E0105 — Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips
HCPCS Level II E-code · short descriptor: “Cane adjust/fixed quad/3 pro”
- 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.
E0105 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $59.50 to $86.55 depending on state and rural status.
Former-CBA payment limits: ceiling $70.00 · floor $59.50
| State | Non-rural | Rural |
|---|---|---|
| AK | $67.49 | — |
| AL | $70.00 | — |
| AR | $70.00 | — |
| AZ | $70.00 | — |
| CA | $66.78 | — |
| CO | $67.76 | — |
| CT | $69.36 | — |
| DC | $70.00 | — |
| DE | $70.00 | — |
| FL | $70.00 | — |
| GA | $70.00 | — |
| HI | $72.20 | — |
| IA | $70.00 | — |
| ID | $66.17 | — |
| IL | $70.00 | — |
| IN | $65.77 | — |
| KS | $70.00 | — |
| KY | $68.50 | — |
| LA | $70.00 | — |
| MA | $69.03 | — |
| MD | $70.00 | — |
| ME | $69.03 | — |
| MI | $68.94 | — |
| MN | $66.86 | — |
| MO | $69.36 | — |
| MS | $70.00 | — |
| MT | $70.00 | — |
| NC | $67.81 | — |
| ND | $65.95 | — |
| NE | $70.00 | — |
| NH | $69.03 | — |
| NJ | $70.00 | — |
| NM | $70.00 | — |
| NV | $70.00 | — |
| NY | $70.00 | — |
| OH | $66.07 | — |
| OK | $70.00 | — |
| OR | $69.44 | — |
| PA | $70.00 | — |
| PR | $86.55 | — |
| RI | $66.11 | — |
| SC | $70.00 | — |
| SD | $65.75 | — |
| TN | $68.71 | — |
| TX | $68.01 | — |
| UT | $70.00 | — |
| VA | $67.61 | — |
| VI | $70.00 | — |
| VT | $59.50 | — |
| WA | $70.00 | — |
| WI | $65.95 | — |
| WV | $64.73 | — |
| WY | $70.00 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $10.74 to $25.50 depending on state and rural status.
Former-CBA payment limits: ceiling $12.64 · floor $10.74
| State | Non-rural | Rural |
|---|---|---|
| AK | $23.86 | — |
| AL | $10.74 | — |
| AR | $10.74 | — |
| AZ | $12.64 | — |
| CA | $12.64 | — |
| CO | $12.64 | — |
| CT | $12.64 | — |
| DC | $10.74 | — |
| DE | $11.13 | — |
| FL | $10.74 | — |
| GA | $10.74 | — |
| HI | $25.50 | — |
| IA | $10.74 | — |
| ID | $12.64 | — |
| IL | $12.64 | — |
| IN | $12.64 | — |
| KS | $10.74 | — |
| KY | $10.74 | — |
| LA | $10.74 | — |
| MA | $10.74 | — |
| MD | $12.64 | — |
| ME | $10.74 | — |
| MI | $12.64 | — |
| MN | $12.64 | — |
| MO | $12.64 | — |
| MS | $10.74 | — |
| MT | $12.64 | — |
| NC | $10.74 | — |
| ND | $10.74 | — |
| NE | $10.74 | — |
| NH | $10.74 | — |
| NJ | $10.74 | — |
| NM | $10.74 | — |
| NV | $12.64 | — |
| NY | $12.64 | — |
| OH | $12.64 | — |
| OK | $10.74 | — |
| OR | $12.64 | — |
| PA | $12.64 | — |
| PR | $10.81 | — |
| RI | $12.64 | — |
| SC | $10.74 | — |
| SD | $12.64 | — |
| TN | $10.74 | — |
| TX | $10.74 | — |
| UT | $10.74 | — |
| VA | $12.64 | — |
| VI | $12.64 | — |
| VT | $12.64 | — |
| WA | $12.64 | — |
| WI | $12.64 | — |
| WV | $12.64 | — |
| WY | $12.64 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $45.86 to $64.92 depending on state and rural status.
Former-CBA payment limits: ceiling $53.95 · floor $45.86
| State | Non-rural | Rural |
|---|---|---|
| AK | $46.18 | — |
| AL | $53.95 | — |
| AR | $53.95 | — |
| AZ | $53.31 | — |
| CA | $45.86 | — |
| CO | $53.95 | — |
| CT | $53.95 | — |
| DC | $52.75 | — |
| DE | $48.91 | — |
| FL | $53.95 | — |
| GA | $53.95 | — |
| HI | $49.36 | — |
| IA | $53.95 | — |
| ID | $49.61 | — |
| IL | $53.95 | — |
| IN | $53.95 | — |
| KS | $53.95 | — |
| KY | $51.37 | — |
| LA | $53.95 | — |
| MA | $51.82 | — |
| MD | $53.95 | — |
| ME | $51.82 | — |
| MI | $51.66 | — |
| MN | $53.95 | — |
| MO | $50.06 | — |
| MS | $53.95 | — |
| MT | $53.95 | — |
| NC | $50.86 | — |
| ND | $49.47 | — |
| NE | $53.95 | — |
| NH | $51.82 | — |
| NJ | $51.63 | — |
| NM | $53.95 | — |
| NV | $53.95 | — |
| NY | $53.95 | — |
| OH | $51.24 | — |
| OK | $52.50 | — |
| OR | $52.08 | — |
| PA | $52.75 | — |
| PR | $64.92 | — |
| RI | $49.59 | — |
| SC | $53.95 | — |
| SD | $49.35 | — |
| TN | $53.69 | — |
| TX | $53.84 | — |
| UT | $53.95 | — |
| VA | $53.95 | — |
| VI | $53.95 | — |
| VT | $45.86 | — |
| WA | $53.95 | — |
| WI | $53.95 | — |
| WV | $50.63 | — |
| WY | $53.95 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0105 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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