E0243 Toilet railToilet rail, each
E0243 appears in 5 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Bathroom and Toilet Equipment and Supplies (0429) | not covered | Jul 22, 2026 | payer document |
| Aetna | Safety Items (0623) | not covered | Sep 23, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Commode Chairs (L.1.01.401) | covered if criteria are met | payer document | |
| Health Care Service Corporation (BCBS IL, TX, OK, NM, MT) | Durable Medical Equipment (DME) Reference List (DME101.000) HCPCS Codes A9901, E0100, E0105, E0110, E0111, E0112, E0113, E0114, E0116, E0117, | listed, no stance | Sep 15, 2026 | payer document |
| Premera Blue Cross | Non-covered Services and Procedures | listed, no stance | Jun 1, 2026 | payer document |
Prior authorization required or conditional in CO, LA, MA, 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.