MyMedi-AI

E0860 — Traction equipment, overdoor, cervical

HCPCS Level II E-code · short descriptor: “Tract equip cervical tract”

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
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.

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 (April 13, 2026 update — 83 items). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

E0860 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $39.12 to $66.86 depending on state and rural status.

Former-CBA payment limits: ceiling $54.92 · floor $46.68

StateNon-ruralRural
AK$62.55
AL$46.68
AR$54.92
AZ$53.84
CA$54.92
CO$54.92
CT$46.68
DC$54.92
DE$54.92
FL$53.22
GA$51.55
HI$66.86
IA$46.68
ID$54.92
IL$46.68
IN$54.92
KS$48.92
KY$52.89
LA$54.92
MA$54.92
MD$51.17
ME$54.92
MI$48.56
MN$48.62
MO$49.36
MS$54.92
MT$54.92
NC$48.42
ND$54.92
NE$47.90
NH$54.92
NJ$48.50
NM$54.92
NV$54.92
NY$46.68
OH$54.92
OK$54.92
OR$46.68
PA$54.92
PR$39.12
RI$54.92
SC$54.92
SD$54.92
TN$48.60
TX$46.68
UT$54.92
VA$46.68
VI$46.68
VT$54.92
WA$54.47
WI$51.63
WV$53.03
WY$54.92

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $4.93 to $46.33 depending on state and rural status.

Former-CBA payment limits: ceiling $9.29 · floor $7.90

StateNon-ruralRural
AK$43.36
AL$7.90
AR$7.90
AZ$9.29
CA$9.29
CO$7.90
CT$7.90
DC$9.29
DE$9.29
FL$7.90
GA$7.90
HI$46.33
IA$7.90
ID$9.29
IL$7.90
IN$9.29
KS$8.88
KY$9.29
LA$9.29
MA$9.29
MD$9.29
ME$9.29
MI$7.90
MN$9.29
MO$9.29
MS$8.84
MT$9.29
NC$7.90
ND$7.90
NE$7.90
NH$9.29
NJ$9.29
NM$7.90
NV$9.29
NY$7.90
OH$9.29
OK$7.90
OR$7.90
PA$9.29
PR$4.93
RI$9.29
SC$9.25
SD$7.90
TN$7.90
TX$7.90
UT$7.90
VA$9.29
VI$7.90
VT$9.29
WA$7.90
WI$9.29
WV$9.29
WY$9.29

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $29.37 to $64.85 depending on state and rural status.

Former-CBA payment limits: ceiling $42.05 · floor $35.74

StateNon-ruralRural
AK$60.64
AL$39.99
AR$42.05
AZ$40.40
CA$42.05
CO$42.05
CT$42.05
DC$42.05
DE$42.05
FL$42.05
GA$38.65
HI$64.85
IA$35.74
ID$42.05
IL$35.74
IN$42.05
KS$36.59
KY$39.64
LA$42.05
MA$42.05
MD$38.39
ME$42.05
MI$36.41
MN$36.49
MO$36.99
MS$42.05
MT$42.05
NC$36.30
ND$42.05
NE$35.89
NH$42.05
NJ$36.39
NM$41.34
NV$42.05
NY$35.87
OH$42.05
OK$42.05
OR$35.74
PA$42.05
PR$29.37
RI$41.68
SC$42.05
SD$42.05
TN$38.07
TX$35.74
UT$42.05
VA$41.67
VI$35.87
VT$42.05
WA$40.83
WI$38.72
WV$39.72
WY$42.05
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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