a registered trademark of the American Medical Association. Prior authorization requirements for Massachusetts Senior Care Options Effective November 1, 2025
UnitedHealthcare Community Plan	Massachusetts Senior Care Options (SCO) and OneCare	MA	prior auth under conditions	Cost over $1,000	Oct 1, 2026	Prior authorization requirements for Massachusetts MA SCO OneCare Effective October 1, 2026

Payer coverage policies that name E0232

E0232 appears in 4 coverage policies from Aetna, Centene, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT).

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Back Pain - Invasive Procedures (0016)	listed, no stance (range E0200-E0239)	Oct 6, 2026	payer document
Aetna	Wound Imaging and Noninvasive Wound Therapy (0372)	not covered	May 21, 2026	payer document
Centene	Low-Frequency Ultrasound and Noncontact Normothermic Wound Therapy (CP.MP.139)	covered if criteria are met	Mar 1, 2025	payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)	Noncontact Normothermic Wound Therapy (NNWT) (DME101.050)	listed, no stance		payer document

Recent prior-auth changes

Oct 1, 2026: PA removed, Oxford Health Plans
Oct 1, 2025: conditions changed, UnitedHealthcare Community Plan

Medicaid fee-for-service

Prior authorization required or conditional in OH, VA.

VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

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.

E0232 Warming card for nwt