E0951 — Heel loop/holder, any type, with or without ankle strap, each
HCPCS Level II E-code · short descriptor: “Loop heel”
- 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.
E0951 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $14.88 to $42.44 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $42.44 | — |
| AL | $16.36 | $18.74 |
| AR | $16.36 | $18.74 |
| AZ | $15.11 | $20.49 |
| CA | $16.38 | $20.49 |
| CO | $16.83 | $18.96 |
| CT | $15.04 | $20.49 |
| DC | $14.88 | $20.48 |
| DE | $14.88 | $20.49 |
| FL | $16.36 | $20.49 |
| GA | $16.36 | $20.49 |
| HI | $33.93 | — |
| IA | $16.72 | $20.49 |
| ID | $16.83 | $20.49 |
| IL | $16.74 | $20.11 |
| IN | $16.74 | $20.49 |
| KS | $16.72 | $20.49 |
| KY | $16.36 | $19.07 |
| LA | $16.36 | $18.74 |
| MA | $15.04 | $19.32 |
| MD | $14.88 | $20.49 |
| ME | $15.04 | $19.32 |
| MI | $16.74 | $19.10 |
| MN | $16.72 | $19.07 |
| MO | $16.72 | $20.49 |
| MS | $16.36 | $18.74 |
| MT | $16.83 | $18.74 |
| NC | $16.36 | $19.72 |
| ND | $16.72 | $20.49 |
| NE | $16.72 | $20.28 |
| NH | $15.04 | $19.30 |
| NJ | $14.88 | $20.49 |
| NM | $15.11 | $20.49 |
| NV | $16.38 | $20.49 |
| NY | $14.88 | $20.49 |
| OH | $16.74 | $18.74 |
| OK | $15.11 | $20.49 |
| OR | $16.38 | $20.49 |
| PA | $14.88 | $20.49 |
| PR | $21.75 | — |
| RI | $15.04 | $20.49 |
| SC | $16.36 | $20.49 |
| SD | $16.72 | $20.49 |
| TN | $16.36 | $19.38 |
| TX | $15.11 | $18.74 |
| UT | $16.83 | $18.74 |
| VA | $16.36 | $20.49 |
| VI | $20.49 | — |
| VT | $15.04 | $19.31 |
| WA | $16.38 | $20.49 |
| WI | $16.74 | $19.86 |
| WV | $16.36 | $18.74 |
| WY | $16.83 | $20.49 |
NU + KE — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $20.18 to $47.31 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $47.31 | — |
| AL | — | $20.18 |
| AR | — | $20.18 |
| AZ | — | $22.18 |
| CA | — | $22.18 |
| CO | — | $20.43 |
| CT | — | $22.18 |
| DC | — | $22.16 |
| DE | — | $22.18 |
| FL | — | $22.18 |
| GA | — | $22.18 |
| HI | $37.57 | — |
| IA | — | $22.18 |
| ID | — | $22.18 |
| IL | — | $21.74 |
| IN | — | $22.18 |
| KS | — | $22.18 |
| KY | — | $20.55 |
| LA | — | $20.18 |
| MA | — | $20.84 |
| MD | — | $22.18 |
| ME | — | $20.84 |
| MI | — | $20.58 |
| MN | — | $20.55 |
| MO | — | $22.18 |
| MS | — | $20.18 |
| MT | — | $20.18 |
| NC | — | $21.30 |
| ND | — | $22.18 |
| NE | — | $21.94 |
| NH | — | $20.82 |
| NJ | — | $22.18 |
| NM | — | $22.18 |
| NV | — | $22.18 |
| NY | — | $22.18 |
| OH | — | $20.18 |
| OK | — | $22.18 |
| OR | — | $22.18 |
| PA | — | $22.18 |
| PR | $23.63 | — |
| RI | — | $22.18 |
| SC | — | $22.18 |
| SD | — | $22.18 |
| TN | — | $20.91 |
| TX | — | $20.18 |
| UT | — | $20.18 |
| VA | — | $22.18 |
| VI | $22.18 | — |
| VT | — | $20.83 |
| WA | — | $22.18 |
| WI | — | $21.46 |
| WV | — | $20.18 |
| WY | — | $22.18 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $19.83 to $67.21 depending on state and rural status.
Former-CBA payment limits: ceiling $23.33 · floor $19.83
| State | Non-rural | Rural |
|---|---|---|
| AK | $67.21 | — |
| AL | $19.83 | — |
| AR | $19.83 | — |
| AZ | $23.33 | — |
| CA | $23.33 | — |
| CO | $20.26 | — |
| CT | $23.33 | — |
| DC | $23.31 | — |
| DE | $23.33 | — |
| FL | $23.33 | — |
| GA | $23.33 | — |
| HI | $50.18 | — |
| IA | $23.33 | — |
| ID | $23.33 | — |
| IL | $22.55 | — |
| IN | $23.33 | — |
| KS | $23.33 | — |
| KY | $20.48 | — |
| LA | $19.83 | — |
| MA | $20.96 | — |
| MD | $23.33 | — |
| ME | $20.96 | — |
| MI | $20.53 | — |
| MN | $20.48 | — |
| MO | $23.33 | — |
| MS | $19.83 | — |
| MT | $19.83 | — |
| NC | $21.81 | — |
| ND | $23.33 | — |
| NE | $22.91 | — |
| NH | $20.92 | — |
| NJ | $23.33 | — |
| NM | $23.33 | — |
| NV | $23.33 | — |
| NY | $23.33 | — |
| OH | $19.83 | — |
| OK | $23.33 | — |
| OR | $23.33 | — |
| PA | $23.33 | — |
| PR | $25.85 | — |
| RI | $23.33 | — |
| SC | $23.33 | — |
| SD | $23.33 | — |
| TN | $21.07 | — |
| TX | $19.83 | — |
| UT | $19.83 | — |
| VA | $23.33 | — |
| VI | $23.33 | — |
| VT | $20.94 | — |
| WA | $23.33 | — |
| WI | $22.07 | — |
| WV | $19.83 | — |
| WY | $23.33 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $1.49 to $4.25 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $4.25 | — |
| AL | $1.64 | $1.90 |
| AR | $1.64 | $1.90 |
| AZ | $1.51 | $2.08 |
| CA | $1.64 | $2.08 |
| CO | $1.68 | $1.90 |
| CT | $1.50 | $2.08 |
| DC | $1.49 | $2.05 |
| DE | $1.49 | $2.05 |
| FL | $1.64 | $2.08 |
| GA | $1.64 | $2.08 |
| HI | $3.41 | — |
| IA | $1.67 | $2.08 |
| ID | $1.68 | $2.08 |
| IL | $1.68 | $2.01 |
| IN | $1.68 | $2.08 |
| KS | $1.67 | $2.08 |
| KY | $1.64 | $1.91 |
| LA | $1.64 | $1.90 |
| MA | $1.50 | $2.08 |
| MD | $1.49 | $2.08 |
| ME | $1.50 | $2.08 |
| MI | $1.68 | $1.91 |
| MN | $1.67 | $1.91 |
| MO | $1.67 | $2.08 |
| MS | $1.64 | $1.90 |
| MT | $1.68 | $1.90 |
| NC | $1.64 | $1.99 |
| ND | $1.67 | $2.08 |
| NE | $1.67 | $2.04 |
| NH | $1.50 | $2.08 |
| NJ | $1.49 | $2.05 |
| NM | $1.51 | $2.08 |
| NV | $1.64 | $2.08 |
| NY | $1.49 | $2.08 |
| OH | $1.68 | $1.90 |
| OK | $1.51 | $2.08 |
| OR | $1.64 | $2.08 |
| PA | $1.49 | $2.05 |
| PR | $2.49 | — |
| RI | $1.50 | $2.08 |
| SC | $1.64 | $2.08 |
| SD | $1.67 | $2.08 |
| TN | $1.64 | $1.94 |
| TX | $1.51 | $1.90 |
| UT | $1.68 | $1.90 |
| VA | $1.64 | $2.06 |
| VI | $2.08 | — |
| VT | $1.50 | $1.93 |
| WA | $1.64 | $2.08 |
| WI | $1.68 | $2.08 |
| WV | $1.64 | $1.90 |
| WY | $1.68 | $2.08 |
RR + KE — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $2.05 to $4.74 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $4.74 | — |
| AL | — | $2.05 |
| AR | — | $2.05 |
| AZ | — | $2.26 |
| CA | — | $2.26 |
| CO | — | $2.05 |
| CT | — | $2.26 |
| DC | — | $2.22 |
| DE | — | $2.22 |
| FL | — | $2.26 |
| GA | — | $2.26 |
| HI | $3.78 | — |
| IA | — | $2.26 |
| ID | — | $2.26 |
| IL | — | $2.18 |
| IN | — | $2.26 |
| KS | — | $2.26 |
| KY | — | $2.06 |
| LA | — | $2.05 |
| MA | — | $2.26 |
| MD | — | $2.26 |
| ME | — | $2.26 |
| MI | — | $2.06 |
| MN | — | $2.06 |
| MO | — | $2.26 |
| MS | — | $2.05 |
| MT | — | $2.05 |
| NC | — | $2.15 |
| ND | — | $2.26 |
| NE | — | $2.21 |
| NH | — | $2.26 |
| NJ | — | $2.22 |
| NM | — | $2.26 |
| NV | — | $2.26 |
| NY | — | $2.26 |
| OH | — | $2.05 |
| OK | — | $2.26 |
| OR | — | $2.26 |
| PA | — | $2.22 |
| PR | $2.73 | — |
| RI | — | $2.26 |
| SC | — | $2.26 |
| SD | — | $2.26 |
| TN | — | $2.09 |
| TX | — | $2.05 |
| UT | — | $2.05 |
| VA | — | $2.24 |
| VI | $2.26 | — |
| VT | — | $2.08 |
| WA | — | $2.26 |
| WI | — | $2.26 |
| WV | — | $2.05 |
| WY | — | $2.26 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $2.03 to $6.72 depending on state and rural status.
Former-CBA payment limits: ceiling $2.39 · floor $2.03
| State | Non-rural | Rural |
|---|---|---|
| AK | $6.72 | — |
| AL | $2.03 | — |
| AR | $2.03 | — |
| AZ | $2.39 | — |
| CA | $2.39 | — |
| CO | $2.03 | — |
| CT | $2.39 | — |
| DC | $2.33 | — |
| DE | $2.33 | — |
| FL | $2.39 | — |
| GA | $2.39 | — |
| HI | $5.06 | — |
| IA | $2.39 | — |
| ID | $2.39 | — |
| IL | $2.24 | — |
| IN | $2.39 | — |
| KS | $2.39 | — |
| KY | $2.05 | — |
| LA | $2.03 | — |
| MA | $2.39 | — |
| MD | $2.39 | — |
| ME | $2.39 | — |
| MI | $2.05 | — |
| MN | $2.05 | — |
| MO | $2.39 | — |
| MS | $2.03 | — |
| MT | $2.03 | — |
| NC | $2.19 | — |
| ND | $2.39 | — |
| NE | $2.31 | — |
| NH | $2.39 | — |
| NJ | $2.33 | — |
| NM | $2.39 | — |
| NV | $2.39 | — |
| NY | $2.39 | — |
| OH | $2.03 | — |
| OK | $2.39 | — |
| OR | $2.39 | — |
| PA | $2.33 | — |
| PR | $3.22 | — |
| RI | $2.39 | — |
| SC | $2.39 | — |
| SD | $2.39 | — |
| TN | $2.11 | — |
| TX | $2.03 | — |
| UT | $2.03 | — |
| VA | $2.36 | — |
| VI | $2.39 | — |
| VT | $2.10 | — |
| WA | $2.39 | — |
| WI | $2.39 | — |
| WV | $2.03 | — |
| WY | $2.39 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $11.16 to $31.83 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $31.83 | — |
| AL | $12.27 | $14.05 |
| AR | $12.27 | $14.05 |
| AZ | $11.33 | $15.36 |
| CA | $12.29 | $15.36 |
| CO | $12.63 | $14.23 |
| CT | $11.28 | $15.36 |
| DC | $11.16 | $15.34 |
| DE | $11.16 | $15.36 |
| FL | $12.27 | $15.36 |
| GA | $12.27 | $15.36 |
| HI | $25.45 | — |
| IA | $12.54 | $15.36 |
| ID | $12.63 | $15.36 |
| IL | $12.56 | $15.08 |
| IN | $12.56 | $15.36 |
| KS | $12.54 | $15.36 |
| KY | $12.27 | $14.30 |
| LA | $12.27 | $14.05 |
| MA | $11.28 | $14.48 |
| MD | $11.16 | $15.36 |
| ME | $11.28 | $14.49 |
| MI | $12.56 | $14.34 |
| MN | $12.54 | $14.30 |
| MO | $12.54 | $15.36 |
| MS | $12.27 | $14.05 |
| MT | $12.63 | $14.05 |
| NC | $12.27 | $14.80 |
| ND | $12.54 | $15.36 |
| NE | $12.54 | $15.21 |
| NH | $11.28 | $14.47 |
| NJ | $11.16 | $15.36 |
| NM | $11.33 | $15.36 |
| NV | $12.29 | $15.36 |
| NY | $11.16 | $15.36 |
| OH | $12.56 | $14.05 |
| OK | $11.33 | $15.36 |
| OR | $12.29 | $15.36 |
| PA | $11.16 | $15.36 |
| PR | $16.32 | — |
| RI | $11.28 | $15.36 |
| SC | $12.27 | $15.36 |
| SD | $12.54 | $15.36 |
| TN | $12.27 | $14.53 |
| TX | $11.33 | $14.05 |
| UT | $12.63 | $14.05 |
| VA | $12.27 | $15.36 |
| VI | $15.36 | — |
| VT | $11.28 | $14.48 |
| WA | $12.29 | $15.36 |
| WI | $12.56 | $14.91 |
| WV | $12.27 | $14.05 |
| WY | $12.63 | $15.36 |
UE + KE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $15.13 to $35.48 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $35.48 | — |
| AL | — | $15.13 |
| AR | — | $15.13 |
| AZ | — | $16.63 |
| CA | — | $16.63 |
| CO | — | $15.33 |
| CT | — | $16.63 |
| DC | — | $16.61 |
| DE | — | $16.63 |
| FL | — | $16.63 |
| GA | — | $16.63 |
| HI | $28.18 | — |
| IA | — | $16.63 |
| ID | — | $16.63 |
| IL | — | $16.30 |
| IN | — | $16.63 |
| KS | — | $16.63 |
| KY | — | $15.41 |
| LA | — | $15.13 |
| MA | — | $15.62 |
| MD | — | $16.63 |
| ME | — | $15.63 |
| MI | — | $15.46 |
| MN | — | $15.41 |
| MO | — | $16.63 |
| MS | — | $15.13 |
| MT | — | $15.13 |
| NC | — | $15.99 |
| ND | — | $16.63 |
| NE | — | $16.46 |
| NH | — | $15.61 |
| NJ | — | $16.63 |
| NM | — | $16.63 |
| NV | — | $16.63 |
| NY | — | $16.63 |
| OH | — | $15.13 |
| OK | — | $16.63 |
| OR | — | $16.63 |
| PA | — | $16.63 |
| PR | $17.72 | — |
| RI | — | $16.63 |
| SC | — | $16.63 |
| SD | — | $16.63 |
| TN | — | $15.68 |
| TX | — | $15.13 |
| UT | — | $15.13 |
| VA | — | $16.63 |
| VI | $16.63 | — |
| VT | — | $15.62 |
| WA | — | $16.63 |
| WI | — | $16.11 |
| WV | — | $15.13 |
| WY | — | $16.63 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $14.86 to $50.40 depending on state and rural status.
Former-CBA payment limits: ceiling $17.48 · floor $14.86
| State | Non-rural | Rural |
|---|---|---|
| AK | $50.40 | — |
| AL | $14.86 | — |
| AR | $14.86 | — |
| AZ | $17.48 | — |
| CA | $17.48 | — |
| CO | $15.21 | — |
| CT | $17.48 | — |
| DC | $17.44 | — |
| DE | $17.48 | — |
| FL | $17.48 | — |
| GA | $17.48 | — |
| HI | $37.63 | — |
| IA | $17.48 | — |
| ID | $17.48 | — |
| IL | $16.91 | — |
| IN | $17.48 | — |
| KS | $17.48 | — |
| KY | $15.35 | — |
| LA | $14.86 | — |
| MA | $15.74 | — |
| MD | $17.48 | — |
| ME | $15.75 | — |
| MI | $15.41 | — |
| MN | $15.35 | — |
| MO | $17.48 | — |
| MS | $14.86 | — |
| MT | $14.86 | — |
| NC | $16.37 | — |
| ND | $17.48 | — |
| NE | $17.18 | — |
| NH | $15.70 | — |
| NJ | $17.48 | — |
| NM | $17.48 | — |
| NV | $17.48 | — |
| NY | $17.48 | — |
| OH | $14.86 | — |
| OK | $17.48 | — |
| OR | $17.48 | — |
| PA | $17.48 | — |
| PR | $19.40 | — |
| RI | $17.48 | — |
| SC | $17.48 | — |
| SD | $17.48 | — |
| TN | $15.83 | — |
| TX | $14.86 | — |
| UT | $14.86 | — |
| VA | $17.48 | — |
| VI | $17.48 | — |
| VT | $15.74 | — |
| WA | $17.48 | — |
| WI | $16.58 | — |
| WV | $14.86 | — |
| WY | $17.48 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0951 at 2 units per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Anatomic Consideration.
Common denial codes to watch
Related E-codes
Bill E0951 with confidence
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