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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
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.

E0945 Medicare fee schedule (April 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

StateNon-ruralRural
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

StateNon-ruralRural
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

StateNon-ruralRural
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
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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