E0158 — Leg extensions for walker, per set of four (4)
HCPCS Level II E-code · short descriptor: “Walker leg extenders set of4”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Carrier judgment — coverage decided by the DME MAC
- 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.
E0158 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $25.09 to $39.29 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $36.76 | — |
| AL | $26.94 | $34.52 |
| AR | $26.94 | $32.69 |
| AZ | $25.09 | $31.55 |
| CA | $26.12 | $34.52 |
| CO | $27.61 | $32.69 |
| CT | $27.72 | $34.52 |
| DC | $26.20 | $34.52 |
| DE | $26.20 | $34.52 |
| FL | $26.94 | $31.55 |
| GA | $26.94 | $34.52 |
| HI | $38.26 | — |
| IA | $26.04 | $31.55 |
| ID | $27.61 | $34.52 |
| IL | $28.58 | $34.52 |
| IN | $28.58 | $31.55 |
| KS | $26.04 | $34.52 |
| KY | $26.94 | $31.55 |
| LA | $26.94 | $32.69 |
| MA | $27.72 | $34.52 |
| MD | $26.20 | $34.52 |
| ME | $27.72 | $34.52 |
| MI | $28.58 | $31.55 |
| MN | $26.04 | $34.37 |
| MO | $26.04 | $33.24 |
| MS | $26.94 | $31.55 |
| MT | $27.61 | $34.52 |
| NC | $26.94 | $33.43 |
| ND | $26.04 | $33.75 |
| NE | $26.04 | $34.52 |
| NH | $27.72 | $34.52 |
| NJ | $26.20 | $34.52 |
| NM | $25.09 | $34.52 |
| NV | $26.12 | $31.55 |
| NY | $26.20 | $31.55 |
| OH | $28.58 | $31.55 |
| OK | $25.09 | $34.52 |
| OR | $26.12 | $33.88 |
| PA | $26.20 | $34.52 |
| PR | $39.29 | — |
| RI | $27.72 | $34.52 |
| SC | $26.94 | $34.52 |
| SD | $26.04 | $33.75 |
| TN | $26.94 | $31.55 |
| TX | $25.09 | $33.80 |
| UT | $27.61 | $34.52 |
| VA | $26.94 | $31.55 |
| VI | $31.55 | — |
| VT | $27.72 | $34.52 |
| WA | $26.12 | $34.52 |
| WI | $28.58 | $33.43 |
| WV | $26.94 | $34.52 |
| WY | $27.61 | $34.52 |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $2.51 to $4.56 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $3.68 | — |
| AL | $2.69 | $3.50 |
| AR | $2.69 | $3.33 |
| AZ | $2.51 | $3.66 |
| CA | $2.61 | $3.66 |
| CO | $2.76 | $3.33 |
| CT | $2.77 | $3.66 |
| DC | $2.62 | $3.66 |
| DE | $2.62 | $3.66 |
| FL | $2.69 | $3.33 |
| GA | $2.69 | $3.66 |
| HI | $3.83 | — |
| IA | $2.60 | $3.33 |
| ID | $2.76 | $3.66 |
| IL | $2.86 | $3.47 |
| IN | $2.86 | $3.33 |
| KS | $2.60 | $3.56 |
| KY | $2.69 | $3.33 |
| LA | $2.69 | $3.33 |
| MA | $2.77 | $3.66 |
| MD | $2.62 | $3.66 |
| ME | $2.77 | $3.66 |
| MI | $2.86 | $3.33 |
| MN | $2.60 | $3.43 |
| MO | $2.60 | $3.33 |
| MS | $2.69 | $3.66 |
| MT | $2.76 | $3.66 |
| NC | $2.69 | $3.35 |
| ND | $2.60 | $3.38 |
| NE | $2.60 | $3.54 |
| NH | $2.77 | $3.66 |
| NJ | $2.62 | $3.66 |
| NM | $2.51 | $3.63 |
| NV | $2.61 | $3.66 |
| NY | $2.62 | $3.33 |
| OH | $2.86 | $3.33 |
| OK | $2.51 | $3.66 |
| OR | $2.61 | $3.38 |
| PA | $2.62 | $3.66 |
| PR | $4.56 | — |
| RI | $2.77 | $3.66 |
| SC | $2.69 | $3.50 |
| SD | $2.60 | $3.38 |
| TN | $2.69 | $3.33 |
| TX | $2.51 | $3.66 |
| UT | $2.76 | $3.52 |
| VA | $2.69 | $3.66 |
| VI | $3.33 | — |
| VT | $2.77 | $3.66 |
| WA | $2.61 | $3.66 |
| WI | $2.86 | $3.66 |
| WV | $2.69 | $3.66 |
| WY | $2.76 | $3.66 |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $18.82 to $29.47 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $27.56 | — |
| AL | $20.21 | $25.99 |
| AR | $20.21 | $24.51 |
| AZ | $18.82 | $23.75 |
| CA | $19.59 | $25.99 |
| CO | $20.71 | $24.51 |
| CT | $20.79 | $25.99 |
| DC | $19.65 | $25.99 |
| DE | $19.65 | $25.99 |
| FL | $20.21 | $23.75 |
| GA | $20.21 | $25.99 |
| HI | $28.71 | — |
| IA | $19.53 | $23.75 |
| ID | $20.71 | $25.99 |
| IL | $21.44 | $25.99 |
| IN | $21.44 | $23.75 |
| KS | $19.53 | $25.99 |
| KY | $20.21 | $23.75 |
| LA | $20.21 | $24.51 |
| MA | $20.79 | $25.89 |
| MD | $19.65 | $25.99 |
| ME | $20.79 | $25.89 |
| MI | $21.44 | $23.75 |
| MN | $19.53 | $25.78 |
| MO | $19.53 | $24.95 |
| MS | $20.21 | $23.75 |
| MT | $20.71 | $25.99 |
| NC | $20.21 | $25.06 |
| ND | $19.53 | $25.31 |
| NE | $19.53 | $25.99 |
| NH | $20.79 | $25.99 |
| NJ | $19.65 | $25.99 |
| NM | $18.82 | $25.99 |
| NV | $19.59 | $23.75 |
| NY | $19.65 | $23.75 |
| OH | $21.44 | $23.75 |
| OK | $18.82 | $25.99 |
| OR | $19.59 | $25.39 |
| PA | $19.65 | $25.99 |
| PR | $29.47 | — |
| RI | $20.79 | $25.99 |
| SC | $20.21 | $25.99 |
| SD | $19.53 | $25.31 |
| TN | $20.21 | $23.75 |
| TX | $18.82 | $25.35 |
| UT | $20.71 | $25.99 |
| VA | $20.21 | $23.75 |
| VI | $23.75 | — |
| VT | $20.79 | $25.99 |
| WA | $19.59 | $25.99 |
| WI | $21.44 | $25.99 |
| WV | $20.21 | $25.99 |
| WY | $20.71 | $25.99 |
Common denial codes to watch
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