MyMedi-AI

E0948 — Fracture frame, attachments for complex cervical traction

HCPCS Level II E-code · short descriptor: “Fracture frame attachmnts ce”

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.

E0948 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $710.56 to $1112.99 depending on state and rural status.

Former-CBA payment limits: ceiling $835.95 · floor $710.56

StateNon-ruralRural
AK$951.06—
AL$729.77—
AR$710.56—
AZ$835.95—
CA$835.95—
CO$835.95—
CT$710.56—
DC$835.95—
DE$835.95—
FL$710.56—
GA$765.68—
HI$1016.95—
IA$835.95—
ID$835.95—
IL$710.56—
IN$710.56—
KS$835.95—
KY$835.95—
LA$710.56—
MA$835.95—
MD$723.92—
ME$835.95—
MI$710.56—
MN$710.56—
MO$835.95—
MS$729.77—
MT$782.30—
NC$752.85—
ND$835.95—
NE$835.95—
NH$835.95—
NJ$835.95—
NM$779.85—
NV$835.95—
NY$835.95—
OH$710.56—
OK$777.98—
OR$811.29—
PA$835.95—
PR$1112.99—
RI$835.95—
SC$814.69—
SD$835.95—
TN$752.85—
TX$710.56—
UT$710.56—
VA$710.56—
VI$835.95—
VT$835.95—
WA$835.95—
WI$835.95—
WV$710.56—
WY$835.95—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $71.03 to $139.16 depending on state and rural status.

Former-CBA payment limits: ceiling $83.57 · floor $71.03

StateNon-ruralRural
AK$95.12—
AL$73.45—
AR$71.03—
AZ$83.57—
CA$83.57—
CO$83.57—
CT$71.03—
DC$83.57—
DE$83.57—
FL$71.03—
GA$76.58—
HI$101.72—
IA$83.57—
ID$83.57—
IL$71.03—
IN$71.03—
KS$83.57—
KY$83.57—
LA$71.03—
MA$83.57—
MD$72.39—
ME$83.57—
MI$71.03—
MN$71.03—
MO$83.57—
MS$73.45—
MT$78.21—
NC$73.45—
ND$83.57—
NE$83.57—
NH$83.57—
NJ$83.57—
NM$78.00—
NV$83.57—
NY$83.57—
OH$71.03—
OK$77.81—
OR$81.13—
PA$83.57—
PR$139.16—
RI$83.57—
SC$81.51—
SD$83.57—
TN$73.45—
TX$71.03—
UT$71.03—
VA$71.03—
VI$83.57—
VT$83.57—
WA$83.57—
WI$83.57—
WV$71.03—
WY$83.57—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $501.18 to $834.74 depending on state and rural status.

Former-CBA payment limits: ceiling $589.62 · floor $501.18

StateNon-ruralRural
AK$595.48—
AL$547.33—
AR$501.18—
AZ$589.62—
CA$589.62—
CO$589.62—
CT$501.18—
DC$589.62—
DE$589.62—
FL$501.18—
GA$574.23—
HI$636.77—
IA$589.62—
ID$589.62—
IL$501.18—
IN$501.18—
KS$589.62—
KY$589.62—
LA$501.18—
MA$589.62—
MD$542.96—
ME$589.62—
MI$501.18—
MN$501.18—
MO$589.62—
MS$547.33—
MT$586.76—
NC$564.61—
ND$589.62—
NE$589.62—
NH$589.62—
NJ$589.62—
NM$584.90—
NV$589.62—
NY$589.62—
OH$501.18—
OK$583.50—
OR$589.62—
PA$589.62—
PR$834.74—
RI$589.62—
SC$589.62—
SD$589.62—
TN$564.61—
TX$501.18—
UT$501.18—
VA$509.31—
VI$589.62—
VT$589.62—
WA$589.62—
WI$589.62—
WV$501.18—
WY$589.62—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps E0948 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

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