E0954 — Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot
HCPCS Level II E-code · short descriptor: “Foot box, any type each foot”
- 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.
E0954 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $65.11 to $107.05 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $107.05 | — |
| AL | $65.52 | $68.06 |
| AR | $66.59 | $70.33 |
| AZ | $65.15 | $70.71 |
| CA | $65.35 | $69.46 |
| CO | $65.99 | $68.28 |
| CT | $65.27 | $72.08 |
| DC | $65.11 | $72.07 |
| DE | $65.11 | $72.08 |
| FL | $66.59 | $72.08 |
| GA | $65.52 | $69.81 |
| HI | $98.86 | — |
| IA | $66.76 | $71.73 |
| ID | $66.87 | $71.73 |
| IL | $66.97 | $70.90 |
| IN | $66.97 | $71.13 |
| KS | $66.76 | $71.57 |
| KY | $65.52 | $68.39 |
| LA | $66.59 | $70.33 |
| MA | $65.27 | $69.72 |
| MD | $65.11 | $72.08 |
| ME | $65.27 | $69.72 |
| MI | $65.90 | $68.42 |
| MN | $65.88 | $68.39 |
| MO | $66.95 | $72.08 |
| MS | $66.59 | $70.33 |
| MT | $65.80 | $67.71 |
| NC | $66.59 | $71.31 |
| ND | $66.76 | $71.73 |
| NE | $66.76 | $71.00 |
| NH | $65.27 | $69.70 |
| NJ | $65.11 | $72.08 |
| NM | $65.34 | $72.08 |
| NV | $66.42 | $71.31 |
| NY | $65.11 | $72.08 |
| OH | $65.90 | $68.06 |
| OK | $65.34 | $72.08 |
| OR | $66.42 | $71.73 |
| PA | $65.11 | $72.08 |
| PR | $77.58 | — |
| RI | $65.27 | $72.08 |
| SC | $66.59 | $72.08 |
| SD | $66.76 | $71.73 |
| TN | $65.52 | $68.70 |
| TX | $65.30 | $69.09 |
| UT | $65.99 | $68.06 |
| VA | $66.59 | $72.08 |
| VI | $72.08 | — |
| VT | $65.27 | $69.71 |
| WA | $66.61 | $72.08 |
| WI | $66.50 | $69.78 |
| WV | $65.52 | $68.06 |
| WY | $66.87 | $71.73 |
NU + KE — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $72.92 to $117.76 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $117.76 | — |
| AL | — | $73.21 |
| AR | — | $75.61 |
| AZ | — | $76.15 |
| CA | — | $74.92 |
| CO | — | $73.46 |
| CT | — | $77.61 |
| DC | — | $77.59 |
| DE | — | $77.61 |
| FL | — | $77.61 |
| GA | — | $75.21 |
| HI | $108.38 | — |
| IA | — | $77.32 |
| ID | — | $77.32 |
| IL | — | $76.25 |
| IN | — | $76.53 |
| KS | — | $77.13 |
| KY | — | $73.58 |
| LA | — | $75.61 |
| MA | — | $74.91 |
| MD | — | $77.61 |
| ME | — | $74.91 |
| MI | — | $73.61 |
| MN | — | $73.58 |
| MO | — | $77.61 |
| MS | — | $75.61 |
| MT | — | $72.92 |
| NC | — | $76.73 |
| ND | — | $77.32 |
| NE | — | $76.49 |
| NH | — | $74.89 |
| NJ | — | $77.61 |
| NM | — | $77.61 |
| NV | — | $76.84 |
| NY | — | $77.61 |
| OH | — | $73.21 |
| OK | — | $77.61 |
| OR | — | $77.32 |
| PA | — | $77.61 |
| PR | $83.91 | — |
| RI | — | $77.61 |
| SC | — | $77.61 |
| SD | — | $77.32 |
| TN | — | $73.94 |
| TX | — | $74.21 |
| UT | — | $73.21 |
| VA | — | $77.61 |
| VI | $77.61 | — |
| VT | — | $74.90 |
| WA | — | $77.61 |
| WI | — | $75.14 |
| WV | — | $73.21 |
| WY | — | $77.32 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $68.79 to $146.39 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $146.39 | — |
| AL | $69.32 | — |
| AR | $72.79 | — |
| AZ | $73.69 | — |
| CA | $72.29 | — |
| CO | $69.75 | — |
| CT | $76.29 | — |
| DC | $76.27 | — |
| DE | $76.29 | — |
| FL | $76.29 | — |
| GA | $72.82 | — |
| HI | $129.98 | — |
| IA | $75.76 | — |
| ID | $75.76 | — |
| IL | $73.93 | — |
| IN | $74.40 | — |
| KS | $75.43 | — |
| KY | $69.97 | — |
| LA | $72.79 | — |
| MA | $71.54 | — |
| MD | $76.29 | — |
| ME | $71.54 | — |
| MI | $70.02 | — |
| MN | $69.97 | — |
| MO | $76.29 | — |
| MS | $72.79 | — |
| MT | $68.79 | — |
| NC | $74.77 | — |
| ND | $75.76 | — |
| NE | $74.31 | — |
| NH | $71.50 | — |
| NJ | $76.29 | — |
| NM | $76.29 | — |
| NV | $74.93 | — |
| NY | $76.29 | — |
| OH | $69.32 | — |
| OK | $76.29 | — |
| OR | $75.76 | — |
| PA | $76.29 | — |
| PR | $87.28 | — |
| RI | $76.29 | — |
| SC | $76.29 | — |
| SD | $75.76 | — |
| TN | $70.56 | — |
| TX | $70.36 | — |
| UT | $69.32 | — |
| VA | $76.29 | — |
| VI | $76.29 | — |
| VT | $71.52 | — |
| WA | $76.29 | — |
| WI | $72.16 | — |
| WV | $69.32 | — |
| WY | $75.76 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $6.49 to $10.69 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $10.69 | — |
| AL | $6.63 | $6.90 |
| AR | $6.66 | $7.10 |
| AZ | $6.49 | $7.23 |
| CA | $6.59 | $7.03 |
| CO | $6.67 | $6.90 |
| CT | $6.52 | $7.28 |
| DC | $6.51 | $7.21 |
| DE | $6.51 | $7.21 |
| FL | $6.66 | $7.28 |
| GA | $6.63 | $7.08 |
| HI | $9.90 | — |
| IA | $6.65 | $7.23 |
| ID | $6.66 | $7.23 |
| IL | $6.70 | $7.08 |
| IN | $6.70 | $7.14 |
| KS | $6.65 | $7.17 |
| KY | $6.63 | $6.91 |
| LA | $6.66 | $7.10 |
| MA | $6.52 | $7.28 |
| MD | $6.51 | $7.28 |
| ME | $6.52 | $7.28 |
| MI | $6.67 | $6.91 |
| MN | $6.66 | $6.91 |
| MO | $6.69 | $7.28 |
| MS | $6.66 | $7.10 |
| MT | $6.63 | $6.85 |
| NC | $6.66 | $7.19 |
| ND | $6.65 | $7.23 |
| NE | $6.65 | $7.10 |
| NH | $6.52 | $7.28 |
| NJ | $6.51 | $7.21 |
| NM | $6.53 | $7.28 |
| NV | $6.62 | $7.23 |
| NY | $6.51 | $7.28 |
| OH | $6.67 | $6.90 |
| OK | $6.53 | $7.28 |
| OR | $6.62 | $7.23 |
| PA | $6.51 | $7.21 |
| PR | $8.39 | — |
| RI | $6.52 | $7.28 |
| SC | $6.66 | $7.28 |
| SD | $6.65 | $7.23 |
| TN | $6.63 | $6.94 |
| TX | $6.53 | $6.94 |
| UT | $6.67 | $6.90 |
| VA | $6.66 | $7.26 |
| VI | $7.28 | — |
| VT | $6.52 | $6.97 |
| WA | $6.66 | $7.28 |
| WI | $6.67 | $7.08 |
| WV | $6.63 | $6.90 |
| WY | $6.66 | $7.23 |
RR + KE — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $7.39 to $11.78 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $11.78 | — |
| AL | — | $7.43 |
| AR | — | $7.64 |
| AZ | — | $7.81 |
| CA | — | $7.60 |
| CO | — | $7.43 |
| CT | — | $7.85 |
| DC | — | $7.77 |
| DE | — | $7.77 |
| FL | — | $7.85 |
| GA | — | $7.64 |
| HI | $10.87 | — |
| IA | — | $7.81 |
| ID | — | $7.81 |
| IL | — | $7.62 |
| IN | — | $7.69 |
| KS | — | $7.75 |
| KY | — | $7.44 |
| LA | — | $7.64 |
| MA | — | $7.85 |
| MD | — | $7.85 |
| ME | — | $7.85 |
| MI | — | $7.44 |
| MN | — | $7.44 |
| MO | — | $7.85 |
| MS | — | $7.64 |
| MT | — | $7.39 |
| NC | — | $7.74 |
| ND | — | $7.81 |
| NE | — | $7.67 |
| NH | — | $7.85 |
| NJ | — | $7.77 |
| NM | — | $7.85 |
| NV | — | $7.81 |
| NY | — | $7.85 |
| OH | — | $7.43 |
| OK | — | $7.85 |
| OR | — | $7.81 |
| PA | — | $7.77 |
| PR | $9.12 | — |
| RI | — | $7.85 |
| SC | — | $7.85 |
| SD | — | $7.81 |
| TN | — | $7.47 |
| TX | — | $7.46 |
| UT | — | $7.43 |
| VA | — | $7.83 |
| VI | $7.85 | — |
| VT | — | $7.49 |
| WA | — | $7.85 |
| WI | — | $7.64 |
| WV | — | $7.43 |
| WY | — | $7.81 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $6.98 to $14.63 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $14.63 | — |
| AL | $7.03 | — |
| AR | $7.39 | — |
| AZ | $7.70 | — |
| CA | $7.34 | — |
| CO | $7.03 | — |
| CT | $7.75 | — |
| DC | $7.62 | — |
| DE | $7.62 | — |
| FL | $7.75 | — |
| GA | $7.39 | — |
| HI | $13.06 | — |
| IA | $7.70 | — |
| ID | $7.70 | — |
| IL | $7.35 | — |
| IN | $7.48 | — |
| KS | $7.58 | — |
| KY | $7.05 | — |
| LA | $7.39 | — |
| MA | $7.75 | — |
| MD | $7.75 | — |
| ME | $7.75 | — |
| MI | $7.05 | — |
| MN | $7.05 | — |
| MO | $7.75 | — |
| MS | $7.39 | — |
| MT | $6.98 | — |
| NC | $7.55 | — |
| ND | $7.70 | — |
| NE | $7.45 | — |
| NH | $7.75 | — |
| NJ | $7.62 | — |
| NM | $7.75 | — |
| NV | $7.70 | — |
| NY | $7.75 | — |
| OH | $7.03 | — |
| OK | $7.75 | — |
| OR | $7.70 | — |
| PA | $7.62 | — |
| PR | $10.01 | — |
| RI | $7.75 | — |
| SC | $7.75 | — |
| SD | $7.70 | — |
| TN | $7.11 | — |
| TX | $7.09 | — |
| UT | $7.03 | — |
| VA | $7.72 | — |
| VI | $7.75 | — |
| VT | $7.16 | — |
| WA | $7.75 | — |
| WI | $7.39 | — |
| WV | $7.03 | — |
| WY | $7.70 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $48.84 to $80.27 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $80.27 | — |
| AL | $49.14 | $51.03 |
| AR | $49.95 | $52.74 |
| AZ | $48.85 | $53.01 |
| CA | $49.00 | $52.07 |
| CO | $49.50 | $51.21 |
| CT | $48.96 | $54.05 |
| DC | $48.84 | $54.03 |
| DE | $48.84 | $54.05 |
| FL | $49.95 | $54.05 |
| GA | $49.14 | $52.34 |
| HI | $74.15 | — |
| IA | $50.06 | $53.78 |
| ID | $50.15 | $53.78 |
| IL | $50.24 | $53.18 |
| IN | $50.24 | $53.34 |
| KS | $50.06 | $53.66 |
| KY | $49.14 | $51.28 |
| LA | $49.95 | $52.74 |
| MA | $48.95 | $52.26 |
| MD | $48.84 | $54.05 |
| ME | $48.95 | $52.27 |
| MI | $49.97 | $51.86 |
| MN | $49.87 | $51.74 |
| MO | $50.22 | $54.05 |
| MS | $49.95 | $52.74 |
| MT | $49.34 | $50.76 |
| NC | $49.95 | $53.49 |
| ND | $50.06 | $53.78 |
| NE | $50.06 | $53.26 |
| NH | $48.95 | $52.25 |
| NJ | $48.84 | $54.05 |
| NM | $49.01 | $54.05 |
| NV | $49.81 | $53.47 |
| NY | $48.84 | $54.05 |
| OH | $49.43 | $51.03 |
| OK | $49.01 | $54.05 |
| OR | $49.81 | $53.78 |
| PA | $48.84 | $54.05 |
| PR | $58.19 | — |
| RI | $48.96 | $54.05 |
| SC | $49.95 | $54.05 |
| SD | $50.06 | $53.78 |
| TN | $49.14 | $51.51 |
| TX | $48.97 | $51.80 |
| UT | $49.50 | $51.03 |
| VA | $49.95 | $54.05 |
| VI | $54.05 | — |
| VT | $48.95 | $52.26 |
| WA | $49.97 | $54.05 |
| WI | $49.89 | $52.35 |
| WV | $49.14 | $51.03 |
| WY | $50.15 | $53.78 |
UE + KE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $54.68 to $88.30 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $88.30 | — |
| AL | — | $54.90 |
| AR | — | $56.70 |
| AZ | — | $57.10 |
| CA | — | $56.18 |
| CO | — | $55.10 |
| CT | — | $58.20 |
| DC | — | $58.18 |
| DE | — | $58.20 |
| FL | — | $58.20 |
| GA | — | $56.40 |
| HI | $81.30 | — |
| IA | — | $57.98 |
| ID | — | $57.98 |
| IL | — | $57.19 |
| IN | — | $57.39 |
| KS | — | $57.84 |
| KY | — | $55.18 |
| LA | — | $56.70 |
| MA | — | $56.15 |
| MD | — | $58.20 |
| ME | — | $56.16 |
| MI | — | $55.81 |
| MN | — | $55.68 |
| MO | — | $58.20 |
| MS | — | $56.70 |
| MT | — | $54.68 |
| NC | — | $57.56 |
| ND | — | $57.98 |
| NE | — | $57.38 |
| NH | — | $56.14 |
| NJ | — | $58.20 |
| NM | — | $58.20 |
| NV | — | $57.62 |
| NY | — | $58.20 |
| OH | — | $54.90 |
| OK | — | $58.20 |
| OR | — | $57.98 |
| PA | — | $58.20 |
| PR | $62.92 | — |
| RI | — | $58.20 |
| SC | — | $58.20 |
| SD | — | $57.98 |
| TN | — | $55.45 |
| TX | — | $55.65 |
| UT | — | $54.90 |
| VA | — | $58.20 |
| VI | $58.20 | — |
| VT | — | $56.15 |
| WA | — | $58.20 |
| WI | — | $56.38 |
| WV | — | $54.90 |
| WY | — | $57.98 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $51.57 to $109.74 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $109.74 | — |
| AL | $51.96 | — |
| AR | $54.57 | — |
| AZ | $55.27 | — |
| CA | $54.19 | — |
| CO | $52.31 | — |
| CT | $57.19 | — |
| DC | $57.15 | — |
| DE | $57.19 | — |
| FL | $57.19 | — |
| GA | $54.58 | — |
| HI | $97.50 | — |
| IA | $56.80 | — |
| ID | $56.80 | — |
| IL | $55.43 | — |
| IN | $55.79 | — |
| KS | $56.56 | — |
| KY | $52.45 | — |
| LA | $54.57 | — |
| MA | $53.62 | — |
| MD | $57.19 | — |
| ME | $53.63 | — |
| MI | $53.03 | — |
| MN | $52.90 | — |
| MO | $57.19 | — |
| MS | $54.57 | — |
| MT | $51.57 | — |
| NC | $56.08 | — |
| ND | $56.80 | — |
| NE | $55.74 | — |
| NH | $53.58 | — |
| NJ | $57.19 | — |
| NM | $57.19 | — |
| NV | $56.17 | — |
| NY | $57.19 | — |
| OH | $51.96 | — |
| OK | $57.19 | — |
| OR | $56.80 | — |
| PA | $57.19 | — |
| PR | $65.48 | — |
| RI | $57.19 | — |
| SC | $57.19 | — |
| SD | $56.80 | — |
| TN | $52.93 | — |
| TX | $52.72 | — |
| UT | $51.96 | — |
| VA | $57.19 | — |
| VI | $57.19 | — |
| VT | $53.62 | — |
| WA | $57.19 | — |
| WI | $54.13 | — |
| WV | $51.96 | — |
| WY | $56.80 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0954 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
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