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
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 — 82 items in force on 2026-10-29 (2 of them in some states only); 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 — 105 items in force on 2026-10-29; 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.

E0860 Medicare fee schedule (October 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 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 E0860 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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