E0944 — Pelvic belt/harness/boot
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 2026-10-25; 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.
E0944 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $47.55 to $79.09 depending on state and rural status.
Former-CBA payment limits: ceiling $65.37 · floor $55.56
| State | Non-rural | Rural |
|---|---|---|
| AK | $47.55 | — |
| AL | $55.92 | — |
| AR | $55.56 | — |
| AZ | $57.13 | — |
| CA | $55.56 | — |
| CO | $65.37 | — |
| CT | $55.56 | — |
| DC | $65.37 | — |
| DE | $65.37 | — |
| FL | $55.56 | — |
| GA | $63.87 | — |
| HI | $50.86 | — |
| IA | $55.56 | — |
| ID | $64.78 | — |
| IL | $65.37 | — |
| IN | $65.37 | — |
| KS | $65.37 | — |
| KY | $59.81 | — |
| LA | $55.56 | — |
| MA | $65.37 | — |
| MD | $60.75 | — |
| ME | $65.37 | — |
| MI | $55.56 | — |
| MN | $65.37 | — |
| MO | $65.37 | — |
| MS | $55.92 | — |
| MT | $55.56 | — |
| NC | $59.35 | — |
| ND | $65.37 | — |
| NE | $65.37 | — |
| NH | $65.37 | — |
| NJ | $58.48 | — |
| NM | $55.56 | — |
| NV | $57.13 | — |
| NY | $55.56 | — |
| OH | $55.56 | — |
| OK | $65.37 | — |
| OR | $65.37 | — |
| PA | $65.37 | — |
| PR | $79.09 | — |
| RI | $65.37 | — |
| SC | $65.37 | — |
| SD | $65.37 | — |
| TN | $61.80 | — |
| TX | $55.56 | — |
| UT | $65.37 | — |
| VA | $65.37 | — |
| VI | $55.56 | — |
| VT | $65.37 | — |
| WA | $60.79 | — |
| WI | $65.37 | — |
| WV | $65.37 | — |
| WY | $65.37 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $4.82 to $9.88 depending on state and rural status.
Former-CBA payment limits: ceiling $6.58 · floor $5.59
| State | Non-rural | Rural |
|---|---|---|
| AK | $4.82 | — |
| AL | $5.63 | — |
| AR | $5.59 | — |
| AZ | $6.58 | — |
| CA | $5.59 | — |
| CO | $6.58 | — |
| CT | $5.59 | — |
| DC | $6.58 | — |
| DE | $6.58 | — |
| FL | $5.59 | — |
| GA | $6.41 | — |
| HI | $5.09 | — |
| IA | $5.59 | — |
| ID | $6.51 | — |
| IL | $6.58 | — |
| IN | $6.58 | — |
| KS | $6.58 | — |
| KY | $6.01 | — |
| LA | $5.59 | — |
| MA | $5.66 | — |
| MD | $6.58 | — |
| ME | $5.66 | — |
| MI | $5.59 | — |
| MN | $6.58 | — |
| MO | $6.58 | — |
| MS | $5.63 | — |
| MT | $5.59 | — |
| NC | $5.97 | — |
| ND | $6.58 | — |
| NE | $6.58 | — |
| NH | $5.63 | — |
| NJ | $6.58 | — |
| NM | $5.59 | — |
| NV | $6.58 | — |
| NY | $5.59 | — |
| OH | $5.59 | — |
| OK | $6.57 | — |
| OR | $6.58 | — |
| PA | $6.58 | — |
| PR | $9.88 | — |
| RI | $5.59 | — |
| SC | $6.58 | — |
| SD | $6.58 | — |
| TN | $6.19 | — |
| TX | $5.59 | — |
| UT | $6.58 | — |
| VA | $6.58 | — |
| VI | $5.59 | — |
| VT | $6.58 | — |
| WA | $6.58 | — |
| WI | $6.58 | — |
| WV | $6.58 | — |
| WY | $6.58 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $35.66 to $59.33 depending on state and rural status.
Former-CBA payment limits: ceiling $49.03 · floor $41.68
| State | Non-rural | Rural |
|---|---|---|
| AK | $35.66 | — |
| AL | $45.90 | — |
| AR | $41.68 | — |
| AZ | $42.88 | — |
| CA | $41.68 | — |
| CO | $49.03 | — |
| CT | $41.68 | — |
| DC | $49.03 | — |
| DE | $49.03 | — |
| FL | $41.68 | — |
| GA | $47.91 | — |
| HI | $38.16 | — |
| IA | $41.68 | — |
| ID | $48.57 | — |
| IL | $49.03 | — |
| IN | $49.03 | — |
| KS | $49.03 | — |
| KY | $44.88 | — |
| LA | $41.68 | — |
| MA | $49.03 | — |
| MD | $45.58 | — |
| ME | $49.03 | — |
| MI | $41.68 | — |
| MN | $49.03 | — |
| MO | $49.03 | — |
| MS | $45.90 | — |
| MT | $41.68 | — |
| NC | $44.48 | — |
| ND | $49.03 | — |
| NE | $49.03 | — |
| NH | $49.03 | — |
| NJ | $43.86 | — |
| NM | $41.68 | — |
| NV | $42.88 | — |
| NY | $41.68 | — |
| OH | $41.68 | — |
| OK | $49.03 | — |
| OR | $49.03 | — |
| PA | $49.03 | — |
| PR | $59.33 | — |
| RI | $49.03 | — |
| SC | $49.03 | — |
| SD | $49.03 | — |
| TN | $46.38 | — |
| TX | $41.68 | — |
| UT | $49.03 | — |
| VA | $49.03 | — |
| VI | $41.68 | — |
| VT | $49.03 | — |
| WA | $45.60 | — |
| WI | $49.03 | — |
| WV | $49.03 | — |
| WY | $49.03 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0944 at 1 unit per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Nature of Equipment.
Common denial codes to watch
Related E-codes
Bill E0944 with confidence
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