E0945 — Extremity belt/harness
HCPCS Level II E-code · short descriptor: “Belt/harness extremity”
- 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
- 2
- 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.
E0945 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $53.69 to $68.25 depending on state and rural status.
Former-CBA payment limits: ceiling $63.16 · floor $53.69
| State | Non-rural | Rural |
|---|---|---|
| AK | $63.80 | — |
| AL | $53.69 | — |
| AR | $53.69 | — |
| AZ | $57.13 | — |
| CA | $63.16 | — |
| CO | $63.16 | — |
| CT | $53.69 | — |
| DC | $63.16 | — |
| DE | $63.16 | — |
| FL | $53.69 | — |
| GA | $53.69 | — |
| HI | $68.25 | — |
| IA | $63.16 | — |
| ID | $57.86 | — |
| IL | $63.16 | — |
| IN | $63.16 | — |
| KS | $63.16 | — |
| KY | $63.16 | — |
| LA | $53.69 | — |
| MA | $63.16 | — |
| MD | $53.87 | — |
| ME | $63.16 | — |
| MI | $58.96 | — |
| MN | $63.16 | — |
| MO | $53.69 | — |
| MS | $53.69 | — |
| MT | $63.16 | — |
| NC | $61.05 | — |
| ND | $63.16 | — |
| NE | $63.16 | — |
| NH | $63.16 | — |
| NJ | $63.16 | — |
| NM | $53.69 | — |
| NV | $57.13 | — |
| NY | $53.69 | — |
| OH | $63.16 | — |
| OK | $53.69 | — |
| OR | $63.16 | — |
| PA | $63.16 | — |
| PR | $65.58 | — |
| RI | $63.16 | — |
| SC | $63.16 | — |
| SD | $63.16 | — |
| TN | $53.69 | — |
| TX | $53.69 | — |
| UT | $53.69 | — |
| VA | $53.69 | — |
| VI | $53.69 | — |
| VT | $63.16 | — |
| WA | $63.16 | — |
| WI | $63.16 | — |
| WV | $63.16 | — |
| WY | $63.16 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $5.36 to $8.18 depending on state and rural status.
Former-CBA payment limits: ceiling $6.30 · floor $5.36
| State | Non-rural | Rural |
|---|---|---|
| AK | $6.38 | — |
| AL | $5.36 | — |
| AR | $5.36 | — |
| AZ | $6.30 | — |
| CA | $6.30 | — |
| CO | $6.30 | — |
| CT | $5.36 | — |
| DC | $6.30 | — |
| DE | $6.30 | — |
| FL | $5.36 | — |
| GA | $5.36 | — |
| HI | $6.81 | — |
| IA | $6.30 | — |
| ID | $5.76 | — |
| IL | $6.30 | — |
| IN | $6.30 | — |
| KS | $6.30 | — |
| KY | $6.30 | — |
| LA | $5.36 | — |
| MA | $5.36 | — |
| MD | $6.30 | — |
| ME | $5.36 | — |
| MI | $6.30 | — |
| MN | $6.30 | — |
| MO | $5.36 | — |
| MS | $5.36 | — |
| MT | $6.30 | — |
| NC | $6.11 | — |
| ND | $6.30 | — |
| NE | $6.30 | — |
| NH | $5.36 | — |
| NJ | $6.30 | — |
| NM | $5.36 | — |
| NV | $6.30 | — |
| NY | $5.36 | — |
| OH | $6.30 | — |
| OK | $5.36 | — |
| OR | $6.30 | — |
| PA | $6.30 | — |
| PR | $8.18 | — |
| RI | $5.36 | — |
| SC | $6.30 | — |
| SD | $6.30 | — |
| TN | $5.36 | — |
| TX | $5.36 | — |
| UT | $5.36 | — |
| VA | $5.36 | — |
| VI | $5.36 | — |
| VT | $6.30 | — |
| WA | $6.30 | — |
| WI | $6.30 | — |
| WV | $6.30 | — |
| WY | $6.30 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $41.57 to $51.17 depending on state and rural status.
Former-CBA payment limits: ceiling $48.90 · floor $41.57
| State | Non-rural | Rural |
|---|---|---|
| AK | $47.88 | — |
| AL | $41.57 | — |
| AR | $41.57 | — |
| AZ | $42.88 | — |
| CA | $47.39 | — |
| CO | $48.90 | — |
| CT | $41.57 | — |
| DC | $48.90 | — |
| DE | $48.90 | — |
| FL | $41.57 | — |
| GA | $41.57 | — |
| HI | $51.17 | — |
| IA | $46.76 | — |
| ID | $43.40 | — |
| IL | $48.90 | — |
| IN | $48.90 | — |
| KS | $47.39 | — |
| KY | $48.90 | — |
| LA | $41.57 | — |
| MA | $48.90 | — |
| MD | $41.57 | — |
| ME | $48.90 | — |
| MI | $48.90 | — |
| MN | $48.90 | — |
| MO | $41.57 | — |
| MS | $41.57 | — |
| MT | $48.90 | — |
| NC | $45.80 | — |
| ND | $48.90 | — |
| NE | $47.39 | — |
| NH | $48.90 | — |
| NJ | $48.90 | — |
| NM | $41.57 | — |
| NV | $42.88 | — |
| NY | $41.57 | — |
| OH | $48.90 | — |
| OK | $41.57 | — |
| OR | $48.90 | — |
| PA | $48.90 | — |
| PR | $49.18 | — |
| RI | $48.90 | — |
| SC | $48.90 | — |
| SD | $48.90 | — |
| TN | $41.57 | — |
| TX | $41.57 | — |
| UT | $41.57 | — |
| VA | $41.57 | — |
| VI | $41.57 | — |
| VT | $48.90 | — |
| WA | $48.90 | — |
| WI | $48.90 | — |
| WV | $48.90 | — |
| WY | $48.90 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0945 at 2 units per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Anatomic Consideration.
Common denial codes to watch
Related E-codes
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