MyMedi-AI

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
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.

E0105 Medicare fee schedule (April 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

StateNon-ruralRural
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

StateNon-ruralRural
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

StateNon-ruralRural
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
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.

Common denial codes to watch

Related E-codes

Bill E0105 with confidence

MyMedi-AI scrubs whole claims against NCCI pairs, MUE limits, modifier rules, and PA flags before you submit — built for DME teams, no PHI stored on our servers.

Start free trial   Run a CMS-0057-F readiness check

Prefer DIY compliance? Self-audit documentation kits for DME suppliers →