E0870 — Traction frame, attached to footboard, extremity traction, (e.g., buck's)
HCPCS Level II E-code · short descriptor: “Tract frame attach footboard”
- 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.
E0870 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $118.86 to $216.18 depending on state and rural status.
Former-CBA payment limits: ceiling $165.77 · floor $140.90
| State | Non-rural | Rural |
|---|---|---|
| AK | $118.86 | — |
| AL | $140.90 | — |
| AR | $140.90 | — |
| AZ | $165.77 | — |
| CA | $140.90 | — |
| CO | $140.90 | — |
| CT | $140.90 | — |
| DC | $149.71 | — |
| DE | $149.71 | — |
| FL | $140.90 | — |
| GA | $140.90 | — |
| HI | $127.09 | — |
| IA | $165.77 | — |
| ID | $165.77 | — |
| IL | $165.77 | — |
| IN | $165.77 | — |
| KS | $165.77 | — |
| KY | $165.77 | — |
| LA | $140.90 | — |
| MA | $165.77 | — |
| MD | $154.41 | — |
| ME | $165.77 | — |
| MI | $165.77 | — |
| MN | $150.67 | — |
| MO | $140.90 | — |
| MS | $140.90 | — |
| MT | $140.90 | — |
| NC | $140.90 | — |
| ND | $140.90 | — |
| NE | $165.77 | — |
| NH | $165.77 | — |
| NJ | $149.71 | — |
| NM | $165.77 | — |
| NV | $165.77 | — |
| NY | $165.77 | — |
| OH | $165.77 | — |
| OK | $165.77 | — |
| OR | $165.77 | — |
| PA | $149.71 | — |
| PR | $216.18 | — |
| RI | $165.77 | — |
| SC | $140.90 | — |
| SD | $140.90 | — |
| TN | $140.90 | — |
| TX | $165.77 | — |
| UT | $140.90 | — |
| VA | $165.77 | — |
| VI | $165.77 | — |
| VT | $165.77 | — |
| WA | $165.77 | — |
| WI | $165.77 | — |
| WV | $165.77 | — |
| WY | $140.90 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $16.24 to $67.53 depending on state and rural status.
Former-CBA payment limits: ceiling $19.11 · floor $16.24
| State | Non-rural | Rural |
|---|---|---|
| AK | $63.15 | — |
| AL | $16.24 | — |
| AR | $16.24 | — |
| AZ | $19.11 | — |
| CA | $19.11 | — |
| CO | $16.24 | — |
| CT | $16.24 | — |
| DC | $18.83 | — |
| DE | $18.83 | — |
| FL | $19.11 | — |
| GA | $16.24 | — |
| HI | $67.53 | — |
| IA | $19.11 | — |
| ID | $16.66 | — |
| IL | $19.11 | — |
| IN | $19.11 | — |
| KS | $18.21 | — |
| KY | $17.03 | — |
| LA | $16.24 | — |
| MA | $19.11 | — |
| MD | $19.11 | — |
| ME | $19.11 | — |
| MI | $19.11 | — |
| MN | $19.11 | — |
| MO | $16.24 | — |
| MS | $19.11 | — |
| MT | $19.11 | — |
| NC | $16.24 | — |
| ND | $16.24 | — |
| NE | $18.43 | — |
| NH | $19.11 | — |
| NJ | $18.83 | — |
| NM | $19.11 | — |
| NV | $19.11 | — |
| NY | $19.11 | — |
| OH | $18.43 | — |
| OK | $19.11 | — |
| OR | $19.11 | — |
| PA | $18.83 | — |
| PR | $27.05 | — |
| RI | $19.11 | — |
| SC | $16.24 | — |
| SD | $16.24 | — |
| TN | $16.24 | — |
| TX | $19.11 | — |
| UT | $16.24 | — |
| VA | $19.11 | — |
| VI | $19.11 | — |
| VT | $19.11 | — |
| WA | $19.11 | — |
| WI | $19.11 | — |
| WV | $18.43 | — |
| WY | $16.24 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $89.09 to $162.14 depending on state and rural status.
Former-CBA payment limits: ceiling $124.88 · floor $106.15
| State | Non-rural | Rural |
|---|---|---|
| AK | $89.09 | — |
| AL | $106.15 | — |
| AR | $106.15 | — |
| AZ | $124.35 | — |
| CA | $106.15 | — |
| CO | $106.15 | — |
| CT | $106.15 | — |
| DC | $112.29 | — |
| DE | $112.29 | — |
| FL | $106.15 | — |
| GA | $106.15 | — |
| HI | $95.24 | — |
| IA | $124.88 | — |
| ID | $124.88 | — |
| IL | $124.88 | — |
| IN | $124.88 | — |
| KS | $124.88 | — |
| KY | $124.88 | — |
| LA | $106.15 | — |
| MA | $124.88 | — |
| MD | $115.78 | — |
| ME | $124.88 | — |
| MI | $124.88 | — |
| MN | $112.25 | — |
| MO | $106.15 | — |
| MS | $106.15 | — |
| MT | $106.15 | — |
| NC | $106.15 | — |
| ND | $124.88 | — |
| NE | $124.88 | — |
| NH | $124.88 | — |
| NJ | $112.29 | — |
| NM | $124.88 | — |
| NV | $124.35 | — |
| NY | $124.88 | — |
| OH | $124.88 | — |
| OK | $124.88 | — |
| OR | $124.88 | — |
| PA | $112.29 | — |
| PR | $162.14 | — |
| RI | $124.88 | — |
| SC | $106.15 | — |
| SD | $124.88 | — |
| TN | $106.15 | — |
| TX | $124.88 | — |
| UT | $106.15 | — |
| VA | $124.88 | — |
| VI | $124.88 | — |
| VT | $124.88 | — |
| WA | $124.88 | — |
| WI | $124.88 | — |
| WV | $124.88 | — |
| WY | $106.15 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0870 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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