E0890 — Traction frame, attached to footboard, pelvic traction
HCPCS Level II E-code · short descriptor: “Traction frame attach pelvic”
- 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.
E0890 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $127.91 to $171.58 depending on state and rural status.
Former-CBA payment limits: ceiling $171.58 · floor $145.84
| State | Non-rural | Rural |
|---|---|---|
| AK | $127.91 | — |
| AL | $171.58 | — |
| AR | $171.58 | — |
| AZ | $145.84 | — |
| CA | $145.84 | — |
| CO | $145.84 | — |
| CT | $145.84 | — |
| DC | $171.58 | — |
| DE | $145.84 | — |
| FL | $145.84 | — |
| GA | $145.84 | — |
| HI | $136.74 | — |
| IA | $171.58 | — |
| ID | $171.58 | — |
| IL | $171.58 | — |
| IN | $171.58 | — |
| KS | $171.58 | — |
| KY | $170.39 | — |
| LA | $171.58 | — |
| MA | $171.58 | — |
| MD | $171.58 | — |
| ME | $171.58 | — |
| MI | $145.84 | — |
| MN | $169.39 | — |
| MO | $161.48 | — |
| MS | $145.84 | — |
| MT | $171.58 | — |
| NC | $145.84 | — |
| ND | $171.58 | — |
| NE | $171.58 | — |
| NH | $171.58 | — |
| NJ | $145.84 | — |
| NM | $171.58 | — |
| NV | $145.84 | — |
| NY | $171.58 | — |
| OH | $145.84 | — |
| OK | $171.58 | — |
| OR | $169.39 | — |
| PA | $171.58 | — |
| PR | $157.30 | — |
| RI | $171.58 | — |
| SC | $152.88 | — |
| SD | $151.08 | — |
| TN | $145.84 | — |
| TX | $171.58 | — |
| UT | $145.84 | — |
| VA | $151.03 | — |
| VI | $171.58 | — |
| VT | $171.58 | — |
| WA | $171.58 | — |
| WI | $171.58 | — |
| WV | $160.57 | — |
| WY | $171.58 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $19.68 to $56.19 depending on state and rural status.
Former-CBA payment limits: ceiling $46.80 · floor $39.78
| State | Non-rural | Rural |
|---|---|---|
| AK | $52.57 | — |
| AL | $39.78 | — |
| AR | $39.78 | — |
| AZ | $46.80 | — |
| CA | $46.80 | — |
| CO | $39.78 | — |
| CT | $39.78 | — |
| DC | $46.80 | — |
| DE | $45.22 | — |
| FL | $44.20 | — |
| GA | $46.55 | — |
| HI | $56.19 | — |
| IA | $39.78 | — |
| ID | $41.77 | — |
| IL | $46.80 | — |
| IN | $46.80 | — |
| KS | $39.78 | — |
| KY | $39.78 | — |
| LA | $46.80 | — |
| MA | $46.80 | — |
| MD | $46.80 | — |
| ME | $46.80 | — |
| MI | $46.80 | — |
| MN | $42.00 | — |
| MO | $45.43 | — |
| MS | $39.78 | — |
| MT | $39.78 | — |
| NC | $39.78 | — |
| ND | $39.78 | — |
| NE | $39.78 | — |
| NH | $46.80 | — |
| NJ | $46.80 | — |
| NM | $39.78 | — |
| NV | $46.80 | — |
| NY | $46.80 | — |
| OH | $46.80 | — |
| OK | $39.78 | — |
| OR | $46.80 | — |
| PA | $46.80 | — |
| PR | $19.68 | — |
| RI | $46.80 | — |
| SC | $46.80 | — |
| SD | $39.78 | — |
| TN | $39.78 | — |
| TX | $39.78 | — |
| UT | $46.80 | — |
| VA | $46.80 | — |
| VI | $46.80 | — |
| VT | $39.78 | — |
| WA | $46.80 | — |
| WI | $46.80 | — |
| WV | $46.80 | — |
| WY | $46.80 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $82.03 to $138.23 depending on state and rural status.
Former-CBA payment limits: ceiling $138.23 · floor $117.50
| State | Non-rural | Rural |
|---|---|---|
| AK | $82.03 | — |
| AL | $138.23 | — |
| AR | $138.23 | — |
| AZ | $117.50 | — |
| CA | $117.50 | — |
| CO | $117.50 | — |
| CT | $117.50 | — |
| DC | $138.23 | — |
| DE | $117.50 | — |
| FL | $117.50 | — |
| GA | $117.50 | — |
| HI | $87.73 | — |
| IA | $117.50 | — |
| ID | $138.23 | — |
| IL | $138.23 | — |
| IN | $138.23 | — |
| KS | $136.46 | — |
| KY | $127.79 | — |
| LA | $138.23 | — |
| MA | $138.23 | — |
| MD | $138.23 | — |
| ME | $138.23 | — |
| MI | $117.50 | — |
| MN | $126.29 | — |
| MO | $121.09 | — |
| MS | $117.50 | — |
| MT | $138.23 | — |
| NC | $117.50 | — |
| ND | $138.23 | — |
| NE | $138.23 | — |
| NH | $138.23 | — |
| NJ | $117.50 | — |
| NM | $138.23 | — |
| NV | $117.50 | — |
| NY | $138.23 | — |
| OH | $120.36 | — |
| OK | $138.23 | — |
| OR | $127.06 | — |
| PA | $138.23 | — |
| PR | $117.95 | — |
| RI | $138.23 | — |
| SC | $117.50 | — |
| SD | $117.50 | — |
| TN | $117.50 | — |
| TX | $138.23 | — |
| UT | $117.50 | — |
| VA | $119.09 | — |
| VI | $138.23 | — |
| VT | $138.23 | — |
| WA | $138.23 | — |
| WI | $138.23 | — |
| WV | $138.23 | — |
| WY | $138.23 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0890 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
Bill E0890 with confidence
Track prior-authorization requests with AI pre-fill and deadline tracking, and draft PA appeal letters — built for DME teams, PHI-free: no patient data is collected or stored.
Start free trial Run a CMS-0057-F readiness checkPrefer DIY compliance? Self-audit documentation kits for DME suppliers →
Building an AI agent? Try the agent API in the playground — free PA-required lookups, E0890 included, and starter credits via POST /bot-marketplace/register.