E0621 Patient lift sling or seat

Sling or seat, patient lift, canvas or nylon

Medically Unlikely Edits (effective October 1, 2026)

Medicare pricing for E0621

DMEPOS fee schedule, July 2026 (DME26-C)

Payer policies and prior authorization for E0621

4 of 4 payer prior-auth lists that name E0621 require prior authorization or set conditions: Blue Shield of California Promise Health Plan, Rocky Mountain Health Plans, UnitedHealthcare Community Plan.

PayerPlanStatePrior authConditionsSinceSource
Blue Shield of California Promise Health PlanPromise Health Plan Medi-CalCAprior auth requiredSep 1, 2026Medi-Cal Prior Authorization List
Rocky Mountain Health PlansRocky Mountain Medicare Advantage D-SNPCOprior auth requiredFeb 1, 2025Rocky Mountain Health Plans Medicare Advantage Dual-Special Needs Plans – prior authorization Effective February 1, 2025
UnitedHealthcare Community PlanMississippi CHIPMSprior auth under conditionsPrior authorization is required only for the codes listed with a retail purchase or a cumulative rental cost of more than $500.Apr 1, 2025Prior authorization requirements for Mississippi Children’s Health Insurance Program Effective Apr. 1, 2025
UnitedHealthcare Community PlanMississippiCANMSprior auth under conditionssite of care: outpatientApr 1, 2025Prior authorization requirements for UnitedHealthcare Community Plan of Mississippi – Mississippi Coordinated Access Network (MississippiCAN) Effective Apr. 1, 2025

Payer coverage policies that name E0621

E0621 appears in 4 coverage policies from Aetna, Anthem, Blue Cross NC, Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
AetnaSeat Lifts and Patient Lifts (0459)covered if criteria are metJul 16, 2026payer document
AnthemLifting Devices for Use in the Home (CG-DME-23)covered if criteria are metAug 13, 2026payer document
Blue Cross NCPatient Liftscovered if criteria are metSep 1, 2025payer document
Premera Blue CrossPatient Lifts, Seat Lifts and Standing Deviceslisted, no stanceJan 12, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in CO, LA, MS, VA, WV.

  • AZ: $122.85 (dme), effective Oct 1, 2026
  • FL: $62.45 (dme), effective Jul 1, 2026
  • IL: $53.12 (dme), effective Jan 1, 2026
  • IN: $83.06 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2026
  • KS: $8.08 (default), effective Jul 1, 2026
  • KY: $77.91 (dme), effective Jan 1, 2026
  • LA: $6.47 (dme), effective Sep 1, 2021
  • MD: $9.00 (dme), effective Apr 1, 2026
  • MS: $100.43 (comprehensive), effective Jul 1, 2026
  • ND: $139.63 (dme), effective Aug 1, 2026
  • NE: $117.45 (dme), effective Jul 1, 2026
  • NY: $77.36 (dme), effective Jul 1, 2026
  • OH: $89.70 (dme), effective Jan 1, 1999
  • OK: $125.54 (dme), effective Jan 1, 2026
  • TX: $70.64 (dmepos_tos_9_e_j_l_and_r, Home Health Dme), effective Apr 1, 2017
  • VA: $90.53 (dme), effective Dec 1, 2026
  • VT: $104.91 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $95.70 (medical_equipment_supplies), effective Jul 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.