E0271 — Mattress, innerspring
HCPCS Level II E-code · short descriptor: “Mattress innerspring”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Special coverage instructions apply
- 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
- 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.
E0271 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $140.07 to $296.79 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $202.93 | — |
| AL | $158.65 | $220.83 |
| AR | $158.65 | $220.83 |
| AZ | $149.22 | $220.83 |
| CA | $146.70 | $201.75 |
| CO | $168.93 | $220.83 |
| CT | $143.00 | $200.38 |
| DC | $140.07 | $220.83 |
| DE | $140.07 | $220.83 |
| FL | $158.65 | $200.38 |
| GA | $158.65 | $209.16 |
| HI | $211.12 | — |
| IA | $158.74 | $208.75 |
| ID | $168.93 | $220.83 |
| IL | $156.54 | $220.83 |
| IN | $156.54 | $220.83 |
| KS | $158.74 | $210.30 |
| KY | $158.65 | $209.75 |
| LA | $158.65 | $202.66 |
| MA | $143.00 | $220.83 |
| MD | $140.07 | $200.38 |
| ME | $143.00 | $220.83 |
| MI | $156.54 | $201.02 |
| MN | $158.74 | $220.83 |
| MO | $158.74 | $212.56 |
| MS | $158.65 | $200.38 |
| MT | $168.93 | $204.60 |
| NC | $158.65 | $220.83 |
| ND | $158.74 | $220.83 |
| NE | $158.74 | $208.75 |
| NH | $143.00 | $210.27 |
| NJ | $140.07 | $214.17 |
| NM | $149.22 | $220.83 |
| NV | $146.70 | $220.83 |
| NY | $140.07 | $200.38 |
| OH | $156.54 | $200.38 |
| OK | $149.22 | $220.83 |
| OR | $146.70 | $220.83 |
| PA | $140.07 | $215.17 |
| PR | $296.79 | — |
| RI | $143.00 | $200.38 |
| SC | $158.65 | $220.83 |
| SD | $158.74 | $220.83 |
| TN | $158.65 | $220.83 |
| TX | $149.22 | $210.90 |
| UT | $168.93 | $220.83 |
| VA | $158.65 | $220.83 |
| VI | $200.38 | — |
| VT | $143.00 | $210.27 |
| WA | $146.70 | $220.83 |
| WI | $156.54 | $220.83 |
| WV | $158.65 | $200.38 |
| WY | $168.93 | $220.83 |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $14.01 to $33.88 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $22.76 | — |
| AL | $15.86 | $22.62 |
| AR | $15.86 | $22.62 |
| AZ | $14.92 | $22.62 |
| CA | $14.67 | $22.62 |
| CO | $16.89 | $21.74 |
| CT | $14.30 | $20.49 |
| DC | $14.01 | $22.62 |
| DE | $14.01 | $22.62 |
| FL | $15.86 | $20.49 |
| GA | $15.86 | $20.93 |
| HI | $23.74 | — |
| IA | $15.87 | $20.88 |
| ID | $16.89 | $22.62 |
| IL | $15.65 | $22.62 |
| IN | $15.65 | $22.62 |
| KS | $15.87 | $21.02 |
| KY | $15.86 | $20.97 |
| LA | $15.86 | $20.49 |
| MA | $14.30 | $22.62 |
| MD | $14.01 | $22.62 |
| ME | $14.30 | $22.62 |
| MI | $15.65 | $20.49 |
| MN | $15.87 | $22.18 |
| MO | $15.87 | $22.62 |
| MS | $15.86 | $20.49 |
| MT | $16.89 | $20.51 |
| NC | $15.86 | $22.62 |
| ND | $15.87 | $22.62 |
| NE | $15.87 | $20.88 |
| NH | $14.30 | $20.64 |
| NJ | $14.01 | $22.62 |
| NM | $14.92 | $22.62 |
| NV | $14.67 | $22.62 |
| NY | $14.01 | $20.49 |
| OH | $15.65 | $20.49 |
| OK | $14.92 | $22.62 |
| OR | $14.67 | $22.08 |
| PA | $14.01 | $22.62 |
| PR | $33.88 | — |
| RI | $14.30 | $20.49 |
| SC | $15.86 | $20.49 |
| SD | $15.87 | $22.62 |
| TN | $15.86 | $22.62 |
| TX | $14.92 | $21.09 |
| UT | $16.89 | $22.62 |
| VA | $15.86 | $22.57 |
| VI | $20.49 | — |
| VT | $14.30 | $20.64 |
| WA | $14.67 | $22.08 |
| WI | $15.65 | $22.62 |
| WV | $15.86 | $20.49 |
| WY | $16.89 | $22.62 |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $105.06 to $222.60 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $134.00 | — |
| AL | $118.99 | $169.87 |
| AR | $118.99 | $169.87 |
| AZ | $111.91 | $169.87 |
| CA | $110.02 | $153.89 |
| CO | $126.70 | $169.87 |
| CT | $107.25 | $153.89 |
| DC | $105.06 | $169.87 |
| DE | $105.06 | $169.87 |
| FL | $118.99 | $153.89 |
| GA | $118.99 | $156.88 |
| HI | $138.90 | — |
| IA | $119.05 | $156.56 |
| ID | $126.70 | $169.87 |
| IL | $117.40 | $169.87 |
| IN | $117.40 | $169.87 |
| KS | $119.05 | $157.72 |
| KY | $118.99 | $157.32 |
| LA | $118.99 | $153.89 |
| MA | $107.25 | $169.87 |
| MD | $105.06 | $153.89 |
| ME | $107.25 | $169.87 |
| MI | $117.40 | $153.89 |
| MN | $119.05 | $166.37 |
| MO | $119.05 | $159.41 |
| MS | $118.99 | $162.08 |
| MT | $126.70 | $153.89 |
| NC | $118.99 | $169.87 |
| ND | $119.05 | $169.87 |
| NE | $119.05 | $156.54 |
| NH | $107.25 | $157.69 |
| NJ | $105.06 | $160.61 |
| NM | $111.91 | $169.87 |
| NV | $110.02 | $169.87 |
| NY | $105.06 | $153.89 |
| OH | $117.40 | $153.89 |
| OK | $111.91 | $169.87 |
| OR | $110.02 | $165.61 |
| PA | $105.06 | $169.87 |
| PR | $222.60 | — |
| RI | $107.25 | $153.89 |
| SC | $118.99 | $169.87 |
| SD | $119.05 | $169.87 |
| TN | $118.99 | $169.87 |
| TX | $111.91 | $158.17 |
| UT | $126.70 | $169.87 |
| VA | $118.99 | $169.87 |
| VI | $153.89 | — |
| VT | $107.25 | $157.69 |
| WA | $110.02 | $169.87 |
| WI | $117.40 | $169.87 |
| WV | $118.99 | $153.89 |
| WY | $126.70 | $169.87 |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0271 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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