MyMedi-AI

E0960 — Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware

HCPCS Level II E-code · short descriptor: “W/c shoulder harness/straps”

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.

E0960 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $80.78 to $122.75 depending on state and rural status.

StateNon-ruralRural
AK$111.58—
AL$89.73$104.64
AR$89.73$104.64
AZ$89.21$104.64
CA$87.50$104.64
CO$95.08$104.64
CT$80.78$104.64
DC$83.16$104.64
DE$83.16$104.64
FL$89.73$104.64
GA$89.73$104.64
HI$111.58—
IA$91.01$104.64
ID$95.08$104.64
IL$92.91$104.64
IN$92.91$104.64
KS$91.01$104.64
KY$89.73$104.64
LA$89.73$104.64
MA$80.78$104.64
MD$83.16$104.64
ME$80.78$104.64
MI$92.91$104.64
MN$91.01$104.64
MO$91.01$104.64
MS$89.73$104.64
MT$95.08$104.64
NC$89.73$104.64
ND$91.01$104.64
NE$91.01$104.64
NH$80.78$104.64
NJ$83.16$104.64
NM$89.21$104.64
NV$87.50$104.64
NY$83.16$104.64
OH$92.91$104.64
OK$89.21$104.64
OR$87.50$104.64
PA$83.16$104.64
PR$122.75—
RI$80.78$104.64
SC$89.73$104.64
SD$91.01$104.64
TN$89.73$104.64
TX$89.21$104.64
UT$95.08$104.64
VA$89.73$104.64
VI$111.58—
VT$80.78$104.64
WA$87.50$104.64
WI$92.91$104.64
WV$89.73$104.64
WY$95.08$104.64

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $112.74 to $132.47 depending on state and rural status.

StateNon-ruralRural
AK$119.68—
AL—$112.74
AR—$112.74
AZ—$112.74
CA—$112.74
CO—$112.74
CT—$112.74
DC—$112.74
DE—$112.74
FL—$112.74
GA—$112.74
HI$119.68—
IA—$112.74
ID—$112.74
IL—$112.74
IN—$112.74
KS—$112.74
KY—$112.74
LA—$112.74
MA—$112.74
MD—$112.74
ME—$112.74
MI—$112.74
MN—$112.74
MO—$112.74
MS—$112.74
MT—$112.74
NC—$112.74
ND—$112.74
NE—$112.74
NH—$112.74
NJ—$112.74
NM—$112.74
NV—$112.74
NY—$112.74
OH—$112.74
OK—$112.74
OR—$112.74
PA—$112.74
PR$132.47—
RI—$112.74
SC—$112.74
SD—$112.74
TN—$112.74
TX—$112.74
UT—$112.74
VA—$112.74
VI$119.68—
VT—$112.74
WA—$112.74
WI—$112.74
WV—$112.74
WY—$112.74

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $111.76 to $134.11 depending on state and rural status.

Former-CBA payment limits: ceiling $111.76 · floor $95.00

StateNon-ruralRural
AK$111.76—
AL$111.76—
AR$111.76—
AZ$111.76—
CA$111.76—
CO$111.76—
CT$111.76—
DC$111.76—
DE$111.76—
FL$111.76—
GA$111.76—
HI$111.76—
IA$111.76—
ID$111.76—
IL$111.76—
IN$111.76—
KS$111.76—
KY$111.76—
LA$111.76—
MA$111.76—
MD$111.76—
ME$111.76—
MI$111.76—
MN$111.76—
MO$111.76—
MS$111.76—
MT$111.76—
NC$111.76—
ND$111.76—
NE$111.76—
NH$111.76—
NJ$111.76—
NM$111.76—
NV$111.76—
NY$111.76—
OH$111.76—
OK$111.76—
OR$111.76—
PA$111.76—
PR$134.11—
RI$111.76—
SC$111.76—
SD$111.76—
TN$111.76—
TX$111.76—
UT$111.76—
VA$111.76—
VI$111.76—
VT$111.76—
WA$111.76—
WI$111.76—
WV$111.76—
WY$111.76—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $8.08 to $12.26 depending on state and rural status.

StateNon-ruralRural
AK$11.17—
AL$8.97$10.47
AR$8.97$10.47
AZ$8.92$10.47
CA$8.75$10.47
CO$9.51$10.47
CT$8.08$10.47
DC$8.32$10.47
DE$8.32$10.47
FL$8.97$10.47
GA$8.97$10.47
HI$11.17—
IA$9.10$10.47
ID$9.51$10.47
IL$9.29$10.47
IN$9.29$10.47
KS$9.10$10.47
KY$8.97$10.47
LA$8.97$10.47
MA$8.08$10.47
MD$8.32$10.47
ME$8.08$10.47
MI$9.29$10.47
MN$9.10$10.47
MO$9.10$10.47
MS$8.97$10.47
MT$9.51$10.47
NC$8.97$10.47
ND$9.10$10.47
NE$9.10$10.47
NH$8.08$10.47
NJ$8.32$10.47
NM$8.92$10.47
NV$8.75$10.47
NY$8.32$10.47
OH$9.29$10.47
OK$8.92$10.47
OR$8.75$10.47
PA$8.32$10.47
PR$12.26—
RI$8.08$10.47
SC$8.97$10.47
SD$9.10$10.47
TN$8.97$10.47
TX$8.92$10.47
UT$9.51$10.47
VA$8.97$10.47
VI$11.17—
VT$8.08$10.47
WA$8.75$10.47
WI$9.29$10.47
WV$8.97$10.47
WY$9.51$10.47

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $11.29 to $13.23 depending on state and rural status.

StateNon-ruralRural
AK$11.98—
AL—$11.29
AR—$11.29
AZ—$11.29
CA—$11.29
CO—$11.29
CT—$11.29
DC—$11.29
DE—$11.29
FL—$11.29
GA—$11.29
HI$11.98—
IA—$11.29
ID—$11.29
IL—$11.29
IN—$11.29
KS—$11.29
KY—$11.29
LA—$11.29
MA—$11.29
MD—$11.29
ME—$11.29
MI—$11.29
MN—$11.29
MO—$11.29
MS—$11.29
MT—$11.29
NC—$11.29
ND—$11.29
NE—$11.29
NH—$11.29
NJ—$11.29
NM—$11.29
NV—$11.29
NY—$11.29
OH—$11.29
OK—$11.29
OR—$11.29
PA—$11.29
PR$13.23—
RI—$11.29
SC—$11.29
SD—$11.29
TN—$11.29
TX—$11.29
UT—$11.29
VA—$11.29
VI$11.98—
VT—$11.29
WA—$11.29
WI—$11.29
WV—$11.29
WY—$11.29

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $11.21 to $13.37 depending on state and rural status.

Former-CBA payment limits: ceiling $11.21 · floor $9.53

StateNon-ruralRural
AK$11.21—
AL$11.21—
AR$11.21—
AZ$11.21—
CA$11.21—
CO$11.21—
CT$11.21—
DC$11.21—
DE$11.21—
FL$11.21—
GA$11.21—
HI$11.21—
IA$11.21—
ID$11.21—
IL$11.21—
IN$11.21—
KS$11.21—
KY$11.21—
LA$11.21—
MA$11.21—
MD$11.21—
ME$11.21—
MI$11.21—
MN$11.21—
MO$11.21—
MS$11.21—
MT$11.21—
NC$11.21—
ND$11.21—
NE$11.21—
NH$11.21—
NJ$11.21—
NM$11.21—
NV$11.21—
NY$11.21—
OH$11.21—
OK$11.21—
OR$11.21—
PA$11.21—
PR$13.37—
RI$11.21—
SC$11.21—
SD$11.21—
TN$11.21—
TX$11.21—
UT$11.21—
VA$11.21—
VI$11.21—
VT$11.21—
WA$11.21—
WI$11.21—
WV$11.21—
WY$11.21—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $60.58 to $92.08 depending on state and rural status.

StateNon-ruralRural
AK$83.69—
AL$67.30$78.49
AR$67.30$78.49
AZ$66.91$78.49
CA$65.63$78.49
CO$71.31$78.49
CT$60.58$78.49
DC$62.37$78.49
DE$62.37$78.49
FL$67.30$78.49
GA$67.30$78.49
HI$83.69—
IA$68.26$78.49
ID$71.31$78.49
IL$69.69$78.49
IN$69.69$78.49
KS$68.26$78.49
KY$67.30$78.49
LA$67.30$78.49
MA$60.58$78.49
MD$62.37$78.49
ME$60.58$78.49
MI$69.69$78.49
MN$68.26$78.49
MO$68.26$78.49
MS$67.30$78.49
MT$71.31$78.49
NC$67.30$78.49
ND$68.26$78.49
NE$68.26$78.49
NH$60.58$78.49
NJ$62.37$78.49
NM$66.91$78.49
NV$65.63$78.49
NY$62.37$78.49
OH$69.69$78.49
OK$66.91$78.49
OR$65.63$78.49
PA$62.37$78.49
PR$92.08—
RI$60.58$78.49
SC$67.30$78.49
SD$68.26$78.49
TN$67.30$78.49
TX$66.91$78.49
UT$71.31$78.49
VA$67.30$78.49
VI$83.69—
VT$60.58$78.49
WA$65.63$78.49
WI$69.69$78.49
WV$67.30$78.49
WY$71.31$78.49

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $84.56 to $99.37 depending on state and rural status.

StateNon-ruralRural
AK$89.77—
AL—$84.56
AR—$84.56
AZ—$84.56
CA—$84.56
CO—$84.56
CT—$84.56
DC—$84.56
DE—$84.56
FL—$84.56
GA—$84.56
HI$89.77—
IA—$84.56
ID—$84.56
IL—$84.56
IN—$84.56
KS—$84.56
KY—$84.56
LA—$84.56
MA—$84.56
MD—$84.56
ME—$84.56
MI—$84.56
MN—$84.56
MO—$84.56
MS—$84.56
MT—$84.56
NC—$84.56
ND—$84.56
NE—$84.56
NH—$84.56
NJ—$84.56
NM—$84.56
NV—$84.56
NY—$84.56
OH—$84.56
OK—$84.56
OR—$84.56
PA—$84.56
PR$99.37—
RI—$84.56
SC—$84.56
SD—$84.56
TN—$84.56
TX—$84.56
UT—$84.56
VA—$84.56
VI$89.77—
VT—$84.56
WA—$84.56
WI—$84.56
WV—$84.56
WY—$84.56

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $83.83 to $100.59 depending on state and rural status.

Former-CBA payment limits: ceiling $83.83 · floor $71.26

StateNon-ruralRural
AK$83.83—
AL$83.83—
AR$83.83—
AZ$83.83—
CA$83.83—
CO$83.83—
CT$83.83—
DC$83.83—
DE$83.83—
FL$83.83—
GA$83.83—
HI$83.83—
IA$83.83—
ID$83.83—
IL$83.83—
IN$83.83—
KS$83.83—
KY$83.83—
LA$83.83—
MA$83.83—
MD$83.83—
ME$83.83—
MI$83.83—
MN$83.83—
MO$83.83—
MS$83.83—
MT$83.83—
NC$83.83—
ND$83.83—
NE$83.83—
NH$83.83—
NJ$83.83—
NM$83.83—
NV$83.83—
NY$83.83—
OH$83.83—
OK$83.83—
OR$83.83—
PA$83.83—
PR$100.59—
RI$83.83—
SC$83.83—
SD$83.83—
TN$83.83—
TX$83.83—
UT$83.83—
VA$83.83—
VI$83.83—
VT$83.83—
WA$83.83—
WI$83.83—
WV$83.83—
WY$83.83—
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 E0960 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

CO-50 medical necessityCO-151 frequency/units

Related E-codes

E0900E0910E0911E0912E0920E0930E0935E0936E0940E0941E0942E0944

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