E0630 Patient lift hydraulicPatient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)
7 of 7 payer prior-auth lists that name E0630 require prior authorization or set conditions: Blue Cross Blue Shield of Arizona (AZ Blue), Blue Cross and Blue Shield of New Mexico, Blue Shield of California Promise Health Plan, Humana, Medicare, Rocky Mountain Health Plans.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield of Arizona (AZ Blue) | AZ Blue-administered Medicare Advantage (M2K) | AZ | prior auth required | Sep 1, 2026 | AZ Blue Medicare Advantage Prior Authorization Requirements Code List (Effective 09/01/2026) | |
| Blue Shield of California Promise Health Plan | Promise Health Plan Medi-Cal | CA | prior auth required | Sep 1, 2026 | Medi-Cal Prior Authorization List | |
| Medicare | DMEPOS Master List (items potentially subject to PA) | All | prior auth under conditions | On the Master List; PA only if CMS selects it for the Required List | Jul 30, 2026 | Master List of DMEPOS Items Potentially Subject to Face-to-Face Encounter and Written Order Prior to Delivery and/or Prior Authorization Requirements |
| Blue Cross and Blue Shield of New Mexico | Turquoise Care (New Mexico Medicaid) | NM | prior auth required | Oct 1, 2026 | New Mexico Medicaid Benefit Preauthorization Procedure Code List 10/1/26 | |
| Humana | Humana Healthy Horizons | KY | prior auth required | Jan 1, 2027 | please visit Humana Healthy Horizons in Kentucky Clinical coverage policies. | |
| Humana | Humana Healthy Horizons | VA | prior auth required | Jan 1, 2027 | Humana Healthy Horizons in Virginia Prior Authorization and Notification List (PAL) | |
| 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 |
E0630 appears in 5 coverage policies from Aetna, Anthem, Blue Cross NC, Premera Blue Cross, Regence.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Seat Lifts and Patient Lifts (0459) | covered if criteria are met | Jul 16, 2026 | payer document |
| Anthem | Lifting Devices for Use in the Home (CG-DME-23) | covered if criteria are met | Aug 13, 2026 | payer document |
| Blue Cross NC | Patient Lifts | covered if criteria are met | Sep 1, 2025 | payer document |
| Premera Blue Cross | Patient Lifts, Seat Lifts and Standing Devices Page | 4 of 12 | ∞ | listed, no stance | Jan 12, 2026 | payer document |
| Regence | Patient Lifts and Seat Lifts (Durable Medical Equipment 23) | listed, no stance | Jun 1, 2026 | payer document |
Prior authorization required or conditional in CO, FL, IL, IN, KY, LA, MA, MS, NE, NY, 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.