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E0100 — Cane, includes canes of all materials, adjustable or fixed, with tip

HCPCS Level II E-code · short descriptor: “Cane adjust/fixed with tip”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Special coverage instructions apply
DMEPOS payment category
Inexpensive or routinely purchased
Prior authorization
Not on Medicare required-PA list
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

E0100 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $25.53 to $48.89 depending on state and rural status.

Former-CBA payment limits: ceiling $30.04 · floor $25.53

StateNon-ruralRural
AK$28.77
AL$30.04
AR$30.04
AZ$29.58
CA$28.49
CO$30.04
CT$27.09
DC$30.04
DE$30.04
FL$30.04
GA$30.04
HI$30.72
IA$30.04
ID$25.53
IL$30.04
IN$29.55
KS$30.04
KY$25.53
LA$30.04
MA$28.91
MD$30.04
ME$28.91
MI$25.53
MN$30.04
MO$30.04
MS$25.53
MT$30.04
NC$25.53
ND$25.53
NE$30.04
NH$28.91
NJ$26.72
NM$30.04
NV$30.04
NY$30.04
OH$25.53
OK$30.04
OR$29.54
PA$30.04
PR$48.89
RI$26.40
SC$28.31
SD$27.18
TN$30.04
TX$27.93
UT$30.04
VA$29.51
VI$30.04
VT$25.53
WA$30.04
WI$26.88
WV$27.85
WY$30.04

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $6.11 to $20.35 depending on state and rural status.

Former-CBA payment limits: ceiling $8.44 · floor $7.17

StateNon-ruralRural
AK$19.02
AL$7.17
AR$7.17
AZ$8.44
CA$8.44
CO$8.44
CT$8.44
DC$8.44
DE$7.17
FL$7.17
GA$7.17
HI$20.35
IA$8.44
ID$8.44
IL$8.44
IN$8.44
KS$8.12
KY$7.17
LA$7.17
MA$7.59
MD$8.44
ME$7.59
MI$8.44
MN$8.44
MO$8.44
MS$7.17
MT$7.71
NC$7.17
ND$7.17
NE$8.44
NH$7.59
NJ$7.17
NM$7.17
NV$8.44
NY$8.44
OH$8.44
OK$7.17
OR$8.44
PA$8.44
PR$6.11
RI$8.44
SC$7.17
SD$7.17
TN$7.17
TX$7.17
UT$7.17
VA$8.44
VI$8.44
VT$7.59
WA$8.44
WI$8.44
WV$8.44
WY$8.44

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $20.27 to $36.70 depending on state and rural status.

Former-CBA payment limits: ceiling $23.94 · floor $20.35

StateNon-ruralRural
AK$20.27
AL$23.94
AR$23.94
AZ$22.17
CA$20.35
CO$23.94
CT$23.32
DC$23.94
DE$23.94
FL$23.94
GA$23.81
HI$21.70
IA$23.94
ID$20.35
IL$23.94
IN$23.94
KS$23.94
KY$20.35
LA$23.94
MA$21.66
MD$23.94
ME$21.66
MI$20.35
MN$23.94
MO$23.94
MS$22.78
MT$23.94
NC$20.35
ND$20.35
NE$23.94
NH$21.66
NJ$20.71
NM$23.94
NV$23.94
NY$23.94
OH$21.91
OK$23.94
OR$22.13
PA$23.94
PR$36.70
RI$20.35
SC$21.17
SD$20.44
TN$23.94
TX$20.94
UT$23.94
VA$23.94
VI$23.94
VT$20.35
WA$23.94
WI$22.72
WV$22.48
WY$23.94
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

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