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E0942 — Cervical head harness/halter

HCPCS Level II E-code

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
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.

E0942 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $6.28 to $39.21 depending on state and rural status.

Former-CBA payment limits: ceiling $28.28 · floor $24.04

StateNon-ruralRural
AK$36.72
AL$24.04
AR$24.04
AZ$24.04
CA$28.28
CO$28.28
CT$28.28
DC$28.28
DE$28.28
FL$28.28
GA$24.50
HI$39.21
IA$28.28
ID$28.28
IL$28.28
IN$26.16
KS$28.22
KY$28.28
LA$24.04
MA$28.28
MD$27.99
ME$28.28
MI$28.28
MN$28.28
MO$28.28
MS$24.04
MT$28.28
NC$24.04
ND$26.38
NE$28.28
NH$28.28
NJ$28.28
NM$24.04
NV$24.04
NY$24.04
OH$24.04
OK$28.28
OR$28.28
PA$28.28
PR$6.28
RI$24.04
SC$28.28
SD$26.38
TN$24.04
TX$28.28
UT$28.28
VA$24.48
VI$24.04
VT$28.28
WA$28.28
WI$28.28
WV$25.17
WY$26.38

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $0.78 to $3.93 depending on state and rural status.

Former-CBA payment limits: ceiling $3.36 · floor $2.86

StateNon-ruralRural
AK$3.71
AL$2.86
AR$2.86
AZ$3.36
CA$3.36
CO$3.36
CT$2.92
DC$3.36
DE$3.36
FL$3.07
GA$2.86
HI$3.93
IA$3.36
ID$3.36
IL$3.36
IN$2.86
KS$2.86
KY$3.36
LA$2.86
MA$2.86
MD$3.36
ME$2.86
MI$3.36
MN$3.36
MO$3.36
MS$2.86
MT$3.36
NC$2.86
ND$2.86
NE$2.86
NH$3.21
NJ$3.36
NM$2.86
NV$3.36
NY$2.86
OH$2.86
OK$3.36
OR$3.36
PA$3.36
PR$0.78
RI$2.86
SC$3.36
SD$2.86
TN$2.86
TX$3.36
UT$3.36
VA$3.36
VI$2.86
VT$3.21
WA$3.36
WI$3.36
WV$2.86
WY$2.86

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $4.73 to $29.44 depending on state and rural status.

Former-CBA payment limits: ceiling $21.17 · floor $17.99

StateNon-ruralRural
AK$27.54
AL$17.99
AR$17.99
AZ$17.99
CA$21.17
CO$21.17
CT$21.17
DC$21.17
DE$21.13
FL$21.17
GA$18.33
HI$29.44
IA$21.17
ID$21.17
IL$21.17
IN$19.67
KS$21.12
KY$21.17
LA$17.99
MA$21.17
MD$21.01
ME$21.17
MI$21.17
MN$21.17
MO$21.17
MS$17.99
MT$21.17
NC$17.99
ND$19.83
NE$21.17
NH$21.17
NJ$21.17
NM$17.99
NV$17.99
NY$17.99
OH$17.99
OK$21.17
OR$21.17
PA$21.17
PR$4.73
RI$17.99
SC$21.17
SD$19.83
TN$17.99
TX$21.17
UT$21.17
VA$18.32
VI$17.99
VT$21.17
WA$21.17
WI$21.17
WV$18.88
WY$19.83
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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