Payer PolicyActive
Patient Lifts - DME.HC.112.A
EVICORE-DME-4D8AF188
EviCore by Evernorth
Effective: October 27, 2025
Updated: January 13, 2026
created · Dec 4, 2025
Policy Summary
Patient lifts (e.g., HCPCS E0621, E0630, E0635, E0636, E0639, E0640, E1035, E1036) are covered when medically necessary, while bathroom/toilet lifts (E0625), stair/van lifts and bed elevators are non‑covered as convenience/home modifications. Coverage requires documentation that the lift is needed to move from bed to chair/walker/toilet, that two or more people are required for transfers and the patient otherwise cannot transfer, plus device‑specific proofs (room of use, patient vs caregiver operation, weight‑capacity limits) and home/use assessments.
Coverage Criteria Preview
Key requirements from the full policy
"A hydraulic or electric patient lift with seat or sling (HCPCS E0630 or E0635) is medically necessary when all of the following apply: It is necessary to move from a bed to a chair, walker, or toil..."
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