E0920 — Fracture frame, attached to bed, includes weights
HCPCS Level II E-code · short descriptor: “Fracture frame attached to b”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Special coverage instructions apply
- DMEPOS payment category
- Capped rental
- 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.
E0920 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $55.91 to $90.91 depending on state and rural status.
Former-CBA payment limits: ceiling $65.78 · floor $55.91
| State | Non-rural | Rural |
|---|---|---|
| AK | $56.00 | — |
| AL | $55.91 | — |
| AR | $55.91 | — |
| AZ | $65.78 | — |
| CA | $55.91 | — |
| CO | $62.10 | — |
| CT | $65.78 | — |
| DC | $60.98 | — |
| DE | $65.78 | — |
| FL | $65.78 | — |
| GA | $58.43 | — |
| HI | $59.87 | — |
| IA | $63.48 | — |
| ID | $55.91 | — |
| IL | $57.43 | — |
| IN | $61.18 | — |
| KS | $65.78 | — |
| KY | $65.78 | — |
| LA | $56.18 | — |
| MA | $65.78 | — |
| MD | $65.78 | — |
| ME | $65.78 | — |
| MI | $55.91 | — |
| MN | $59.28 | — |
| MO | $65.78 | — |
| MS | $55.91 | — |
| MT | $55.91 | — |
| NC | $65.78 | — |
| ND | $65.78 | — |
| NE | $65.78 | — |
| NH | $65.78 | — |
| NJ | $56.56 | — |
| NM | $55.91 | — |
| NV | $65.78 | — |
| NY | $65.78 | — |
| OH | $65.78 | — |
| OK | $55.91 | — |
| OR | $62.00 | — |
| PA | $65.78 | — |
| PR | $90.91 | — |
| RI | $65.78 | — |
| SC | $55.91 | — |
| SD | $65.78 | — |
| TN | $65.78 | — |
| TX | $65.78 | — |
| UT | $64.66 | — |
| VA | $64.73 | — |
| VI | $65.78 | — |
| VT | $65.78 | — |
| WA | $60.79 | — |
| WI | $65.78 | — |
| WV | $55.91 | — |
| WY | $65.78 | — |
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026.
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.
Common denial codes to watch
Related E-codes
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