Start free
PAYER POLICY CHANGES

E0911 Insurance Policy Changes

HCPCS E0911 is officially defined as "Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar." HCPCS E0911 is referenced in 4 tracked payer policy changes from BlueCross BlueShield of South Carolina, Indiana Medicaid (IHCP), and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS E0911 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Watch E0911

Get one email when a payer policy names E0911, 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 rules6
Payers requiring prior auth6
  • BCBS Michigan · Effective October 13, 2026

    Prior authorization required in some cases

    BCBSM and BCN procedure codes for which providers must request prior authorization (commercial lines)

  • Colorado Medicaid · Effective July 1, 2026

    Prior authorization required

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

  • 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 E0911?

AmeriHealth Caritas lists E0911 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans, with conditions. Verify with the payer before scheduling.

Does BCBS Michigan require prior authorization for E0911?

BCBS Michigan lists E0911 on BCBSM and BCN procedure codes for which providers must request prior authorization (commercial lines) for commercial plans, with conditions (list dated October 13, 2026). Verify with the payer before scheduling.

Does CalViva Health require prior authorization for E0911?

CalViva Health lists E0911 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 Colorado Medicaid require prior authorization for E0911?

Colorado Medicaid lists E0911 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 E0911?

Community Health Plan of Imperial Valley lists E0911 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 E0911?

There are 4 tracked policy changes affecting HCPCS E0911, including updates from BlueCross BlueShield of South Carolina, Indiana Medicaid (IHCP), Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS E0911?

Payers that have issued tracked updates for HCPCS E0911 include: BlueCross BlueShield of South Carolina, Indiana Medicaid (IHCP), Aetna.

How do I get notified when HCPCS E0911 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS E0911. 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 E0911?

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 E0911

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for E0911 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