MyMedi-AI

E0900 — Traction stand, free standing, pelvic traction, (e.g., buck's)

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

E0900 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $155.23 to $233.96 depending on state and rural status.

Former-CBA payment limits: ceiling $182.62 · floor $155.23

StateNon-ruralRural
AK$218.79—
AL$155.23—
AR$182.62—
AZ$155.23—
CA$182.62—
CO$155.23—
CT$155.23—
DC$182.62—
DE$155.23—
FL$155.23—
GA$155.23—
HI$233.96—
IA$172.30—
ID$182.62—
IL$182.62—
IN$170.11—
KS$155.23—
KY$182.62—
LA$182.62—
MA$182.62—
MD$155.23—
ME$182.62—
MI$155.23—
MN$182.62—
MO$155.23—
MS$155.23—
MT$182.62—
NC$155.23—
ND$182.62—
NE$155.23—
NH$182.62—
NJ$155.23—
NM$182.62—
NV$155.23—
NY$179.82—
OH$163.57—
OK$182.62—
OR$182.62—
PA$182.62—
PR$173.88—
RI$182.62—
SC$155.23—
SD$182.62—
TN$155.23—
TX$168.07—
UT$182.62—
VA$182.62—
VI$179.82—
VT$182.62—
WA$182.62—
WI$182.62—
WV$155.23—
WY$182.62—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $21.75 to $60.67 depending on state and rural status.

Former-CBA payment limits: ceiling $39.37 · floor $33.46

StateNon-ruralRural
AK$56.69—
AL$33.46—
AR$33.46—
AZ$39.37—
CA$39.37—
CO$33.46—
CT$33.46—
DC$36.33—
DE$39.37—
FL$39.37—
GA$33.46—
HI$60.67—
IA$39.37—
ID$39.37—
IL$39.37—
IN$39.37—
KS$33.46—
KY$39.37—
LA$39.37—
MA$39.37—
MD$33.46—
ME$39.37—
MI$39.37—
MN$39.37—
MO$39.37—
MS$33.46—
MT$39.37—
NC$33.46—
ND$33.46—
NE$33.46—
NH$39.37—
NJ$39.37—
NM$33.46—
NV$39.37—
NY$33.46—
OH$33.46—
OK$33.46—
OR$39.37—
PA$36.33—
PR$21.75—
RI$33.46—
SC$33.46—
SD$33.46—
TN$33.46—
TX$33.46—
UT$33.46—
VA$39.37—
VI$33.46—
VT$33.46—
WA$39.37—
WI$39.37—
WV$39.37—
WY$39.37—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $116.45 to $175.51 depending on state and rural status.

Former-CBA payment limits: ceiling $137.00 · floor $116.45

StateNon-ruralRural
AK$164.11—
AL$129.72—
AR$137.00—
AZ$116.45—
CA$137.00—
CO$116.45—
CT$116.45—
DC$137.00—
DE$116.45—
FL$116.45—
GA$116.45—
HI$175.51—
IA$129.22—
ID$137.00—
IL$137.00—
IN$127.61—
KS$116.45—
KY$137.00—
LA$137.00—
MA$137.00—
MD$116.45—
ME$137.00—
MI$116.45—
MN$133.01—
MO$116.45—
MS$116.45—
MT$137.00—
NC$116.45—
ND$137.00—
NE$116.45—
NH$137.00—
NJ$116.45—
NM$137.00—
NV$116.45—
NY$134.70—
OH$137.00—
OK$137.00—
OR$137.00—
PA$137.00—
PR$130.42—
RI$137.00—
SC$116.45—
SD$137.00—
TN$116.45—
TX$126.07—
UT$137.00—
VA$137.00—
VI$134.70—
VT$137.00—
WA$137.00—
WI$137.00—
WV$116.45—
WY$137.00—
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 E0900 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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