MyMedi-AI

E0170 — Commode chair with integrated seat lift mechanism, electric, any type

HCPCS Level II E-code · short descriptor: “Commode chair electric”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
DMEPOS payment category
Capped rental
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 2026-10-26; 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.

E0170 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $195.98 to $251.67 depending on state and rural status.

StateNon-ruralRural
AK$228.76—
AL$202.00$226.02
AR$202.00$226.02
AZ$199.79$226.02
CA$195.98$226.02
CO$198.44$226.02
CT$207.08$226.02
DC$199.50$226.02
DE$199.50$226.02
FL$202.00$226.02
GA$202.00$226.02
HI$228.76—
IA$207.27$226.02
ID$198.44$226.02
IL$208.69$226.02
IN$208.69$226.02
KS$207.27$226.02
KY$202.00$226.02
LA$202.00$226.02
MA$207.08$226.02
MD$199.50$226.02
ME$207.08$226.02
MI$208.69$226.02
MN$207.27$226.02
MO$207.27$226.02
MS$202.00$226.02
MT$198.44$226.02
NC$202.00$226.02
ND$207.27$226.02
NE$207.27$226.02
NH$207.08$226.02
NJ$199.50$226.02
NM$199.79$226.02
NV$195.98$226.02
NY$199.50$226.02
OH$208.69$226.02
OK$199.79$226.02
OR$195.98$226.02
PA$199.50$226.02
PR$251.67—
RI$207.08$226.02
SC$202.00$226.02
SD$207.27$226.02
TN$202.00$226.02
TX$199.79$226.02
UT$198.44$226.02
VA$202.00$226.02
VI$228.76—
VT$207.08$226.02
WA$195.98$226.02
WI$208.69$226.02
WV$202.00$226.02
WY$198.44$226.02
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 E0170 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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