MyMedi-AI

E0840 — Traction frame, attached to headboard, cervical traction

HCPCS Level II E-code · short descriptor: “Tract frame attach headboard”

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.

E0840 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $88.76 to $166.65 depending on state and rural status.

Former-CBA payment limits: ceiling $104.42 · floor $88.76

StateNon-ruralRural
AK$151.98—
AL$95.68—
AR$89.80—
AZ$104.42—
CA$104.42—
CO$88.76—
CT$88.76—
DC$88.76—
DE$88.76—
FL$104.42—
GA$101.28—
HI$162.49—
IA$104.42—
ID$104.42—
IL$88.76—
IN$88.76—
KS$104.42—
KY$88.76—
LA$92.35—
MA$104.42—
MD$104.42—
ME$104.42—
MI$88.76—
MN$104.42—
MO$88.76—
MS$104.42—
MT$88.76—
NC$88.76—
ND$104.42—
NE$104.42—
NH$104.42—
NJ$88.76—
NM$97.16—
NV$104.42—
NY$104.42—
OH$104.25—
OK$89.30—
OR$104.42—
PA$104.42—
PR$166.65—
RI$94.70—
SC$104.42—
SD$88.76—
TN$88.76—
TX$88.76—
UT$88.76—
VA$104.42—
VI$104.42—
VT$104.42—
WA$104.42—
WI$104.42—
WV$104.42—
WY$104.42—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $19.78 to $66.49 depending on state and rural status.

Former-CBA payment limits: ceiling $23.27 · floor $19.78

StateNon-ruralRural
AK$62.16—
AL$19.78—
AR$19.78—
AZ$19.78—
CA$23.27—
CO$23.27—
CT$19.78—
DC$23.27—
DE$23.27—
FL$23.27—
GA$23.27—
HI$66.49—
IA$19.78—
ID$23.27—
IL$23.27—
IN$23.27—
KS$23.27—
KY$23.27—
LA$19.78—
MA$20.72—
MD$23.27—
ME$20.72—
MI$23.27—
MN$23.27—
MO$19.78—
MS$23.27—
MT$19.78—
NC$19.78—
ND$19.78—
NE$19.78—
NH$20.72—
NJ$19.78—
NM$19.78—
NV$19.78—
NY$23.27—
OH$23.27—
OK$19.78—
OR$23.27—
PA$23.27—
PR$46.30—
RI$23.27—
SC$19.78—
SD$19.78—
TN$19.78—
TX$21.86—
UT$23.27—
VA$23.27—
VI$23.27—
VT$20.72—
WA$23.27—
WI$23.27—
WV$23.27—
WY$19.78—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $66.55 to $125.01 depending on state and rural status.

Former-CBA payment limits: ceiling $78.29 · floor $66.55

StateNon-ruralRural
AK$103.88—
AL$71.79—
AR$67.38—
AZ$78.29—
CA$78.29—
CO$66.55—
CT$66.55—
DC$66.55—
DE$66.55—
FL$78.29—
GA$75.90—
HI$111.04—
IA$78.29—
ID$78.29—
IL$66.55—
IN$66.55—
KS$78.29—
KY$66.55—
LA$69.28—
MA$78.29—
MD$78.29—
ME$78.29—
MI$66.55—
MN$78.29—
MO$66.55—
MS$78.29—
MT$66.55—
NC$66.55—
ND$78.29—
NE$78.29—
NH$78.29—
NJ$66.55—
NM$72.87—
NV$78.29—
NY$78.29—
OH$78.29—
OK$66.98—
OR$78.29—
PA$78.29—
PR$125.01—
RI$71.07—
SC$66.55—
SD$66.55—
TN$66.55—
TX$66.55—
UT$66.55—
VA$78.29—
VI$78.29—
VT$78.29—
WA$78.29—
WI$78.29—
WV$78.29—
WY$78.29—
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 E0840 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

CO-50 medical necessityCO-151 frequency/units

Related E-codes

E0830E0849E0850E0855E0856E0860E0870E0880E0890

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