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
- Face-to-face & WOPD
- Not on the required list
- MUE unit limit
- 1
- Status
- Active (HCPCS Level II October 2026)
Prior authorization
Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
Order readiness — what the written order must contain
Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):
- Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
- General description of the item (42 CFR 410.38(d)(1)(i)(B))
- Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
- Order date (42 CFR 410.38(d)(1)(i)(D))
- Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
- Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))
Not on the F2F/WOPD list (CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.
Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.
E0100 Medicare fee schedule (October 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
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0100 at 1 unit per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Nature of Equipment.
Common denial codes to watch
Related E-codes
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