E2361 22nf sealed leadacid battery

Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat)

Medically Unlikely Edits (effective October 1, 2026)

Medicare pricing for E2361

DMEPOS fee schedule, July 2026 (DME26-C)

Payer policies and prior authorization for E2361

24 of 25 payer prior-auth lists that name E2361 require prior authorization or set conditions: Blue Cross Blue Shield of Arizona (AZ Blue), Blue Cross and Blue Shield of Texas, Blue Shield of California Promise Health Plan, Humana, Molina Complete Care (Virginia), Molina Healthcare of Arizona, Molina Healthcare of California, Molina Healthcare of Florida, Molina Healthcare of Idaho, Molina Healthcare of Iowa, Molina Healthcare of Michigan, Molina Healthcare of Nevada, Molina Healthcare of New Mexico, Molina Healthcare of Ohio, Molina Healthcare of South Carolina, Molina Healthcare of Texas, Molina Healthcare of Utah, Molina Healthcare of Washington, Molina Healthcare of Wisconsin, Molina Healthcare, Inc. (national grid), and others.

PayerPlanStatePrior authConditionsSinceSource
Blue Cross Blue Shield of Arizona (AZ Blue)Federal Employee Program (FEP)AZprior auth under conditionsFEP Blue Focus onlySep 1, 2026Federal Employee Program (FEP) Prior Authorization Requirements Code List (Updated 09/01/2026)
Blue Shield of California Promise Health PlanPromise Health Plan Medi-CalCAprior auth requiredSep 1, 2026Medi-Cal Prior Authorization List
Blue Cross and Blue Shield of TexasTexas PA exemption (gold card), outpatient, fully insuredTXprior auth requiredGold-card exemption availableJul 1, 2026BCBSTX Outpatient Prior Authorization Exemption Clinical Guidelines (max units, PA exempt date range)
HumanaHumana Healthy HorizonsOHprior auth requiredJan 1, 2027555201OH0924-B OHHMZG2EN Humana Healthy Horizons® in Ohio Prior Authorization Notification List (PAL) The following preauthorization and notification list
HumanaHumana Healthy HorizonsSCprior auth requiredJan 1, 2027Humana Healthy Horizons in South Carolina Prior authorization and Notification List The following list describes services and medications that are commonly reviewed and may require additional clinical
Molina Complete Care (Virginia)Medicare-only PA matrix for D-SNPVAprior auth requiredJan 1, 2022Medicare Prior Auth (PA) Code Matrix (Virginia), effective Q1 2022
Molina Healthcare of ArizonaMedicare-only PA matrix for D-SNPAZprior auth requiredJan 1, 2022Medicare Prior Auth (PA) Code Matrix (Arizona), effective Q1 2022
Molina Healthcare of CaliforniaMedicare AdvantageCAprior auth requiredJul 1, 2021Medicare Prior Auth (PA) Code Matrix (California), effective Q3 2021
Molina Healthcare of FloridaMedicare AdvantageFLprior auth requiredApr 1, 2021Medicare Prior Auth (PA) Code Matrix (Florida), effective Q2 2021
Molina Healthcare of IdahoMedicare AdvantageIDprior auth requiredApr 1, 2021Medicare Prior Auth (PA) Code Matrix (Idaho), effective Q2 2021
Molina Healthcare of IowaMedicaidIAprior auth requiredJul 1, 2023IA Prior Authorization Matrix, effective Q3 2023
Molina Healthcare of MichiganExchangeMIprior auth requiredJul 1, 2021Molina Healthcare of Michigan PA Matrix, effective 7/1/2021
Molina Healthcare of NevadaMedicaidNVprior auth requiredOct 1, 2022Medicaid Prior Auth (PA) Code Matrix, effective Q4 2022
Molina Healthcare of New MexicoMedicare AdvantageNMprior auth requiredJan 1, 2021Medicare Prior Auth (PA) Code Matrix (New Mexico), effective Q1 2021
Molina Healthcare of OhioMedicaid and MyCare Ohio (MMP) MedicaidOHprior auth requiredOct 1, 2023Molina Healthcare of Ohio Prior Authorization (PA) Code List, effective 2023-10-01
Molina Healthcare of OhioMedicare and MyCare Ohio (MMP) MedicareOHprior auth requiredOct 1, 2023Molina Healthcare of Ohio Prior Authorization (PA) Code List, effective 2023-10-01
Molina Healthcare of OhioExchangeOHprior auth requiredOct 1, 2023Molina Healthcare of Ohio Prior Authorization (PA) Code List, effective 2023-10-01
Molina Healthcare of South CarolinaMedicare AdvantageSCprior auth requiredApr 1, 2021Medicare Prior Auth (PA) Code Matrix (South Carolina), effective Q2 2021
Molina Healthcare of TexasExchangeTXprior auth requiredPA Modernization - PA requirements will be removed where coveredJan 1, 2024Marketplace Prior Authorization (PA) Code Matrix (Texas), effective July 1, 2026
Molina Healthcare of UtahMedicare AdvantageUTprior auth requiredApr 1, 2021Medicare Prior Auth (PA) Code Matrix (Utah), effective Q2 2021
Molina Healthcare of WashingtonMedicare AdvantageWAprior auth requiredApr 1, 2021Medicare Prior Auth (PA) Code Matrix (Washington), effective Q2 2021
Molina Healthcare of WisconsinMedicare AdvantageWIprior auth requiredOct 1, 2021Medicare Prior Auth (PA) Code Matrix (Wisconsin), effective Q4 2021
Molina Healthcare, Inc. (national grid)Molina national (MHI) Medicare gridAllprior auth requiredOct 1, 2021Medicare Prior Auth (PA) Code Matrix (national), effective Q4 2021
Rocky Mountain Health PlansRocky Mountain Medicare Advantage D-SNPCOprior auth requiredFeb 1, 2025Rocky Mountain Health Plans Medicare Advantage Dual-Special Needs Plans – prior authorization Effective February 1, 2025

Payer coverage policies that name E2361

E2361 appears in 3 coverage policies from Aetna, Anthem, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT).

PayerPolicyRole in policyReviewedDocument
AetnaWheelchairs and Power Operated Vehicles (Scooters) (0271)covered if criteria are metAug 21, 2026payer document
AnthemWheeled Mobility Devices: Wheelchair Accessories (CG-DME-34)covered if criteria are met (range E2358-E2365)Nov 6, 2025payer 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 stanceJan 1, 2026payer document

Recent prior-auth changes

  • Aug 1, 2026: PA removed, HealthSpring
  • Jan 1, 2026: PA removed, Molina Healthcare of Michigan
  • Mar 1, 2025: PA removed, Rocky Mountain Health Plans
  • Mar 1, 2025: PA removed, Rocky Mountain Health Plans
  • Feb 19, 2025: PA removed, Molina Healthcare of Texas
  • Feb 19, 2025: PA removed, Molina Healthcare of Texas
  • Jan 1, 2025: PA removed, Molina Healthcare of Texas
  • Jan 1, 2024: PA removed, Molina Healthcare of Michigan

Medicaid fee-for-service

Prior authorization required or conditional in CO, IN, LA, MA, MS, ND, VA, WA, WV, WY.

  • AZ: $157.36 (dme), effective Oct 1, 2026
  • CO: $132.47 (dme), effective Jul 1, 2026
  • FL: $114.19 (dme), effective Jul 1, 2026
  • IL: $133.92 (dme), effective Jan 1, 2026
  • IN: $119.07 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2026
  • KS: $127.94 (default), effective Jul 1, 2026
  • KY: $138.81 (dme), effective Jan 1, 2026
  • LA: $149.27 (dme), effective Sep 1, 2021
  • MD: $117.20 (dme), effective Apr 1, 2026
  • MS: $130.18 (comprehensive), effective Jul 1, 2026
  • ND: $0.00 (dme), effective Aug 1, 2026
  • NE: $134.38 (dme), effective Jul 1, 2026
  • NY: $127.35 (dme), effective Jul 1, 2026
  • OH: $155.00 (dme), effective Jan 1, 2024
  • OK: $162.72 (dme), effective Jan 1, 2026
  • TX: $143.84 (dmepos_tos_9_e_j_l_and_r, Home Health Dme), effective Sep 1, 2026
  • VA: $133.11 (dme), effective Dec 1, 2026
  • VT: $143.61 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $128.75 (crt), 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.