`E1140` Wheelchair standard detach a

Wheelchair, detachable arms, desk or full length, swing away detachable footrests

Medicare coverage: Not payable by Medicare
Status: active (October 2026 file)

Medically Unlikely Edits (effective October 1, 2026)

Practitioner: max 0 units per day (clinical), rationale: CMS Policy
Outpatient hospital: max 0 units per day (clinical), rationale: CMS Policy
DME supplier: max 1 units per day (policy), rationale: Code Descriptor / CPT Instruction

Payer policies and prior authorization for E1140

4 of 4 payer prior-auth lists that name E1140 require prior authorization or set conditions: UnitedHealthcare Community Plan.

Payer	Plan	State	Prior auth	Conditions	Since	Source
UnitedHealthcare Community Plan	District of Columbia LTSS	DC	prior auth under conditions	Prior authorization required only for the codes listed with a retail purchase or a cumulative rental cost of less than $500.	Oct 1, 2026	Prior Authorization Requirements for District of Columbia LTSS Effective October 1, 2026
UnitedHealthcare Community Plan	Indiana Hoosier Care Connect	IN	prior auth under conditions	Prior authorization required only for DME codes listed with a retail purchase or cumulative rental cost of more than $500.	Oct 1, 2026	Prior authorization requirements for Indiana Hoosier Care Connect Effective October 1, 2026
UnitedHealthcare Community Plan	Indiana PathWays for Aging (MLTSS)	IN	prior auth under conditions	Prior authorization required only for DME codes listed with a retail purchase or cumulative rental cost of more than $500.	Oct 1, 2026	Prior authorization requirements for Indiana MLTSS Pathways Effective October 1, 2026
UnitedHealthcare Community Plan	UnitedHealthcare Community Plan of Kentucky	KY	prior auth under conditions	Cost over $500	Jul 1, 2026	Prior authorization requirements for UnitedHealthcare Community Plan of Kentucky Effective July 1, 2026

Payer coverage policies that name E1140

E1140 appears in 4 coverage policies from Aetna, Anthem, Capital Blue Cross, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT).

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Wheelchairs and Power Operated Vehicles (Scooters) (0271)	covered if criteria are met	Aug 21, 2026	payer document
Anthem	Wheeled Mobility Devices: Manual Wheelchairs - Standard, Heavy Duty and Lightweight (CG-DME-24)	covered if criteria are met (range E1130-E1160)	Nov 6, 2025	payer document
Capital Blue Cross	Manual Wheelchairs and Accessories (MP 6.059)	covered if criteria are met	Sep 1, 2026	payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)	Wheelchairs and Accessories (DME101.010) HCPCS Codes E0950, E0951, E0952, E0953, E0954, E0955, E0956, E0957, E0958, E0959,	listed, no stance	Jan 1, 2026	payer document

Recent prior-auth changes

Mar 1, 2025: PA removed, Rocky Mountain Health Plans
Mar 1, 2025: PA removed, Rocky Mountain Health Plans

Medicaid fee-for-service

Prior authorization required or conditional in CO, IN, KY, LA, MS, VA, VT.

AZ: $624.61 (outpatient_hospital), effective Oct 1, 2011
CO: $36.15 (health_first_colorado), effective Jul 1, 2026
IN: $59.26 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2026
KY: $58.42 (dme), effective Jan 1, 2026
LA: $364.17 (dme), effective Jul 1, 2012
MS: $489.22 (comprehensive), effective Jul 1, 2026
OH: $743.58 (dme), effective Jan 1, 2017
OK: $411.22 (dme), effective Aug 1, 2020
TX: $50.48 (dmepos_tos_9_e_j_l_and_r, Home Health Dme), effective Sep 1, 2026
VA: $470.84 (dme), effective Dec 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.

E1140 Wheelchair standard detach a