E1811 Insurance Policy Changes

HCPCS E1811 is officially defined as "Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories." HCPCS E1811 is referenced in 5 tracked payer policy changes from Medical Mutual of Ohio, Health Net, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS E1811 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.