`E1500` Centrifuge

Centrifuge, for dialysis

Medicare coverage: Special coverage instructions apply
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 0 units per day (clinical), rationale: CMS Policy

Payer policies and prior authorization for E1500

Payer coverage policies that name E1500

E1500 appears in 1 coverage policy from Aetna.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Dialysis (0541)	covered if criteria are met	Aug 26, 2026	payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN, OH.

CO: $5.66 (health_first_colorado), effective Jul 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.

E1500 Centrifuge

Medically Unlikely Edits (effective October 1, 2026)

Payer policies and prior authorization for E1500

Payer coverage policies that name E1500

Medicaid fee-for-service

`E1500` Centrifuge