E0175 — Foot rest, for use with commode chair, each
HCPCS Level II E-code · short descriptor: “Commode chair foot rest”
- 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
- Face-to-face & WOPD
- Not on the required list
- MUE unit limit
- 2
- 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.
E0175 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $77.38 to $99.45 depending on state and rural status.
Former-CBA payment limits: ceiling $94.39 · floor $80.23
| State | Non-rural | Rural |
|---|---|---|
| AK | $77.38 | — |
| AL | $94.39 | — |
| AR | $80.23 | — |
| AZ | $80.23 | — |
| CA | $80.23 | — |
| CO | $94.39 | — |
| CT | $94.39 | — |
| DC | $80.23 | — |
| DE | $80.23 | — |
| FL | $94.39 | — |
| GA | $94.39 | — |
| HI | $82.73 | — |
| IA | $94.39 | — |
| ID | $94.39 | — |
| IL | $90.07 | — |
| IN | $89.80 | — |
| KS | $94.39 | — |
| KY | $94.39 | — |
| LA | $80.23 | — |
| MA | $92.62 | — |
| MD | $94.39 | — |
| ME | $92.62 | — |
| MI | $94.39 | — |
| MN | $80.23 | — |
| MO | $80.23 | — |
| MS | $94.39 | — |
| MT | $92.25 | — |
| NC | $94.39 | — |
| ND | $94.39 | — |
| NE | $94.39 | — |
| NH | $92.62 | — |
| NJ | $94.39 | — |
| NM | $94.39 | — |
| NV | $80.23 | — |
| NY | $80.23 | — |
| OH | $86.63 | — |
| OK | $94.39 | — |
| OR | $84.79 | — |
| PA | $80.23 | — |
| PR | $99.45 | — |
| RI | $94.39 | — |
| SC | $80.23 | — |
| SD | $94.39 | — |
| TN | $94.39 | — |
| TX | $94.39 | — |
| UT | $94.39 | — |
| VA | $94.39 | — |
| VI | $80.23 | — |
| VT | $92.62 | — |
| WA | $84.79 | — |
| WI | $90.39 | — |
| WV | $86.63 | — |
| WY | $94.39 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $7.75 to $12.43 depending on state and rural status.
Former-CBA payment limits: ceiling $9.44 · floor $8.02
| State | Non-rural | Rural |
|---|---|---|
| AK | $7.75 | — |
| AL | $9.44 | — |
| AR | $8.02 | — |
| AZ | $8.02 | — |
| CA | $8.02 | — |
| CO | $9.44 | — |
| CT | $9.44 | — |
| DC | $8.02 | — |
| DE | $8.02 | — |
| FL | $9.44 | — |
| GA | $9.44 | — |
| HI | $8.29 | — |
| IA | $9.44 | — |
| ID | $9.44 | — |
| IL | $9.00 | — |
| IN | $8.98 | — |
| KS | $9.44 | — |
| KY | $9.44 | — |
| LA | $8.02 | — |
| MA | $9.29 | — |
| MD | $9.44 | — |
| ME | $9.29 | — |
| MI | $9.44 | — |
| MN | $8.02 | — |
| MO | $8.02 | — |
| MS | $9.44 | — |
| MT | $9.22 | — |
| NC | $9.44 | — |
| ND | $9.44 | — |
| NE | $9.44 | — |
| NH | $9.29 | — |
| NJ | $8.02 | — |
| NM | $9.44 | — |
| NV | $8.02 | — |
| NY | $8.02 | — |
| OH | $8.65 | — |
| OK | $9.44 | — |
| OR | $8.44 | — |
| PA | $8.02 | — |
| PR | $12.43 | — |
| RI | $9.44 | — |
| SC | $8.02 | — |
| SD | $9.44 | — |
| TN | $9.44 | — |
| TX | $9.44 | — |
| UT | $9.44 | — |
| VA | $9.44 | — |
| VI | $8.02 | — |
| VT | $9.29 | — |
| WA | $8.44 | — |
| WI | $9.44 | — |
| WV | $8.65 | — |
| WY | $9.44 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $58.03 to $74.61 depending on state and rural status.
Former-CBA payment limits: ceiling $69.48 · floor $59.06
| State | Non-rural | Rural |
|---|---|---|
| AK | $58.03 | — |
| AL | $69.48 | — |
| AR | $59.06 | — |
| AZ | $59.06 | — |
| CA | $59.06 | — |
| CO | $69.48 | — |
| CT | $69.48 | — |
| DC | $59.06 | — |
| DE | $59.06 | — |
| FL | $69.48 | — |
| GA | $69.48 | — |
| HI | $62.08 | — |
| IA | $69.48 | — |
| ID | $69.48 | — |
| IL | $67.55 | — |
| IN | $67.38 | — |
| KS | $69.48 | — |
| KY | $69.48 | — |
| LA | $59.06 | — |
| MA | $69.48 | — |
| MD | $69.48 | — |
| ME | $69.48 | — |
| MI | $69.48 | — |
| MN | $59.06 | — |
| MO | $59.06 | — |
| MS | $69.48 | — |
| MT | $69.20 | — |
| NC | $69.48 | — |
| ND | $69.48 | — |
| NE | $69.48 | — |
| NH | $69.48 | — |
| NJ | $59.06 | — |
| NM | $69.48 | — |
| NV | $59.06 | — |
| NY | $59.06 | — |
| OH | $64.97 | — |
| OK | $69.48 | — |
| OR | $63.56 | — |
| PA | $59.06 | — |
| PR | $74.61 | — |
| RI | $69.48 | — |
| SC | $59.06 | — |
| SD | $69.48 | — |
| TN | $69.48 | — |
| TX | $69.48 | — |
| UT | $69.48 | — |
| VA | $69.48 | — |
| VI | $59.06 | — |
| VT | $69.48 | — |
| WA | $63.56 | — |
| WI | $67.76 | — |
| WV | $64.97 | — |
| WY | $69.48 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0175 at 2 units 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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