E0162 — Sitz bath chair
HCPCS Level II E-code
- 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.
E0162 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $132.69 to $363.18 depending on state and rural status.
Former-CBA payment limits: ceiling $207.65 · floor $176.50
| State | Non-rural | Rural |
|---|---|---|
| AK | $132.69 | — |
| AL | $180.53 | — |
| AR | $207.65 | — |
| AZ | $176.50 | — |
| CA | $176.50 | — |
| CO | $207.65 | — |
| CT | $207.65 | — |
| DC | $207.65 | — |
| DE | $207.65 | — |
| FL | $207.65 | — |
| GA | $176.50 | — |
| HI | $141.87 | — |
| IA | $191.21 | — |
| ID | $176.50 | — |
| IL | $176.50 | — |
| IN | $176.50 | — |
| KS | $207.65 | — |
| KY | $176.50 | — |
| LA | $207.65 | — |
| MA | $207.65 | — |
| MD | $207.65 | — |
| ME | $207.65 | — |
| MI | $199.38 | — |
| MN | $176.50 | — |
| MO | $207.65 | — |
| MS | $207.65 | — |
| MT | $176.50 | — |
| NC | $176.50 | — |
| ND | $207.65 | — |
| NE | $207.65 | — |
| NH | $207.65 | — |
| NJ | $207.65 | — |
| NM | $176.50 | — |
| NV | $176.50 | — |
| NY | $207.65 | — |
| OH | $199.38 | — |
| OK | $176.50 | — |
| OR | $207.65 | — |
| PA | $207.65 | — |
| PR | $363.18 | — |
| RI | $176.50 | — |
| SC | $200.82 | — |
| SD | $207.65 | — |
| TN | $207.65 | — |
| TX | $176.50 | — |
| UT | $207.65 | — |
| VA | $176.50 | — |
| VI | $207.65 | — |
| VT | $207.65 | — |
| WA | $176.50 | — |
| WI | $176.50 | — |
| WV | $199.38 | — |
| WY | $207.65 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $13.22 to $45.41 depending on state and rural status.
Former-CBA payment limits: ceiling $21.80 · floor $18.53
| State | Non-rural | Rural |
|---|---|---|
| AK | $13.22 | — |
| AL | $18.53 | — |
| AR | $21.80 | — |
| AZ | $18.53 | — |
| CA | $18.53 | — |
| CO | $21.80 | — |
| CT | $21.80 | — |
| DC | $21.80 | — |
| DE | $21.80 | — |
| FL | $21.80 | — |
| GA | $18.53 | — |
| HI | $14.19 | — |
| IA | $19.13 | — |
| ID | $18.53 | — |
| IL | $18.53 | — |
| IN | $18.53 | — |
| KS | $21.80 | — |
| KY | $18.53 | — |
| LA | $21.11 | — |
| MA | $21.80 | — |
| MD | $21.80 | — |
| ME | $21.80 | — |
| MI | $19.93 | — |
| MN | $18.53 | — |
| MO | $21.80 | — |
| MS | $21.78 | — |
| MT | $18.53 | — |
| NC | $18.53 | — |
| ND | $21.80 | — |
| NE | $21.80 | — |
| NH | $21.80 | — |
| NJ | $21.80 | — |
| NM | $18.53 | — |
| NV | $18.53 | — |
| NY | $21.80 | — |
| OH | $21.80 | — |
| OK | $18.53 | — |
| OR | $21.80 | — |
| PA | $21.80 | — |
| PR | $45.41 | — |
| RI | $18.53 | — |
| SC | $20.07 | — |
| SD | $21.80 | — |
| TN | $21.80 | — |
| TX | $18.53 | — |
| UT | $21.80 | — |
| VA | $19.47 | — |
| VI | $21.80 | — |
| VT | $21.80 | — |
| WA | $18.53 | — |
| WI | $18.53 | — |
| WV | $21.80 | — |
| WY | $21.80 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $99.51 to $272.34 depending on state and rural status.
Former-CBA payment limits: ceiling $161.02 · floor $136.87
| State | Non-rural | Rural |
|---|---|---|
| AK | $99.51 | — |
| AL | $136.87 | — |
| AR | $161.02 | — |
| AZ | $136.87 | — |
| CA | $136.87 | — |
| CO | $161.02 | — |
| CT | $161.02 | — |
| DC | $161.02 | — |
| DE | $161.02 | — |
| FL | $161.02 | — |
| GA | $136.87 | — |
| HI | $106.39 | — |
| IA | $143.36 | — |
| ID | $136.87 | — |
| IL | $136.87 | — |
| IN | $136.87 | — |
| KS | $161.02 | — |
| KY | $136.87 | — |
| LA | $161.02 | — |
| MA | $161.02 | — |
| MD | $161.02 | — |
| ME | $161.02 | — |
| MI | $149.58 | — |
| MN | $136.87 | — |
| MO | $161.02 | — |
| MS | $161.02 | — |
| MT | $136.87 | — |
| NC | $136.87 | — |
| ND | $161.02 | — |
| NE | $161.02 | — |
| NH | $161.02 | — |
| NJ | $161.02 | — |
| NM | $136.87 | — |
| NV | $136.87 | — |
| NY | $161.02 | — |
| OH | $145.66 | — |
| OK | $136.87 | — |
| OR | $161.02 | — |
| PA | $161.02 | — |
| PR | $272.34 | — |
| RI | $136.87 | — |
| SC | $150.61 | — |
| SD | $161.02 | — |
| TN | $161.02 | — |
| TX | $136.87 | — |
| UT | $161.02 | — |
| VA | $136.87 | — |
| VI | $161.02 | — |
| VT | $161.02 | — |
| WA | $136.87 | — |
| WI | $136.87 | — |
| WV | $145.66 | — |
| WY | $161.02 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0162 at 1 unit 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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