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
- 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.
E0890 Medicare fee schedule (April 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 | — |
Common denial codes to watch
Related E-codes
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