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E0191 — Heel or elbow protector, each

HCPCS Level II E-code · short descriptor: “Protector heel or elbow”

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.

E0191 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $12.10 to $18.08 depending on state and rural status.

Former-CBA payment limits: ceiling $14.24 · floor $12.10

StateNon-ruralRural
AK$12.48
AL$14.24
AR$13.35
AZ$12.10
CA$12.33
CO$14.24
CT$12.10
DC$14.24
DE$14.24
FL$13.17
GA$12.10
HI$13.34
IA$12.10
ID$14.24
IL$14.24
IN$13.16
KS$12.10
KY$14.24
LA$13.70
MA$14.24
MD$14.24
ME$14.24
MI$14.24
MN$13.16
MO$12.10
MS$13.68
MT$14.24
NC$12.10
ND$14.24
NE$12.10
NH$14.24
NJ$14.24
NM$14.24
NV$12.10
NY$12.10
OH$14.17
OK$14.24
OR$12.10
PA$14.24
PR$18.08
RI$14.24
SC$12.10
SD$14.24
TN$12.10
TX$13.34
UT$14.24
VA$14.24
VI$12.10
VT$14.24
WA$12.10
WI$14.24
WV$14.17
WY$14.24

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $1.24 to $2.23 depending on state and rural status.

Former-CBA payment limits: ceiling $1.47 · floor $1.25

StateNon-ruralRural
AK$1.24
AL$1.47
AR$1.34
AZ$1.47
CA$1.25
CO$1.47
CT$1.25
DC$1.47
DE$1.47
FL$1.31
GA$1.25
HI$1.34
IA$1.25
ID$1.47
IL$1.47
IN$1.31
KS$1.25
KY$1.47
LA$1.36
MA$1.47
MD$1.47
ME$1.47
MI$1.25
MN$1.31
MO$1.25
MS$1.36
MT$1.47
NC$1.25
ND$1.47
NE$1.25
NH$1.47
NJ$1.47
NM$1.47
NV$1.47
NY$1.25
OH$1.47
OK$1.47
OR$1.25
PA$1.47
PR$2.23
RI$1.47
SC$1.25
SD$1.47
TN$1.25
TX$1.34
UT$1.47
VA$1.47
VI$1.25
VT$1.47
WA$1.25
WI$1.31
WV$1.47
WY$1.47

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $9.03 to $13.57 depending on state and rural status.

Former-CBA payment limits: ceiling $10.62 · floor $9.03

StateNon-ruralRural
AK$9.37
AL$10.62
AR$10.03
AZ$9.03
CA$9.29
CO$10.62
CT$9.03
DC$10.62
DE$10.62
FL$9.88
GA$9.03
HI$10.02
IA$9.03
ID$10.62
IL$10.62
IN$9.87
KS$9.03
KY$10.62
LA$10.34
MA$10.62
MD$10.62
ME$10.62
MI$10.62
MN$9.87
MO$9.03
MS$10.30
MT$10.62
NC$9.03
ND$10.62
NE$9.03
NH$10.62
NJ$10.62
NM$10.62
NV$9.03
NY$9.03
OH$10.60
OK$10.62
OR$9.03
PA$10.62
PR$13.57
RI$10.62
SC$9.03
SD$10.62
TN$9.03
TX$10.02
UT$10.62
VA$10.62
VI$9.03
VT$10.62
WA$9.03
WI$10.62
WV$10.60
WY$10.62
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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