E1510 Kidney dialysate delivry sys

Kidney, dialysate delivery syst kidney machine, pump recirculating, air removal syst, flowrate meter, power off, heater and temperature control with alarm, i.v. poles, pressure gauge, concentrate container

Medically Unlikely Edits (effective October 1, 2026)

Payer policies and prior authorization for E1510

Payer coverage policies that name E1510

E1510 appears in 2 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi.

PayerPolicyRole in policyReviewedDocument
AetnaDialysis (0541)covered if criteria are metAug 26, 2026payer document
Blue Cross & Blue Shield of MississippiContinuous Arteriovenous Hemofiltration (L.8.02.400)covered if criteria are metpayer document

Medicaid fee-for-service

Prior authorization required or conditional in LA, OH, VA.

  • CO: $821.00 (health_first_colorado), effective Jul 1, 2026
  • IN: $0.00 (professional, Advanced Practice Nurse (85%), non-facility), effective Apr 6, 2018
  • LA: $413.66 (dme), effective Sep 1, 2021
  • OK: $4809.26 (dme), effective Aug 1, 2020
  • TX: $992.87 (dmepos_tos_9_e_j_l_and_r, Home Health Dme), effective Apr 1, 2013
  • VA: $1528.00 (medical), effective Jul 1, 2010
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 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.