Start free
PAYER POLICY CHANGES

E0711 Insurance Policy Changes

HCPCS E0711 is officially defined as "Upper extremity medical tubing/lines enclosure or covering device, restricts elbow range of motion." HCPCS E0711 is referenced in 3 tracked payer policy changes from Medicare/CMS - Transmittals and Aetna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS E0711 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Watch E0711

Get one email when a payer policy names E0711, a payer adds or drops it from a prior auth list, or Medicare changes its NCCI pairs, unit limit, payment or coverage articles.

No account needed. We send a confirmation link first, and every email has a one-click stop link.

REFERENCE DATA

Payers with rules7
Payers requiring prior auth7
  • Colorado Medicaid · Effective July 1, 2026

    Prior authorization required

    Colorado Health First Colorado Fee Schedule (Prior Authorization Needed column)

  • CountyCare Health Plan · Effective April 23, 2026

    Prior authorization required

    CountyCare Prior Authorization Look-Up Tool (All Codes)

  • Florida Blue · Effective March 27, 2026

    Prior authorization required

    Prior Authorization List: HMO – Marketplace Qualified Health Plans

FREQUENTLY ASKED QUESTIONS

Does AmeriHealth Caritas require prior authorization for E0711?

AmeriHealth Caritas lists E0711 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans, with conditions. Verify with the payer before scheduling.

Does CalViva Health require prior authorization for E0711?

CalViva Health lists E0711 on CalViva Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Centene require prior authorization for E0711?

Centene lists E0711 on Sunshine Health Title XIX, Title XXI, Managed Medical Assistance CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Colorado Medicaid require prior authorization for E0711?

Colorado Medicaid lists E0711 on Colorado Health First Colorado Fee Schedule (Prior Authorization Needed column) for medicaid ffs plans (list dated July 1, 2026). Verify with the payer before scheduling.

Does Community Health Plan of Imperial Valley require prior authorization for E0711?

Community Health Plan of Imperial Valley lists E0711 on Community Health Plan of Imperial Valley CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

What insurance policy changes affect HCPCS E0711?

There are 3 tracked policy changes affecting HCPCS E0711, including updates from Medicare/CMS - Transmittals, Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS E0711?

Payers that have issued tracked updates for HCPCS E0711 include: Medicare/CMS - Transmittals, Aetna.

How do I get notified when HCPCS E0711 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS E0711. You will get an email when new policy changes reference this code: daily or weekly, your choice, on every plan.

Why do payers change policies for HCPCS E0711?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

See every payer rule for E0711

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for E0711 in one place.

See every payer rule

RELATED

All billing codesJ3590C9399J3490992159921399202

Get alerts for changes like this

Save a search and get email alerts when a new policy change matches your filters: daily or weekly, your choice, on every plan.

Create a free alertHow Policy Monitoring works