MyMedi-AI

E0850 — Traction stand, free standing, cervical traction

HCPCS Level II E-code · short descriptor: “Traction stand free standing”

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.

E0850 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $127.25 to $163.63 depending on state and rural status.

Former-CBA payment limits: ceiling $149.71 · floor $127.25

StateNon-ruralRural
AK$140.76—
AL$127.25—
AR$149.71—
AZ$127.25—
CA$139.36—
CO$127.25—
CT$127.25—
DC$149.71—
DE$127.25—
FL$149.71—
GA$127.25—
HI$150.50—
IA$149.71—
ID$132.99—
IL$149.71—
IN$127.25—
KS$127.25—
KY$149.71—
LA$127.25—
MA$149.71—
MD$149.71—
ME$149.71—
MI$127.25—
MN$149.71—
MO$127.25—
MS$149.71—
MT$127.25—
NC$133.70—
ND$149.71—
NE$127.25—
NH$149.71—
NJ$127.25—
NM$127.25—
NV$127.25—
NY$149.71—
OH$149.71—
OK$127.25—
OR$149.71—
PA$149.71—
PR$163.63—
RI$149.63—
SC$127.25—
SD$149.71—
TN$137.15—
TX$149.71—
UT$127.25—
VA$149.71—
VI$149.71—
VT$149.71—
WA$149.71—
WI$149.71—
WV$149.71—
WY$149.71—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $17.48 to $60.70 depending on state and rural status.

Former-CBA payment limits: ceiling $20.56 · floor $17.48

StateNon-ruralRural
AK$56.76—
AL$19.67—
AR$20.56—
AZ$20.56—
CA$20.56—
CO$17.48—
CT$17.48—
DC$20.56—
DE$18.83—
FL$20.56—
GA$17.48—
HI$60.70—
IA$20.56—
ID$20.56—
IL$20.56—
IN$17.48—
KS$20.56—
KY$17.48—
LA$17.48—
MA$17.48—
MD$20.56—
ME$17.48—
MI$17.48—
MN$20.56—
MO$20.56—
MS$20.56—
MT$17.48—
NC$17.48—
ND$20.56—
NE$20.56—
NH$17.48—
NJ$17.48—
NM$17.48—
NV$20.56—
NY$20.56—
OH$20.56—
OK$17.48—
OR$20.56—
PA$20.56—
PR$20.47—
RI$17.48—
SC$17.48—
SD$17.48—
TN$17.48—
TX$17.48—
UT$17.48—
VA$20.56—
VI$20.56—
VT$17.48—
WA$20.56—
WI$20.56—
WV$20.56—
WY$20.56—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $95.45 to $142.69 depending on state and rural status.

Former-CBA payment limits: ceiling $112.29 · floor $95.45

StateNon-ruralRural
AK$133.45—
AL$95.45—
AR$112.29—
AZ$95.45—
CA$112.29—
CO$95.45—
CT$95.45—
DC$112.29—
DE$95.45—
FL$112.29—
GA$95.45—
HI$142.69—
IA$112.29—
ID$99.74—
IL$112.29—
IN$95.45—
KS$96.49—
KY$112.29—
LA$95.45—
MA$112.29—
MD$112.29—
ME$112.29—
MI$95.45—
MN$112.29—
MO$95.45—
MS$112.29—
MT$95.45—
NC$100.25—
ND$112.29—
NE$95.45—
NH$112.29—
NJ$95.45—
NM$95.45—
NV$95.45—
NY$112.29—
OH$95.45—
OK$95.45—
OR$112.29—
PA$112.29—
PR$122.73—
RI$111.11—
SC$95.45—
SD$112.29—
TN$102.91—
TX$112.29—
UT$95.45—
VA$112.29—
VI$112.29—
VT$112.29—
WA$112.29—
WI$112.29—
WV$112.29—
WY$112.29—
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 E0850 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

E0830E0840E0849E0855E0856E0860E0870E0880E0890

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