E0352 Disposable pack w/bowel syst

Disposable pack (water reservoir bag, speculum, valving mechanism and collection bag/box) for use with the electronic bowel irrigation/evacuation system

Medically Unlikely Edits (effective October 1, 2026)

Payer policies and prior authorization for E0352

1 of 1 payer prior-auth lists that name E0352 require prior authorization or set conditions: Humana.

PayerPlanStatePrior authConditionsSinceSource
HumanaHumana Healthy HorizonsOKprior auth requiredJan 1, 2027Humana Healthy Horizons® in Oklahoma Prior Authorization Notification List (PAL) The following preauthorization and notification list

Payer coverage policies that name E0352

E0352 appears in 2 coverage policies from Aetna, Capital Blue Cross.

PayerPolicyRole in policyReviewedDocument
AetnaBowel Management Devices (0522)not coveredAug 18, 2026payer document
Capital Blue CrossExperimental and Investigational Procedures (MP 4.002)
Procedure codes: Gastroenterology		listed, no stanceSep 1, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in OH, VT.

  • TX: $48.77 (dmepos_tos_9_e_j_l_and_r, Ccp Provider, non-facility), effective Sep 1, 2026
  • 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.