Patient Lifts - DME.HC.112.A
EVICORE-DME-FEE54B10
Covered: hydraulic/electric (E0630/E0635), moveable (E0639), fixed (E0640), patient‑operated multi‑positional (E0636) and caregiver‑operated multi‑positional lifts (E1035 ≤300 lb; E1036 >300 lb) are covered when criteria are met; excluded are bathroom/toilet lifts (E0625), stair/van/bed lifts and other convenience/home‑modification items. Key requirements: documentation must show transfer from bed to chair/walker/toilet is necessary, two or more people are required and the patient cannot transfer without the lift, plus device‑specific limits (room of use, caregiver availability, patient weight and ability to operate), home/caregiver assessment, and sling (E0621) is included if ordered with the main device or only separately paid if a documented replacement.
"Hydraulic or Electric Patient Lifts (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 toilet. - Two or more ..."