MyMedi-AI

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
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.

E0162 Medicare fee schedule (April 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

StateNon-ruralRural
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

StateNon-ruralRural
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

StateNon-ruralRural
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
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 E0162 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 →