E0947 — Fracture frame, attachments for complex pelvic traction
HCPCS Level II E-code · short descriptor: “Fracture frame attachmnts pe”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Special coverage instructions apply
- 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.
E0947 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $734.65 to $1116.69 depending on state and rural status.
Former-CBA payment limits: ceiling $864.29 · floor $734.65
| State | Non-rural | Rural |
|---|---|---|
| AK | $938.36 | — |
| AL | $734.65 | — |
| AR | $734.65 | — |
| AZ | $864.29 | — |
| CA | $864.29 | — |
| CO | $864.29 | — |
| CT | $734.65 | — |
| DC | $864.29 | — |
| DE | $864.29 | — |
| FL | $734.65 | — |
| GA | $765.68 | — |
| HI | $1003.39 | — |
| IA | $864.29 | — |
| ID | $734.65 | — |
| IL | $734.65 | — |
| IN | $734.65 | — |
| KS | $864.29 | — |
| KY | $864.29 | — |
| LA | $734.65 | — |
| MA | $864.29 | — |
| MD | $734.65 | — |
| ME | $864.29 | — |
| MI | $734.65 | — |
| MN | $734.65 | — |
| MO | $734.65 | — |
| MS | $734.65 | — |
| MT | $864.29 | — |
| NC | $752.85 | — |
| ND | $864.29 | — |
| NE | $864.29 | — |
| NH | $864.29 | — |
| NJ | $864.29 | — |
| NM | $864.29 | — |
| NV | $864.29 | — |
| NY | $864.29 | — |
| OH | $734.65 | — |
| OK | $864.29 | — |
| OR | $864.29 | — |
| PA | $864.29 | — |
| PR | $1116.69 | — |
| RI | $864.29 | — |
| SC | $814.69 | — |
| SD | $864.29 | — |
| TN | $752.85 | — |
| TX | $734.65 | — |
| UT | $734.65 | — |
| VA | $734.65 | — |
| VI | $864.29 | — |
| VT | $864.29 | — |
| WA | $734.65 | — |
| WI | $743.89 | — |
| WV | $734.65 | — |
| WY | $864.29 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $76.17 to $139.64 depending on state and rural status.
Former-CBA payment limits: ceiling $89.61 · floor $76.17
| State | Non-rural | Rural |
|---|---|---|
| AK | $93.84 | — |
| AL | $76.17 | — |
| AR | $76.17 | — |
| AZ | $89.61 | — |
| CA | $89.61 | — |
| CO | $89.61 | — |
| CT | $76.17 | — |
| DC | $89.61 | — |
| DE | $89.61 | — |
| FL | $76.17 | — |
| GA | $77.52 | — |
| HI | $100.30 | — |
| IA | $89.61 | — |
| ID | $76.17 | — |
| IL | $89.61 | — |
| IN | $76.17 | — |
| KS | $89.61 | — |
| KY | $89.61 | — |
| LA | $76.17 | — |
| MA | $89.61 | — |
| MD | $76.17 | — |
| ME | $89.61 | — |
| MI | $76.17 | — |
| MN | $76.17 | — |
| MO | $76.17 | — |
| MS | $76.17 | — |
| MT | $89.61 | — |
| NC | $76.17 | — |
| ND | $89.61 | — |
| NE | $89.61 | — |
| NH | $89.61 | — |
| NJ | $89.61 | — |
| NM | $89.61 | — |
| NV | $89.61 | — |
| NY | $89.61 | — |
| OH | $76.17 | — |
| OK | $89.61 | — |
| OR | $86.45 | — |
| PA | $89.61 | — |
| PR | $139.64 | — |
| RI | $89.61 | — |
| SC | $81.51 | — |
| SD | $89.61 | — |
| TN | $76.17 | — |
| TX | $76.17 | — |
| UT | $76.17 | — |
| VA | $76.17 | — |
| VI | $89.61 | — |
| VT | $89.61 | — |
| WA | $89.10 | — |
| WI | $84.79 | — |
| WV | $76.17 | — |
| WY | $89.61 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $550.96 to $837.49 depending on state and rural status.
Former-CBA payment limits: ceiling $648.19 · floor $550.96
| State | Non-rural | Rural |
|---|---|---|
| AK | $703.76 | — |
| AL | $550.96 | — |
| AR | $550.96 | — |
| AZ | $648.19 | — |
| CA | $648.19 | — |
| CO | $648.19 | — |
| CT | $550.96 | — |
| DC | $648.19 | — |
| DE | $648.19 | — |
| FL | $550.96 | — |
| GA | $574.23 | — |
| HI | $752.58 | — |
| IA | $648.19 | — |
| ID | $550.96 | — |
| IL | $550.96 | — |
| IN | $550.96 | — |
| KS | $648.19 | — |
| KY | $648.19 | — |
| LA | $550.96 | — |
| MA | $648.19 | — |
| MD | $550.96 | — |
| ME | $648.19 | — |
| MI | $550.96 | — |
| MN | $550.96 | — |
| MO | $550.96 | — |
| MS | $550.96 | — |
| MT | $648.19 | — |
| NC | $564.61 | — |
| ND | $648.19 | — |
| NE | $648.19 | — |
| NH | $648.19 | — |
| NJ | $648.19 | — |
| NM | $648.19 | — |
| NV | $648.19 | — |
| NY | $648.19 | — |
| OH | $550.96 | — |
| OK | $648.19 | — |
| OR | $648.19 | — |
| PA | $648.19 | — |
| PR | $837.49 | — |
| RI | $648.19 | — |
| SC | $611.00 | — |
| SD | $648.19 | — |
| TN | $564.61 | — |
| TX | $550.96 | — |
| UT | $550.96 | — |
| VA | $550.96 | — |
| VI | $648.19 | — |
| VT | $648.19 | — |
| WA | $550.96 | — |
| WI | $557.92 | — |
| WV | $550.96 | — |
| WY | $648.19 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0947 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 E0947 with confidence
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