MyMedi-AI

E0880 — Traction stand, free standing, extremity traction

HCPCS Level II E-code · short descriptor: “Trac stand free stand extrem”

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 2026-10-26; 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 2026-10-26; 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.

E0880 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $127.58 to $199.33 depending on state and rural status.

Former-CBA payment limits: ceiling $178.91 · floor $152.07

StateNon-ruralRural
AK$127.58—
AL$159.15—
AR$152.07—
AZ$167.31—
CA$152.07—
CO$152.07—
CT$152.07—
DC$152.07—
DE$152.07—
FL$178.91—
GA$152.07—
HI$136.41—
IA$172.30—
ID$178.91—
IL$178.91—
IN$178.91—
KS$178.91—
KY$178.91—
LA$152.07—
MA$178.91—
MD$152.07—
ME$178.91—
MI$178.91—
MN$154.96—
MO$152.07—
MS$152.07—
MT$178.91—
NC$152.07—
ND$178.91—
NE$178.91—
NH$178.91—
NJ$152.07—
NM$152.07—
NV$177.29—
NY$152.07—
OH$178.91—
OK$152.07—
OR$178.91—
PA$178.91—
PR$199.33—
RI$178.91—
SC$152.07—
SD$178.91—
TN$152.07—
TX$158.57—
UT$178.91—
VA$178.91—
VI$152.07—
VT$178.91—
WA$178.91—
WI$178.91—
WV$178.91—
WY$178.91—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $23.88 to $59.26 depending on state and rural status.

Former-CBA payment limits: ceiling $28.09 · floor $23.88

StateNon-ruralRural
AK$55.41—
AL$23.88—
AR$23.88—
AZ$28.09—
CA$28.09—
CO$28.09—
CT$23.88—
DC$28.09—
DE$28.09—
FL$28.09—
GA$23.88—
HI$59.26—
IA$28.09—
ID$28.09—
IL$28.09—
IN$28.09—
KS$23.88—
KY$28.09—
LA$23.88—
MA$28.09—
MD$24.39—
ME$28.09—
MI$23.88—
MN$28.09—
MO$23.88—
MS$23.88—
MT$28.09—
NC$23.88—
ND$23.88—
NE$23.88—
NH$28.09—
NJ$28.09—
NM$23.88—
NV$28.09—
NY$23.88—
OH$28.09—
OK$23.88—
OR$28.09—
PA$28.09—
PR$24.91—
RI$25.00—
SC$23.88—
SD$23.88—
TN$23.88—
TX$23.88—
UT$23.88—
VA$28.09—
VI$23.88—
VT$26.83—
WA$28.09—
WI$28.09—
WV$28.09—
WY$23.88—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $105.57 to $149.56 depending on state and rural status.

Former-CBA payment limits: ceiling $135.42 · floor $115.11

StateNon-ruralRural
AK$105.57—
AL$115.11—
AR$115.11—
AZ$125.47—
CA$115.11—
CO$115.11—
CT$115.11—
DC$115.11—
DE$115.11—
FL$135.42—
GA$115.11—
HI$112.89—
IA$129.22—
ID$135.42—
IL$135.42—
IN$134.18—
KS$135.42—
KY$135.42—
LA$115.11—
MA$135.42—
MD$115.11—
ME$135.42—
MI$135.42—
MN$135.42—
MO$115.11—
MS$115.11—
MT$135.42—
NC$115.11—
ND$135.42—
NE$135.42—
NH$135.42—
NJ$115.11—
NM$115.11—
NV$133.01—
NY$115.11—
OH$135.42—
OK$115.11—
OR$135.42—
PA$135.42—
PR$149.56—
RI$135.42—
SC$115.11—
SD$135.42—
TN$115.11—
TX$118.92—
UT$135.42—
VA$135.42—
VI$115.11—
VT$135.42—
WA$135.42—
WI$135.42—
WV$135.42—
WY$135.42—
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 E0880 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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