MyMedi-AI

E0159 — Brake attachment for wheeled walker, replacement, each

HCPCS Level II E-code · short descriptor: “Brake for wheeled walker”

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
Face-to-face & WOPD
Not on the required list
MUE unit limit
2
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 2026-10-26; 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 2026-10-26; 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.

E0159 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $16.72 to $22.09 depending on state and rural status.

StateNon-ruralRural
AK$21.10—
AL$18.71$20.99
AR$18.71$20.99
AZ$17.46$20.99
CA$16.72$20.99
CO$18.04$20.99
CT$18.02$20.96
DC$17.93$20.99
DE$17.93$20.96
FL$18.71$20.99
GA$18.71$20.99
HI$21.87—
IA$18.20$20.99
ID$18.04$20.99
IL$19.57$20.99
IN$19.57$20.99
KS$18.20$20.99
KY$18.71$20.99
LA$18.71$20.99
MA$18.02$20.96
MD$17.93$20.99
ME$18.02$20.96
MI$19.57$20.99
MN$18.20$20.99
MO$18.20$20.99
MS$18.71$20.99
MT$18.04$20.99
NC$18.71$20.99
ND$18.20$20.99
NE$18.20$20.99
NH$18.02$20.96
NJ$17.93$20.96
NM$17.46$20.99
NV$16.72$20.99
NY$17.93$20.96
OH$19.57$20.99
OK$17.46$20.99
OR$16.72$20.99
PA$17.93$20.96
PR$22.09—
RI$18.02$20.96
SC$18.71$20.99
SD$18.20$20.99
TN$18.71$20.99
TX$17.46$20.99
UT$18.04$20.99
VA$18.71$20.99
VI$20.99—
VT$18.02$20.96
WA$16.72$20.99
WI$19.57$20.99
WV$18.71$20.99
WY$18.04$20.99

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $1.67 to $2.21 depending on state and rural status.

StateNon-ruralRural
AK$2.12—
AL$1.87$2.14
AR$1.87$2.14
AZ$1.75$2.11
CA$1.67$2.11
CO$1.81$2.14
CT$1.81$2.11
DC$1.79$2.14
DE$1.79$2.11
FL$1.87$2.11
GA$1.87$2.14
HI$2.20—
IA$1.82$2.11
ID$1.81$2.11
IL$1.96$2.14
IN$1.96$2.14
KS$1.82$2.11
KY$1.87$2.14
LA$1.87$2.14
MA$1.81$2.11
MD$1.79$2.14
ME$1.81$2.11
MI$1.96$2.14
MN$1.82$2.14
MO$1.82$2.14
MS$1.87$2.14
MT$1.81$2.11
NC$1.87$2.14
ND$1.82$2.11
NE$1.82$2.11
NH$1.81$2.11
NJ$1.79$2.11
NM$1.75$2.14
NV$1.67$2.11
NY$1.79$2.11
OH$1.96$2.14
OK$1.75$2.14
OR$1.67$2.11
PA$1.79$2.11
PR$2.21—
RI$1.81$2.11
SC$1.87$2.14
SD$1.82$2.11
TN$1.87$2.14
TX$1.75$2.11
UT$1.81$2.14
VA$1.87$2.14
VI$2.14—
VT$1.81$2.11
WA$1.67$2.14
WI$1.96$2.14
WV$1.87$2.14
WY$1.81$2.11

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $12.54 to $16.58 depending on state and rural status.

StateNon-ruralRural
AK$15.84—
AL$14.04$15.75
AR$14.04$15.75
AZ$13.10$15.75
CA$12.54$15.75
CO$13.53$15.75
CT$13.52$15.73
DC$13.45$15.75
DE$13.45$15.73
FL$14.04$15.75
GA$14.04$15.75
HI$16.41—
IA$13.65$15.75
ID$13.53$15.75
IL$14.68$15.75
IN$14.68$15.75
KS$13.65$15.75
KY$14.04$15.75
LA$14.04$15.75
MA$13.52$15.73
MD$13.45$15.75
ME$13.52$15.73
MI$14.68$15.75
MN$13.65$15.75
MO$13.65$15.75
MS$14.04$15.75
MT$13.53$15.75
NC$14.04$15.75
ND$13.65$15.75
NE$13.65$15.75
NH$13.52$15.73
NJ$13.45$15.73
NM$13.10$15.75
NV$12.54$15.75
NY$13.45$15.73
OH$14.68$15.75
OK$13.10$15.75
OR$12.54$15.75
PA$13.45$15.73
PR$16.58—
RI$13.52$15.73
SC$14.04$15.75
SD$13.65$15.75
TN$14.04$15.75
TX$13.10$15.75
UT$13.53$15.75
VA$14.04$15.75
VI$15.75—
VT$13.52$15.73
WA$12.54$15.75
WI$14.68$15.75
WV$14.04$15.75
WY$13.53$15.75
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps E0159 at 2 units per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.

Common denial codes to watch

Related E-codes

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