E0956 — Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each
HCPCS Level II E-code · short descriptor: “W/c lateral trunk/hip suppor”
- 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
- 4
- 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.
E0956 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $89.49 to $124.07 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $111.97 | — |
| AL | $93.36 | $111.97 |
| AR | $93.36 | $111.97 |
| AZ | $93.64 | $111.97 |
| CA | $91.34 | $111.97 |
| CO | $92.54 | $111.97 |
| CT | $91.20 | $111.97 |
| DC | $89.49 | $111.97 |
| DE | $89.49 | $111.97 |
| FL | $93.36 | $111.97 |
| GA | $93.36 | $111.97 |
| HI | $111.97 | — |
| IA | $98.36 | $111.97 |
| ID | $92.54 | $111.97 |
| IL | $97.24 | $111.97 |
| IN | $97.24 | $111.97 |
| KS | $98.36 | $111.97 |
| KY | $93.36 | $111.97 |
| LA | $93.36 | $111.97 |
| MA | $91.20 | $111.97 |
| MD | $89.49 | $111.97 |
| ME | $91.20 | $111.97 |
| MI | $97.24 | $111.97 |
| MN | $98.36 | $111.97 |
| MO | $98.36 | $111.97 |
| MS | $93.36 | $111.97 |
| MT | $92.54 | $111.97 |
| NC | $93.36 | $111.97 |
| ND | $98.36 | $111.97 |
| NE | $98.36 | $111.97 |
| NH | $91.20 | $111.97 |
| NJ | $89.49 | $111.97 |
| NM | $93.64 | $111.97 |
| NV | $91.34 | $111.97 |
| NY | $89.49 | $111.97 |
| OH | $97.24 | $111.97 |
| OK | $93.64 | $111.97 |
| OR | $91.34 | $111.97 |
| PA | $89.49 | $111.97 |
| PR | $124.07 | — |
| RI | $91.20 | $111.97 |
| SC | $93.36 | $111.97 |
| SD | $98.36 | $111.97 |
| TN | $93.36 | $111.97 |
| TX | $93.64 | $111.97 |
| UT | $92.54 | $111.97 |
| VA | $93.36 | $111.97 |
| VI | $111.97 | — |
| VT | $91.20 | $111.97 |
| WA | $91.34 | $111.97 |
| WI | $97.24 | $111.97 |
| WV | $93.36 | $111.97 |
| WY | $92.54 | $111.97 |
NU + KE — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $120.74 to $134.61 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $120.74 | — |
| AL | — | $120.74 |
| AR | — | $120.74 |
| AZ | — | $120.74 |
| CA | — | $120.74 |
| CO | — | $120.74 |
| CT | — | $120.74 |
| DC | — | $120.74 |
| DE | — | $120.74 |
| FL | — | $120.74 |
| GA | — | $120.74 |
| HI | $120.74 | — |
| IA | — | $120.74 |
| ID | — | $120.74 |
| IL | — | $120.74 |
| IN | — | $120.74 |
| KS | — | $120.74 |
| KY | — | $120.74 |
| LA | — | $120.74 |
| MA | — | $120.74 |
| MD | — | $120.74 |
| ME | — | $120.74 |
| MI | — | $120.74 |
| MN | — | $120.74 |
| MO | — | $120.74 |
| MS | — | $120.74 |
| MT | — | $120.74 |
| NC | — | $120.74 |
| ND | — | $120.74 |
| NE | — | $120.74 |
| NH | — | $120.74 |
| NJ | — | $120.74 |
| NM | — | $120.74 |
| NV | — | $120.74 |
| NY | — | $120.74 |
| OH | — | $120.74 |
| OK | — | $120.74 |
| OR | — | $120.74 |
| PA | — | $120.74 |
| PR | $134.61 | — |
| RI | — | $120.74 |
| SC | — | $120.74 |
| SD | — | $120.74 |
| TN | — | $120.74 |
| TX | — | $120.74 |
| UT | — | $120.74 |
| VA | — | $120.74 |
| VI | $120.74 | — |
| VT | — | $120.74 |
| WA | — | $120.74 |
| WI | — | $120.74 |
| WV | — | $120.74 |
| WY | — | $120.74 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $121.07 to $145.31 depending on state and rural status.
Former-CBA payment limits: ceiling $121.07 · floor $102.91
| State | Non-rural | Rural |
|---|---|---|
| AK | $121.07 | — |
| AL | $121.07 | — |
| AR | $121.07 | — |
| AZ | $121.07 | — |
| CA | $121.07 | — |
| CO | $121.07 | — |
| CT | $121.07 | — |
| DC | $121.07 | — |
| DE | $121.07 | — |
| FL | $121.07 | — |
| GA | $121.07 | — |
| HI | $121.07 | — |
| IA | $121.07 | — |
| ID | $121.07 | — |
| IL | $121.07 | — |
| IN | $121.07 | — |
| KS | $121.07 | — |
| KY | $121.07 | — |
| LA | $121.07 | — |
| MA | $121.07 | — |
| MD | $121.07 | — |
| ME | $121.07 | — |
| MI | $121.07 | — |
| MN | $121.07 | — |
| MO | $121.07 | — |
| MS | $121.07 | — |
| MT | $121.07 | — |
| NC | $121.07 | — |
| ND | $121.07 | — |
| NE | $121.07 | — |
| NH | $121.07 | — |
| NJ | $121.07 | — |
| NM | $121.07 | — |
| NV | $121.07 | — |
| NY | $121.07 | — |
| OH | $121.07 | — |
| OK | $121.07 | — |
| OR | $121.07 | — |
| PA | $121.07 | — |
| PR | $145.31 | — |
| RI | $121.07 | — |
| SC | $121.07 | — |
| SD | $121.07 | — |
| TN | $121.07 | — |
| TX | $121.07 | — |
| UT | $121.07 | — |
| VA | $121.07 | — |
| VI | $121.07 | — |
| VT | $121.07 | — |
| WA | $121.07 | — |
| WI | $121.07 | — |
| WV | $121.07 | — |
| WY | $121.07 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $8.95 to $12.42 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $11.20 | — |
| AL | $9.33 | $11.20 |
| AR | $9.33 | $11.20 |
| AZ | $9.36 | $11.20 |
| CA | $9.13 | $11.20 |
| CO | $9.26 | $11.20 |
| CT | $9.12 | $11.20 |
| DC | $8.95 | $11.20 |
| DE | $8.95 | $11.20 |
| FL | $9.33 | $11.20 |
| GA | $9.33 | $11.20 |
| HI | $11.20 | — |
| IA | $9.84 | $11.20 |
| ID | $9.26 | $11.20 |
| IL | $9.72 | $11.20 |
| IN | $9.72 | $11.20 |
| KS | $9.84 | $11.20 |
| KY | $9.33 | $11.20 |
| LA | $9.33 | $11.20 |
| MA | $9.12 | $11.20 |
| MD | $8.95 | $11.20 |
| ME | $9.12 | $11.20 |
| MI | $9.72 | $11.20 |
| MN | $9.84 | $11.20 |
| MO | $9.84 | $11.20 |
| MS | $9.33 | $11.20 |
| MT | $9.26 | $11.20 |
| NC | $9.33 | $11.20 |
| ND | $9.84 | $11.20 |
| NE | $9.84 | $11.20 |
| NH | $9.12 | $11.20 |
| NJ | $8.95 | $11.20 |
| NM | $9.36 | $11.20 |
| NV | $9.13 | $11.20 |
| NY | $8.95 | $11.20 |
| OH | $9.72 | $11.20 |
| OK | $9.36 | $11.20 |
| OR | $9.13 | $11.20 |
| PA | $8.95 | $11.20 |
| PR | $12.42 | — |
| RI | $9.12 | $11.20 |
| SC | $9.33 | $11.20 |
| SD | $9.84 | $11.20 |
| TN | $9.33 | $11.20 |
| TX | $9.36 | $11.20 |
| UT | $9.26 | $11.20 |
| VA | $9.33 | $11.20 |
| VI | $11.20 | — |
| VT | $9.12 | $11.20 |
| WA | $9.13 | $11.20 |
| WI | $9.72 | $11.20 |
| WV | $9.33 | $11.20 |
| WY | $9.26 | $11.20 |
RR + KE — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $12.07 to $13.48 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $12.07 | — |
| AL | — | $12.07 |
| AR | — | $12.07 |
| AZ | — | $12.07 |
| CA | — | $12.07 |
| CO | — | $12.07 |
| CT | — | $12.07 |
| DC | — | $12.07 |
| DE | — | $12.07 |
| FL | — | $12.07 |
| GA | — | $12.07 |
| HI | $12.07 | — |
| IA | — | $12.07 |
| ID | — | $12.07 |
| IL | — | $12.07 |
| IN | — | $12.07 |
| KS | — | $12.07 |
| KY | — | $12.07 |
| LA | — | $12.07 |
| MA | — | $12.07 |
| MD | — | $12.07 |
| ME | — | $12.07 |
| MI | — | $12.07 |
| MN | — | $12.07 |
| MO | — | $12.07 |
| MS | — | $12.07 |
| MT | — | $12.07 |
| NC | — | $12.07 |
| ND | — | $12.07 |
| NE | — | $12.07 |
| NH | — | $12.07 |
| NJ | — | $12.07 |
| NM | — | $12.07 |
| NV | — | $12.07 |
| NY | — | $12.07 |
| OH | — | $12.07 |
| OK | — | $12.07 |
| OR | — | $12.07 |
| PA | — | $12.07 |
| PR | $13.48 | — |
| RI | — | $12.07 |
| SC | — | $12.07 |
| SD | — | $12.07 |
| TN | — | $12.07 |
| TX | — | $12.07 |
| UT | — | $12.07 |
| VA | — | $12.07 |
| VI | $12.07 | — |
| VT | — | $12.07 |
| WA | — | $12.07 |
| WI | — | $12.07 |
| WV | — | $12.07 |
| WY | — | $12.07 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $12.10 to $14.56 depending on state and rural status.
Former-CBA payment limits: ceiling $12.10 · floor $10.29
| State | Non-rural | Rural |
|---|---|---|
| AK | $12.10 | — |
| AL | $12.10 | — |
| AR | $12.10 | — |
| AZ | $12.10 | — |
| CA | $12.10 | — |
| CO | $12.10 | — |
| CT | $12.10 | — |
| DC | $12.10 | — |
| DE | $12.10 | — |
| FL | $12.10 | — |
| GA | $12.10 | — |
| HI | $12.10 | — |
| IA | $12.10 | — |
| ID | $12.10 | — |
| IL | $12.10 | — |
| IN | $12.10 | — |
| KS | $12.10 | — |
| KY | $12.10 | — |
| LA | $12.10 | — |
| MA | $12.10 | — |
| MD | $12.10 | — |
| ME | $12.10 | — |
| MI | $12.10 | — |
| MN | $12.10 | — |
| MO | $12.10 | — |
| MS | $12.10 | — |
| MT | $12.10 | — |
| NC | $12.10 | — |
| ND | $12.10 | — |
| NE | $12.10 | — |
| NH | $12.10 | — |
| NJ | $12.10 | — |
| NM | $12.10 | — |
| NV | $12.10 | — |
| NY | $12.10 | — |
| OH | $12.10 | — |
| OK | $12.10 | — |
| OR | $12.10 | — |
| PA | $12.10 | — |
| PR | $14.56 | — |
| RI | $12.10 | — |
| SC | $12.10 | — |
| SD | $12.10 | — |
| TN | $12.10 | — |
| TX | $12.10 | — |
| UT | $12.10 | — |
| VA | $12.10 | — |
| VI | $12.10 | — |
| VT | $12.10 | — |
| WA | $12.10 | — |
| WI | $12.10 | — |
| WV | $12.10 | — |
| WY | $12.10 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $67.12 to $93.08 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $83.98 | — |
| AL | $70.02 | $83.98 |
| AR | $70.02 | $83.98 |
| AZ | $70.23 | $83.98 |
| CA | $68.50 | $83.98 |
| CO | $69.40 | $83.98 |
| CT | $68.40 | $83.98 |
| DC | $67.12 | $83.98 |
| DE | $67.12 | $83.98 |
| FL | $70.02 | $83.98 |
| GA | $70.02 | $83.98 |
| HI | $83.98 | — |
| IA | $73.77 | $83.98 |
| ID | $69.40 | $83.98 |
| IL | $72.94 | $83.98 |
| IN | $72.94 | $83.98 |
| KS | $73.77 | $83.98 |
| KY | $70.02 | $83.98 |
| LA | $70.02 | $83.98 |
| MA | $68.40 | $83.98 |
| MD | $67.12 | $83.98 |
| ME | $68.40 | $83.98 |
| MI | $72.94 | $83.98 |
| MN | $73.77 | $83.98 |
| MO | $73.77 | $83.98 |
| MS | $70.02 | $83.98 |
| MT | $69.40 | $83.98 |
| NC | $70.02 | $83.98 |
| ND | $73.77 | $83.98 |
| NE | $73.77 | $83.98 |
| NH | $68.40 | $83.98 |
| NJ | $67.12 | $83.98 |
| NM | $70.23 | $83.98 |
| NV | $68.50 | $83.98 |
| NY | $67.12 | $83.98 |
| OH | $72.94 | $83.98 |
| OK | $70.23 | $83.98 |
| OR | $68.50 | $83.98 |
| PA | $67.12 | $83.98 |
| PR | $93.08 | — |
| RI | $68.40 | $83.98 |
| SC | $70.02 | $83.98 |
| SD | $73.77 | $83.98 |
| TN | $70.02 | $83.98 |
| TX | $70.23 | $83.98 |
| UT | $69.40 | $83.98 |
| VA | $70.02 | $83.98 |
| VI | $83.98 | — |
| VT | $68.40 | $83.98 |
| WA | $68.50 | $83.98 |
| WI | $72.94 | $83.98 |
| WV | $70.02 | $83.98 |
| WY | $69.40 | $83.98 |
UE + KE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $90.56 to $100.98 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $90.56 | — |
| AL | — | $90.56 |
| AR | — | $90.56 |
| AZ | — | $90.56 |
| CA | — | $90.56 |
| CO | — | $90.56 |
| CT | — | $90.56 |
| DC | — | $90.56 |
| DE | — | $90.56 |
| FL | — | $90.56 |
| GA | — | $90.56 |
| HI | $90.56 | — |
| IA | — | $90.56 |
| ID | — | $90.56 |
| IL | — | $90.56 |
| IN | — | $90.56 |
| KS | — | $90.56 |
| KY | — | $90.56 |
| LA | — | $90.56 |
| MA | — | $90.56 |
| MD | — | $90.56 |
| ME | — | $90.56 |
| MI | — | $90.56 |
| MN | — | $90.56 |
| MO | — | $90.56 |
| MS | — | $90.56 |
| MT | — | $90.56 |
| NC | — | $90.56 |
| ND | — | $90.56 |
| NE | — | $90.56 |
| NH | — | $90.56 |
| NJ | — | $90.56 |
| NM | — | $90.56 |
| NV | — | $90.56 |
| NY | — | $90.56 |
| OH | — | $90.56 |
| OK | — | $90.56 |
| OR | — | $90.56 |
| PA | — | $90.56 |
| PR | $100.98 | — |
| RI | — | $90.56 |
| SC | — | $90.56 |
| SD | — | $90.56 |
| TN | — | $90.56 |
| TX | — | $90.56 |
| UT | — | $90.56 |
| VA | — | $90.56 |
| VI | $90.56 | — |
| VT | — | $90.56 |
| WA | — | $90.56 |
| WI | — | $90.56 |
| WV | — | $90.56 |
| WY | — | $90.56 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $90.81 to $109.00 depending on state and rural status.
Former-CBA payment limits: ceiling $90.81 · floor $77.19
| State | Non-rural | Rural |
|---|---|---|
| AK | $90.81 | — |
| AL | $90.81 | — |
| AR | $90.81 | — |
| AZ | $90.81 | — |
| CA | $90.81 | — |
| CO | $90.81 | — |
| CT | $90.81 | — |
| DC | $90.81 | — |
| DE | $90.81 | — |
| FL | $90.81 | — |
| GA | $90.81 | — |
| HI | $90.81 | — |
| IA | $90.81 | — |
| ID | $90.81 | — |
| IL | $90.81 | — |
| IN | $90.81 | — |
| KS | $90.81 | — |
| KY | $90.81 | — |
| LA | $90.81 | — |
| MA | $90.81 | — |
| MD | $90.81 | — |
| ME | $90.81 | — |
| MI | $90.81 | — |
| MN | $90.81 | — |
| MO | $90.81 | — |
| MS | $90.81 | — |
| MT | $90.81 | — |
| NC | $90.81 | — |
| ND | $90.81 | — |
| NE | $90.81 | — |
| NH | $90.81 | — |
| NJ | $90.81 | — |
| NM | $90.81 | — |
| NV | $90.81 | — |
| NY | $90.81 | — |
| OH | $90.81 | — |
| OK | $90.81 | — |
| OR | $90.81 | — |
| PA | $90.81 | — |
| PR | $109.00 | — |
| RI | $90.81 | — |
| SC | $90.81 | — |
| SD | $90.81 | — |
| TN | $90.81 | — |
| TX | $90.81 | — |
| UT | $90.81 | — |
| VA | $90.81 | — |
| VI | $90.81 | — |
| VT | $90.81 | — |
| WA | $90.81 | — |
| WI | $90.81 | — |
| WV | $90.81 | — |
| WY | $90.81 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0956 at 4 units per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Nature of Equipment.
Common denial codes to watch
Related E-codes
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