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E0168 — Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each

HCPCS Level II E-code · short descriptor: “Heavyduty/wide commode chair”

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.

E0168 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $137.84 to $208.99 depending on state and rural status.

StateNon-ruralRural
AK$187.48
AL$150.50$187.48
AR$150.50$187.48
AZ$139.28$187.48
CA$139.89$187.48
CO$154.45$187.48
CT$146.38$187.48
DC$137.84$187.48
DE$137.84$187.48
FL$150.50$187.48
GA$150.50$187.48
HI$187.48
IA$140.13$187.48
ID$154.45$187.48
IL$148.05$187.48
IN$148.05$187.48
KS$140.13$187.48
KY$150.50$187.48
LA$150.50$187.48
MA$146.38$187.48
MD$137.84$187.48
ME$146.38$187.48
MI$148.05$187.48
MN$140.13$187.48
MO$140.13$187.48
MS$150.50$187.48
MT$154.45$187.48
NC$150.50$187.48
ND$140.13$187.48
NE$140.13$187.48
NH$146.38$187.48
NJ$137.84$187.48
NM$139.28$187.48
NV$139.89$187.48
NY$137.84$187.48
OH$148.05$187.48
OK$139.28$187.48
OR$139.89$187.48
PA$137.84$187.48
PR$208.99
RI$146.38$187.48
SC$150.50$187.48
SD$140.13$187.48
TN$150.50$187.48
TX$139.28$187.48
UT$154.45$187.48
VA$150.50$187.48
VI$187.48
VT$146.38$187.48
WA$139.89$187.48
WI$148.05$187.48
WV$150.50$187.48
WY$154.45$187.48

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $13.78 to $20.90 depending on state and rural status.

StateNon-ruralRural
AK$18.74
AL$15.05$18.80
AR$15.05$18.80
AZ$13.93$18.74
CA$13.99$18.74
CO$15.44$18.80
CT$14.64$18.80
DC$13.78$18.74
DE$13.78$18.80
FL$15.05$18.74
GA$15.05$18.80
HI$18.74
IA$14.01$18.74
ID$15.44$18.74
IL$14.80$18.74
IN$14.80$18.80
KS$14.01$18.74
KY$15.05$18.80
LA$15.05$18.80
MA$14.64$18.80
MD$13.78$18.74
ME$14.64$18.80
MI$14.80$18.80
MN$14.01$18.80
MO$14.01$18.80
MS$15.05$18.80
MT$15.44$18.74
NC$15.05$18.80
ND$14.01$18.74
NE$14.01$18.74
NH$14.64$18.80
NJ$13.78$18.80
NM$13.93$18.80
NV$13.99$18.74
NY$13.78$18.80
OH$14.80$18.74
OK$13.93$18.80
OR$13.99$18.74
PA$13.78$18.80
PR$20.90
RI$14.64$18.80
SC$15.05$18.80
SD$14.01$18.74
TN$15.05$18.80
TX$13.93$18.74
UT$15.44$18.80
VA$15.05$18.74
VI$18.80
VT$14.64$18.80
WA$13.99$18.80
WI$14.80$18.80
WV$15.05$18.74
WY$15.44$18.74

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $103.38 to $156.74 depending on state and rural status.

StateNon-ruralRural
AK$140.60
AL$112.88$140.60
AR$112.88$140.60
AZ$104.46$140.60
CA$104.92$140.60
CO$115.84$140.60
CT$109.78$140.60
DC$103.38$140.60
DE$103.38$140.60
FL$112.88$140.60
GA$112.88$140.60
HI$140.60
IA$105.10$140.60
ID$115.84$140.60
IL$111.04$140.60
IN$111.04$140.60
KS$105.10$140.60
KY$112.88$140.60
LA$112.88$140.60
MA$109.78$140.60
MD$103.38$140.60
ME$109.78$140.60
MI$111.04$140.60
MN$105.10$140.60
MO$105.10$140.60
MS$112.88$140.60
MT$115.84$140.60
NC$112.88$140.60
ND$105.10$140.60
NE$105.10$140.60
NH$109.78$140.60
NJ$103.38$140.60
NM$104.46$140.60
NV$104.92$140.60
NY$103.38$140.60
OH$111.04$140.60
OK$104.46$140.60
OR$104.92$140.60
PA$103.38$140.60
PR$156.74
RI$109.78$140.60
SC$112.88$140.60
SD$105.10$140.60
TN$112.88$140.60
TX$104.46$140.60
UT$115.84$140.60
VA$112.88$140.60
VI$140.60
VT$109.78$140.60
WA$104.92$140.60
WI$111.04$140.60
WV$112.88$140.60
WY$115.84$140.60
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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