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E0160 — Sitz type bath or equipment, portable, used with or without commode

HCPCS Level II E-code · short descriptor: “Sitz type bath or equipment”

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.

E0160 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $8.46 to $103.94 depending on state and rural status.

StateNon-ruralRural
AK$98.60
AL$33.39$39.74
AR$33.39$39.74
AZ$33.89$39.74
CA$35.40$43.27
CO$35.55$43.27
CT$38.06$39.74
DC$37.46$43.27
DE$37.46$43.27
FL$33.39$39.74
GA$33.39$39.74
HI$103.94
IA$36.94$39.74
ID$35.55$43.27
IL$37.86$43.27
IN$37.86$43.27
KS$36.94$41.87
KY$33.39$39.74
LA$33.39$43.27
MA$38.06$43.27
MD$37.46$43.27
ME$38.06$43.27
MI$37.86$39.74
MN$36.94$43.27
MO$36.94$43.27
MS$33.39$43.27
MT$35.55$43.27
NC$33.39$39.74
ND$36.94$43.27
NE$36.94$39.74
NH$38.06$43.27
NJ$37.46$39.74
NM$33.89$39.74
NV$35.40$39.74
NY$37.46$43.27
OH$37.86$39.74
OK$33.89$39.74
OR$35.40$43.27
PA$37.46$40.77
PR$8.46
RI$38.06$43.27
SC$33.39$39.74
SD$36.94$43.27
TN$33.39$39.74
TX$33.89$39.74
UT$35.55$43.27
VA$33.39$39.74
VI$47.11
VT$38.06$43.27
WA$35.40$43.27
WI$37.86$43.27
WV$33.39$39.74
WY$35.55$43.27

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $1.08 to $17.67 depending on state and rural status.

StateNon-ruralRural
AK$16.86
AL$3.34$4.60
AR$3.34$4.60
AZ$3.39$4.65
CA$3.54$5.07
CO$3.56$5.07
CT$3.81$4.60
DC$3.75$5.07
DE$3.75$5.07
FL$3.34$4.60
GA$3.34$4.60
HI$17.67
IA$3.69$4.60
ID$3.56$5.07
IL$3.79$5.07
IN$3.79$5.07
KS$3.69$4.60
KY$3.34$4.60
LA$3.34$5.07
MA$3.81$4.79
MD$3.75$5.07
ME$3.81$4.79
MI$3.79$4.60
MN$3.69$5.07
MO$3.69$5.07
MS$3.34$4.60
MT$3.56$5.07
NC$3.34$4.60
ND$3.69$5.07
NE$3.69$4.60
NH$3.81$4.79
NJ$3.75$5.07
NM$3.39$4.60
NV$3.54$4.60
NY$3.75$5.07
OH$3.79$5.07
OK$3.39$4.60
OR$3.54$5.07
PA$3.75$5.07
PR$1.08
RI$3.81$5.07
SC$3.34$4.60
SD$3.69$5.07
TN$3.34$4.60
TX$3.39$4.60
UT$3.56$5.07
VA$3.34$4.60
VI$6.19
VT$3.81$4.79
WA$3.54$5.07
WI$3.79$5.07
WV$3.34$5.07
WY$3.56$5.07

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $6.37 to $91.20 depending on state and rural status.

StateNon-ruralRural
AK$87.78
AL$25.04$29.79
AR$25.04$29.79
AZ$25.42$29.79
CA$26.55$32.44
CO$26.67$32.44
CT$28.55$29.79
DC$28.10$32.44
DE$28.10$32.44
FL$25.04$29.79
GA$25.04$29.79
HI$91.20
IA$27.71$29.79
ID$26.67$32.44
IL$28.40$32.44
IN$28.40$32.44
KS$27.71$31.40
KY$25.04$29.79
LA$25.04$32.44
MA$28.55$32.44
MD$28.10$32.44
ME$28.55$32.44
MI$28.40$29.79
MN$27.71$32.44
MO$27.71$32.44
MS$25.04$32.44
MT$26.67$32.44
NC$25.04$29.79
ND$27.71$32.44
NE$27.71$29.79
NH$28.55$32.44
NJ$28.10$29.79
NM$25.42$29.79
NV$26.55$29.79
NY$28.10$32.44
OH$28.40$29.79
OK$25.42$29.79
OR$26.55$32.44
PA$28.10$32.44
PR$6.37
RI$28.55$32.44
SC$25.04$29.79
SD$27.71$32.44
TN$25.04$29.79
TX$25.42$29.79
UT$26.67$32.44
VA$25.04$29.79
VI$35.30
VT$28.55$32.44
WA$26.55$32.44
WI$28.40$32.44
WV$25.04$29.79
WY$26.67$32.44
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

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