MyMedi-AI

E0171 — Commode chair with integrated seat lift mechanism, non-electric, any type

HCPCS Level II E-code · short descriptor: “Commode chair non-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 2026-10-25; 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.

E0171 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $36.34 to $45.67 depending on state and rural status.

StateNon-ruralRural
AK$41.22—
AL$37.12$41.22
AR$37.12$41.22
AZ$37.61$41.22
CA$36.34$41.22
CO$38.15$41.22
CT$39.04$41.22
DC$38.00$41.22
DE$38.00$41.22
FL$37.12$41.22
GA$37.12$41.22
HI$41.22—
IA$39.15$41.22
ID$38.15$41.22
IL$39.13$41.22
IN$39.13$41.22
KS$39.15$41.22
KY$37.12$41.22
LA$37.12$41.22
MA$39.04$41.22
MD$38.00$41.22
ME$39.04$41.22
MI$39.13$41.22
MN$39.15$41.22
MO$39.15$41.22
MS$37.12$41.22
MT$38.15$41.22
NC$37.12$41.22
ND$39.15$41.22
NE$39.15$41.22
NH$39.04$41.22
NJ$38.00$41.22
NM$37.61$41.22
NV$36.34$41.22
NY$38.00$41.22
OH$39.13$41.22
OK$37.61$41.22
OR$36.34$41.22
PA$38.00$41.22
PR$45.67—
RI$39.04$41.22
SC$37.12$41.22
SD$39.15$41.22
TN$37.12$41.22
TX$37.61$41.22
UT$38.15$41.22
VA$37.12$41.22
VI$41.22—
VT$39.04$41.22
WA$36.34$41.22
WI$39.13$41.22
WV$37.12$41.22
WY$38.15$41.22
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 E0171 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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