E0952 — Toe loop/holder, any type, each
HCPCS Level II E-code · short descriptor: “Toe loop/holder, each”
- 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
- 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.
E0952 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $19.67 to $35.63 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $35.31 | — |
| AL | $19.67 | $19.67 |
| AR | $20.74 | $21.94 |
| AZ | $20.74 | $20.92 |
| CA | $19.67 | $19.67 |
| CO | $19.67 | $19.67 |
| CT | $20.74 | $21.94 |
| DC | $20.74 | $21.94 |
| DE | $20.74 | $21.94 |
| FL | $20.74 | $21.94 |
| GA | $19.67 | $19.67 |
| HI | $35.63 | — |
| IA | $20.74 | $21.94 |
| ID | $20.74 | $21.94 |
| IL | $20.74 | $21.14 |
| IN | $20.74 | $20.99 |
| KS | $20.74 | $21.78 |
| KY | $19.67 | $19.67 |
| LA | $20.74 | $21.94 |
| MA | $20.74 | $20.75 |
| MD | $20.74 | $21.94 |
| ME | $20.74 | $20.75 |
| MI | $19.67 | $19.67 |
| MN | $19.67 | $19.67 |
| MO | $20.74 | $21.94 |
| MS | $20.74 | $21.94 |
| MT | $19.67 | $19.67 |
| NC | $20.74 | $21.94 |
| ND | $20.74 | $21.94 |
| NE | $20.74 | $21.42 |
| NH | $20.74 | $20.75 |
| NJ | $20.74 | $21.94 |
| NM | $20.74 | $21.94 |
| NV | $20.74 | $21.52 |
| NY | $20.74 | $21.94 |
| OH | $19.67 | $19.67 |
| OK | $20.74 | $21.94 |
| OR | $20.74 | $21.94 |
| PA | $20.74 | $21.94 |
| PR | $23.19 | — |
| RI | $20.74 | $21.94 |
| SC | $20.74 | $21.94 |
| SD | $20.74 | $21.94 |
| TN | $19.67 | $19.67 |
| TX | $20.70 | $20.70 |
| UT | $19.67 | $19.67 |
| VA | $20.74 | $21.94 |
| VI | $21.94 | — |
| VT | $20.74 | $20.75 |
| WA | $20.74 | $21.94 |
| WI | $20.27 | $20.27 |
| WV | $19.67 | $19.67 |
| WY | $20.74 | $21.94 |
NU + KE — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $21.22 to $39.29 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $38.93 | — |
| AL | — | $21.22 |
| AR | — | $23.62 |
| AZ | — | $22.45 |
| CA | — | $21.22 |
| CO | — | $21.22 |
| CT | — | $23.62 |
| DC | — | $23.62 |
| DE | — | $23.62 |
| FL | — | $23.62 |
| GA | — | $21.22 |
| HI | $39.29 | — |
| IA | — | $23.62 |
| ID | — | $23.62 |
| IL | — | $22.70 |
| IN | — | $22.54 |
| KS | — | $23.43 |
| KY | — | $21.22 |
| LA | — | $23.62 |
| MA | — | $22.26 |
| MD | — | $23.62 |
| ME | — | $22.26 |
| MI | — | $21.22 |
| MN | — | $21.22 |
| MO | — | $23.62 |
| MS | — | $23.62 |
| MT | — | $21.22 |
| NC | — | $23.62 |
| ND | — | $23.62 |
| NE | — | $23.03 |
| NH | — | $22.26 |
| NJ | — | $23.62 |
| NM | — | $23.62 |
| NV | — | $23.14 |
| NY | — | $23.62 |
| OH | — | $21.22 |
| OK | — | $23.62 |
| OR | — | $23.62 |
| PA | — | $23.62 |
| PR | $25.05 | — |
| RI | — | $23.62 |
| SC | — | $23.62 |
| SD | — | $23.62 |
| TN | — | $21.22 |
| TX | — | $22.22 |
| UT | — | $21.22 |
| VA | — | $23.62 |
| VI | $23.62 | — |
| VT | — | $22.26 |
| WA | — | $23.62 |
| WI | — | $21.87 |
| WV | — | $21.22 |
| WY | — | $23.62 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $19.67 to $50.51 depending on state and rural status.
Former-CBA payment limits: ceiling $23.14 · floor $19.67
| State | Non-rural | Rural |
|---|---|---|
| AK | $49.89 | — |
| AL | $19.67 | — |
| AR | $23.14 | — |
| AZ | $21.07 | — |
| CA | $19.67 | — |
| CO | $19.67 | — |
| CT | $23.14 | — |
| DC | $23.14 | — |
| DE | $23.14 | — |
| FL | $23.14 | — |
| GA | $19.67 | — |
| HI | $50.51 | — |
| IA | $23.14 | — |
| ID | $23.14 | — |
| IL | $21.56 | — |
| IN | $21.25 | — |
| KS | $22.81 | — |
| KY | $19.67 | — |
| LA | $23.14 | — |
| MA | $20.76 | — |
| MD | $23.14 | — |
| ME | $20.76 | — |
| MI | $19.67 | — |
| MN | $19.67 | — |
| MO | $23.14 | — |
| MS | $23.14 | — |
| MT | $19.67 | — |
| NC | $23.14 | — |
| ND | $23.14 | — |
| NE | $22.11 | — |
| NH | $20.76 | — |
| NJ | $23.14 | — |
| NM | $23.14 | — |
| NV | $22.31 | — |
| NY | $23.14 | — |
| OH | $19.67 | — |
| OK | $23.14 | — |
| OR | $23.14 | — |
| PA | $23.14 | — |
| PR | $25.65 | — |
| RI | $23.14 | — |
| SC | $23.14 | — |
| SD | $23.14 | — |
| TN | $19.67 | — |
| TX | $20.71 | — |
| UT | $19.67 | — |
| VA | $23.14 | — |
| VI | $23.14 | — |
| VT | $20.76 | — |
| WA | $23.14 | — |
| WI | $20.27 | — |
| WV | $19.67 | — |
| WY | $23.14 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $2.04 to $3.58 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $3.53 | — |
| AL | $2.04 | $2.04 |
| AR | $2.07 | $2.24 |
| AZ | $2.07 | $2.24 |
| CA | $2.04 | $2.04 |
| CO | $2.04 | $2.04 |
| CT | $2.07 | $2.24 |
| DC | $2.07 | $2.20 |
| DE | $2.07 | $2.20 |
| FL | $2.07 | $2.24 |
| GA | $2.04 | $2.04 |
| HI | $3.58 | — |
| IA | $2.07 | $2.24 |
| ID | $2.07 | $2.24 |
| IL | $2.07 | $2.11 |
| IN | $2.07 | $2.10 |
| KS | $2.07 | $2.18 |
| KY | $2.04 | $2.04 |
| LA | $2.07 | $2.24 |
| MA | $2.07 | $2.24 |
| MD | $2.07 | $2.24 |
| ME | $2.07 | $2.24 |
| MI | $2.04 | $2.04 |
| MN | $2.04 | $2.04 |
| MO | $2.07 | $2.24 |
| MS | $2.07 | $2.24 |
| MT | $2.04 | $2.04 |
| NC | $2.07 | $2.24 |
| ND | $2.07 | $2.24 |
| NE | $2.07 | $2.15 |
| NH | $2.07 | $2.24 |
| NJ | $2.07 | $2.20 |
| NM | $2.07 | $2.24 |
| NV | $2.07 | $2.24 |
| NY | $2.07 | $2.24 |
| OH | $2.04 | $2.04 |
| OK | $2.07 | $2.24 |
| OR | $2.07 | $2.24 |
| PA | $2.07 | $2.20 |
| PR | $2.65 | — |
| RI | $2.07 | $2.24 |
| SC | $2.07 | $2.24 |
| SD | $2.07 | $2.24 |
| TN | $2.04 | $2.04 |
| TX | $2.07 | $2.08 |
| UT | $2.04 | $2.04 |
| VA | $2.07 | $2.24 |
| VI | $2.24 | — |
| VT | $2.07 | $2.08 |
| WA | $2.07 | $2.24 |
| WI | $2.04 | $2.04 |
| WV | $2.04 | $2.04 |
| WY | $2.07 | $2.24 |
RR + KE — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $2.20 to $3.95 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $3.90 | — |
| AL | — | $2.20 |
| AR | — | $2.41 |
| AZ | — | $2.41 |
| CA | — | $2.20 |
| CO | — | $2.20 |
| CT | — | $2.41 |
| DC | — | $2.37 |
| DE | — | $2.37 |
| FL | — | $2.41 |
| GA | — | $2.20 |
| HI | $3.95 | — |
| IA | — | $2.41 |
| ID | — | $2.41 |
| IL | — | $2.26 |
| IN | — | $2.25 |
| KS | — | $2.35 |
| KY | — | $2.20 |
| LA | — | $2.41 |
| MA | — | $2.41 |
| MD | — | $2.41 |
| ME | — | $2.41 |
| MI | — | $2.20 |
| MN | — | $2.20 |
| MO | — | $2.41 |
| MS | — | $2.41 |
| MT | — | $2.20 |
| NC | — | $2.41 |
| ND | — | $2.41 |
| NE | — | $2.32 |
| NH | — | $2.41 |
| NJ | — | $2.37 |
| NM | — | $2.41 |
| NV | — | $2.41 |
| NY | — | $2.41 |
| OH | — | $2.20 |
| OK | — | $2.41 |
| OR | — | $2.41 |
| PA | — | $2.37 |
| PR | $2.88 | — |
| RI | — | $2.41 |
| SC | — | $2.41 |
| SD | — | $2.41 |
| TN | — | $2.20 |
| TX | — | $2.23 |
| UT | — | $2.20 |
| VA | — | $2.41 |
| VI | $2.41 | — |
| VT | — | $2.23 |
| WA | — | $2.41 |
| WI | — | $2.20 |
| WV | — | $2.20 |
| WY | — | $2.41 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $2.03 to $5.08 depending on state and rural status.
Former-CBA payment limits: ceiling $2.39 · floor $2.03
| State | Non-rural | Rural |
|---|---|---|
| AK | $4.99 | — |
| AL | $2.03 | — |
| AR | $2.39 | — |
| AZ | $2.39 | — |
| CA | $2.03 | — |
| CO | $2.03 | — |
| CT | $2.39 | — |
| DC | $2.32 | — |
| DE | $2.32 | — |
| FL | $2.39 | — |
| GA | $2.03 | — |
| HI | $5.08 | — |
| IA | $2.39 | — |
| ID | $2.39 | — |
| IL | $2.14 | — |
| IN | $2.12 | — |
| KS | $2.27 | — |
| KY | $2.03 | — |
| LA | $2.39 | — |
| MA | $2.39 | — |
| MD | $2.39 | — |
| ME | $2.39 | — |
| MI | $2.03 | — |
| MN | $2.03 | — |
| MO | $2.39 | — |
| MS | $2.39 | — |
| MT | $2.03 | — |
| NC | $2.39 | — |
| ND | $2.39 | — |
| NE | $2.22 | — |
| NH | $2.39 | — |
| NJ | $2.32 | — |
| NM | $2.39 | — |
| NV | $2.39 | — |
| NY | $2.39 | — |
| OH | $2.03 | — |
| OK | $2.39 | — |
| OR | $2.39 | — |
| PA | $2.32 | — |
| PR | $3.22 | — |
| RI | $2.39 | — |
| SC | $2.39 | — |
| SD | $2.39 | — |
| TN | $2.03 | — |
| TX | $2.09 | — |
| UT | $2.03 | — |
| VA | $2.39 | — |
| VI | $2.39 | — |
| VT | $2.09 | — |
| WA | $2.39 | — |
| WI | $2.03 | — |
| WV | $2.03 | — |
| WY | $2.39 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $14.75 to $26.74 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $26.48 | — |
| AL | $14.75 | $14.75 |
| AR | $15.56 | $16.46 |
| AZ | $15.56 | $15.69 |
| CA | $14.75 | $14.75 |
| CO | $14.75 | $14.75 |
| CT | $15.56 | $16.46 |
| DC | $15.56 | $16.46 |
| DE | $15.56 | $16.46 |
| FL | $15.56 | $16.46 |
| GA | $14.75 | $14.75 |
| HI | $26.74 | — |
| IA | $15.56 | $16.46 |
| ID | $15.56 | $16.46 |
| IL | $15.56 | $15.87 |
| IN | $15.56 | $15.75 |
| KS | $15.56 | $16.34 |
| KY | $14.75 | $14.75 |
| LA | $15.56 | $16.46 |
| MA | $15.55 | $15.55 |
| MD | $15.56 | $16.46 |
| ME | $15.55 | $15.55 |
| MI | $15.29 | $15.29 |
| MN | $15.21 | $15.21 |
| MO | $15.56 | $16.46 |
| MS | $15.56 | $16.46 |
| MT | $14.75 | $14.75 |
| NC | $15.56 | $16.46 |
| ND | $15.56 | $16.46 |
| NE | $15.56 | $16.09 |
| NH | $15.55 | $15.55 |
| NJ | $15.56 | $16.46 |
| NM | $15.56 | $16.46 |
| NV | $15.56 | $16.15 |
| NY | $15.56 | $16.46 |
| OH | $14.75 | $14.75 |
| OK | $15.56 | $16.46 |
| OR | $15.56 | $16.46 |
| PA | $15.56 | $16.46 |
| PR | $17.40 | — |
| RI | $15.56 | $16.46 |
| SC | $15.56 | $16.46 |
| SD | $15.56 | $16.46 |
| TN | $14.75 | $14.75 |
| TX | $15.52 | $15.52 |
| UT | $14.75 | $14.75 |
| VA | $15.56 | $16.46 |
| VI | $16.46 | — |
| VT | $15.55 | $15.55 |
| WA | $15.56 | $16.46 |
| WI | $15.21 | $15.21 |
| WV | $14.75 | $14.75 |
| WY | $15.56 | $16.46 |
UE + KE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $15.92 to $29.49 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $29.19 | — |
| AL | — | $15.92 |
| AR | — | $17.72 |
| AZ | — | $16.84 |
| CA | — | $15.92 |
| CO | — | $15.92 |
| CT | — | $17.72 |
| DC | — | $17.72 |
| DE | — | $17.72 |
| FL | — | $17.72 |
| GA | — | $15.92 |
| HI | $29.49 | — |
| IA | — | $17.72 |
| ID | — | $17.72 |
| IL | — | $17.04 |
| IN | — | $16.91 |
| KS | — | $17.58 |
| KY | — | $15.92 |
| LA | — | $17.72 |
| MA | — | $16.68 |
| MD | — | $17.72 |
| ME | — | $16.68 |
| MI | — | $16.50 |
| MN | — | $16.42 |
| MO | — | $17.72 |
| MS | — | $17.72 |
| MT | — | $15.92 |
| NC | — | $17.72 |
| ND | — | $17.72 |
| NE | — | $17.29 |
| NH | — | $16.68 |
| NJ | — | $17.72 |
| NM | — | $17.72 |
| NV | — | $17.36 |
| NY | — | $17.72 |
| OH | — | $15.92 |
| OK | — | $17.72 |
| OR | — | $17.72 |
| PA | — | $17.72 |
| PR | $18.79 | — |
| RI | — | $17.72 |
| SC | — | $17.72 |
| SD | — | $17.72 |
| TN | — | $15.92 |
| TX | — | $16.67 |
| UT | — | $15.92 |
| VA | — | $17.72 |
| VI | $17.72 | — |
| VT | — | $16.68 |
| WA | — | $17.72 |
| WI | — | $16.42 |
| WV | — | $15.92 |
| WY | — | $17.72 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $14.76 to $37.92 depending on state and rural status.
Former-CBA payment limits: ceiling $17.37 · floor $14.76
| State | Non-rural | Rural |
|---|---|---|
| AK | $37.39 | — |
| AL | $14.76 | — |
| AR | $17.37 | — |
| AZ | $15.84 | — |
| CA | $14.76 | — |
| CO | $14.76 | — |
| CT | $17.37 | — |
| DC | $17.37 | — |
| DE | $17.37 | — |
| FL | $17.37 | — |
| GA | $14.76 | — |
| HI | $37.92 | — |
| IA | $17.37 | — |
| ID | $17.37 | — |
| IL | $16.18 | — |
| IN | $15.97 | — |
| KS | $17.13 | — |
| KY | $14.76 | — |
| LA | $17.37 | — |
| MA | $15.54 | — |
| MD | $17.37 | — |
| ME | $15.54 | — |
| MI | $15.28 | — |
| MN | $15.21 | — |
| MO | $17.37 | — |
| MS | $17.37 | — |
| MT | $14.76 | — |
| NC | $17.37 | — |
| ND | $17.37 | — |
| NE | $16.61 | — |
| NH | $15.54 | — |
| NJ | $17.37 | — |
| NM | $17.37 | — |
| NV | $16.74 | — |
| NY | $17.37 | — |
| OH | $14.76 | — |
| OK | $17.37 | — |
| OR | $17.37 | — |
| PA | $17.37 | — |
| PR | $19.24 | — |
| RI | $17.37 | — |
| SC | $17.37 | — |
| SD | $17.37 | — |
| TN | $14.76 | — |
| TX | $15.52 | — |
| UT | $14.76 | — |
| VA | $17.37 | — |
| VI | $17.37 | — |
| VT | $15.54 | — |
| WA | $17.37 | — |
| WI | $15.21 | — |
| WV | $14.76 | — |
| WY | $17.37 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0952 at 2 units 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 E0952 with confidence
Track prior-authorization requests with AI pre-fill and deadline tracking, and draft PA appeal letters — built for DME teams, PHI-free: no patient data is collected or stored.
Start free trial Run a CMS-0057-F readiness checkPrefer DIY compliance? Self-audit documentation kits for DME suppliers →
Building an AI agent? Try the agent API in the playground — free PA-required lookups, E0952 included, and starter credits via POST /bot-marketplace/register.