E0968 — Commode seat, wheelchair
HCPCS Level II E-code · short descriptor: “Wheelchair commode seat”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Special coverage instructions apply
- DMEPOS payment category
- Capped rental
- Prior authorization
- Not on Medicare required-PA list
- Status
- Active (April 2026 HCPCS)
Prior authorization
Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
E0968 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $21.71 to $31.39 depending on state and rural status.
Former-CBA payment limits: ceiling $25.54 · floor $21.71
| State | Non-rural | Rural |
|---|---|---|
| AK | $23.32 | — |
| AL | $22.12 | — |
| AR | $21.71 | — |
| AZ | $25.52 | — |
| CA | $23.11 | — |
| CO | $25.54 | — |
| CT | $25.54 | — |
| DC | $25.54 | — |
| DE | $25.54 | — |
| FL | $25.54 | — |
| GA | $24.55 | — |
| HI | $24.91 | — |
| IA | $25.54 | — |
| ID | $21.71 | — |
| IL | $25.54 | — |
| IN | $25.54 | — |
| KS | $25.54 | — |
| KY | $21.71 | — |
| LA | $21.71 | — |
| MA | $24.16 | — |
| MD | $23.56 | — |
| ME | $24.88 | — |
| MI | $25.45 | — |
| MN | $25.30 | — |
| MO | $25.54 | — |
| MS | $25.54 | — |
| MT | $25.54 | — |
| NC | $25.54 | — |
| ND | $25.54 | — |
| NE | $25.54 | — |
| NH | $22.81 | — |
| NJ | $25.54 | — |
| NM | $25.18 | — |
| NV | $25.52 | — |
| NY | $25.52 | — |
| OH | $25.54 | — |
| OK | $25.54 | — |
| OR | $21.71 | — |
| PA | $25.54 | — |
| PR | $31.39 | — |
| RI | $21.71 | — |
| SC | $25.30 | — |
| SD | $25.54 | — |
| TN | $23.31 | — |
| TX | $25.54 | — |
| UT | $21.71 | — |
| VA | $25.54 | — |
| VI | $25.52 | — |
| VT | $23.86 | — |
| WA | $24.89 | — |
| WI | $25.54 | — |
| WV | $25.54 | — |
| WY | $25.54 | — |
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026.
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.
Common denial codes to watch
Related E-codes
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