E2610 Powered w/c cushion

Wheelchair seat cushion, powered

Medically Unlikely Edits (effective October 1, 2026)

Payer policies and prior authorization for E2610

2 of 2 payer prior-auth lists that name E2610 require prior authorization or set conditions: Humana, UnitedHealthcare Community Plan.

PayerPlanStatePrior authConditionsSinceSource
HumanaOak Street HealthAllprior auth requiredOak Street Health (Humana): Prior Authorization List (PAL) Codes Under Management
UnitedHealthcare Community PlanUnitedHealthcare Community Plan of KentuckyKYprior auth under conditionsCost over $500Jul 1, 2026Prior authorization requirements for UnitedHealthcare Community Plan of Kentucky Effective July 1, 2026

Payer coverage policies that name E2610

E2610 appears in 7 coverage policies from Aetna, Anthem, Blue Shield of California, Capital Blue Cross, Centene, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
AetnaWheelchairs and Power Operated Vehicles (Scooters) (0271)not coveredAug 21, 2026payer document
AnthemWheeled Mobility Devices: Wheelchair Accessories (CG-DME-34)covered if criteria are metNov 6, 2025payer document
Blue Shield of CaliforniaBSC1.02 Power Wheelchairs and Power Operated Vehicles for Permanent Uselisted, no stancepayer document
Capital Blue CrossManual Wheelchairs and Accessories (MP 6.059)unproven / investigationalSep 1, 2026payer document
CenteneWheelchair Seating (CP.MP.99)not coveredJan 1, 2024payer 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
Premera Blue CrossWheelchairs (Manual or Motorized) (1.01.501)
Page | 12 of 26 | ∞
listed, no stanceMay 11, 2026payer 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, MA, MD, MS, VA.

  • KS: $0.00 (default), effective Jun 1, 2015
  • OH: $55.00 (dme), effective Jul 1, 2021
  • 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.