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
- 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 2026-10-26; 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 2026-10-26; 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.
E0942 Medicare fee schedule (October 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
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0942 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 E0942 with confidence
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