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Patient Lifts (e.g., Hoyer, Saralift, Seat Lift, Chair Mechanisms, and Ceiling Lifts) 1.01.08
Act
by Jul 17, 2025
Effective date
Jul 17, 2025
Identified
Jun 20, 2026
Summary
Excellus BlueCross BlueShield has established comprehensive coverage criteria for patient lifts and seat lift mechanisms as durable medical equipment, including specific requirements for coverage, repair, and replacement. The policy excludes certain types of lifts like ceiling lifts and bathroom lifts from coverage.
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What to do
by Jul 17, 2025 · 3 steps
01Billing team must update prior authorization requirements for patient lift equipment (HCPCS codes E0621, E0627, E0629, E0630, E0635, E0637) to ensure all coverage criteria are documented before billing.
02Mark E0625 as non-covered for bathroom/toilet lifts.
03Update encounter forms to remind providers of specific medical necessity requirements including multi-person transfer needs and availability of trained operators.
Codes mentioned
E0621E0625E0627E0629E0630E0635E0637
Original notice
Patient Lifts (e.g., Hoyer, Saralift, Seat Lift, Chair Mechanisms, and Ceiling Lifts) 1.01.08
excellusbcbs.com · Always check the source before changing claims.
Related changes
See all Excellus BlueCross BlueShield changes →Patient Lifts (e.g., Hoyer, Saralift, Seat Lift, Chair Mechanisms, and Ceiling Lifts) 1.01.08HighEffective Jul 17, 2025 · Home CarePatient Lifts - (Effective Date - 2026-11-16) 1.01.08MediumEffective Nov 16, 2026 · Home CareStanding Devices and Gait Trainers 1.01.46MediumEffective Feb 19, 2026 · Durable Medical Equipment & SuppliesBrowse every Excellus BlueCross BlueShield change in the policy list