E0940 Trapeze bar free standing

Trapeze bar, free standing, complete with grab bar

Medically Unlikely Edits (effective October 1, 2026)

Medicare pricing for E0940

DMEPOS fee schedule, July 2026 (DME26-C)

Payer policies and prior authorization for E0940

2 of 2 payer prior-auth lists that name E0940 require prior authorization or set conditions: Blue Shield of California Promise Health Plan, Humana.

PayerPlanStatePrior authConditionsSinceSource
Blue Shield of California Promise Health PlanPromise Health Plan Medi-CalCAprior auth requiredSep 1, 2026Medi-Cal Prior Authorization List
HumanaHumana Healthy HorizonsVAprior auth requiredJan 1, 2027Humana Healthy Horizons in Virginia Prior Authorization and Notification List (PAL)

Payer coverage policies that name E0940

E0940 appears in 4 coverage policies from Aetna, Capital Blue Cross, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT).

PayerPolicyRole in policyReviewedDocument
AetnaHospital Beds and Accessories (0543)covered if criteria are metSep 23, 2026payer document
AetnaSafety Items (0623)not coveredSep 23, 2026payer document
Capital Blue CrossHospital Beds and Accessories (MP 6.001)
Procedure codes
covered if criteria are metMar 1, 2026payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)Hospital Beds and Related Equipment (DME101.001)
HCPCS Codes A4640, E0181, E0182, E0183, E0184, E0185, E0186, E0187, E0188, E0189,
listed, no stanceJan 1, 2026payer document

Recent prior-auth changes

  • Jan 1, 2027: PA added, Humana

Medicaid fee-for-service

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

  • AZ: $347.73 (dme), effective Oct 1, 2026
  • CO: $212.50 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $28.63 (dme), effective Jul 1, 2026
  • IL: $148.69 (dme), effective Jan 1, 2026
  • IN: $221.76 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2025
  • KS: $21.48 (default), effective Jul 1, 2026
  • KY: $25.87 (dme), effective Jan 1, 2026
  • LA: $24.81 (dme), effective Jul 1, 2012
  • MD: $207.91 (dme), effective Apr 1, 2026
  • MS: $260.20 (comprehensive), effective Jul 1, 2026
  • ND: $26.85 (dme), effective Aug 1, 2026
  • NE: $25.94 (dme), effective Jul 1, 2026
  • NY: $25.75 (dme), effective Jul 1, 2026
  • OH: $361.61 (dme), effective Jul 26, 2007
  • OK: $25.65 (dme), effective Jan 1, 2026
  • TX: $254.98 (dmepos_tos_9_e_j_l_and_r, Home Health Dme), effective Apr 1, 2017
  • VA: $261.24 (dme), effective Dec 1, 2026
  • VT: $313.49 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $25.70 (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.