E0969 — Narrowing device, wheelchair
HCPCS Level II E-code · short descriptor: “Wheelchair narrowing device”
- 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
- 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.
E0969 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $189.74 to $288.15 depending on state and rural status.
Former-CBA payment limits: ceiling $223.22 · floor $189.74
| State | Non-rural | Rural |
|---|---|---|
| AK | $225.76 | — |
| AL | $223.22 | — |
| AR | $189.74 | — |
| AZ | $223.22 | — |
| CA | $223.22 | — |
| CO | $207.15 | — |
| CT | $223.22 | — |
| DC | $208.34 | — |
| DE | $208.34 | — |
| FL | $223.22 | — |
| GA | $223.22 | — |
| HI | $241.40 | — |
| IA | $223.22 | — |
| ID | $223.22 | — |
| IL | $223.22 | — |
| IN | $223.22 | — |
| KS | $223.22 | — |
| KY | $220.98 | — |
| LA | $189.74 | — |
| MA | $223.22 | — |
| MD | $207.55 | — |
| ME | $223.22 | — |
| MI | $223.22 | — |
| MN | $223.22 | — |
| MO | $189.74 | — |
| MS | $223.22 | — |
| MT | $223.22 | — |
| NC | $223.22 | — |
| ND | $207.15 | — |
| NE | $223.22 | — |
| NH | $223.22 | — |
| NJ | $208.34 | — |
| NM | $223.22 | — |
| NV | $223.22 | — |
| NY | $209.85 | — |
| OH | $189.74 | — |
| OK | $219.00 | — |
| OR | $223.22 | — |
| PA | $189.74 | — |
| PR | $288.15 | — |
| RI | $223.22 | — |
| SC | $223.22 | — |
| SD | $207.15 | — |
| TN | $222.98 | — |
| TX | $203.12 | — |
| UT | $217.29 | — |
| VA | $201.18 | — |
| VI | $209.85 | — |
| VT | $223.22 | — |
| WA | $223.22 | — |
| WI | $217.53 | — |
| WV | $211.87 | — |
| WY | $207.15 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $18.79 to $36.03 depending on state and rural status.
Former-CBA payment limits: ceiling $22.10 · floor $18.79
| State | Non-rural | Rural |
|---|---|---|
| AK | $22.58 | — |
| AL | $21.44 | — |
| AR | $18.79 | — |
| AZ | $22.10 | — |
| CA | $22.10 | — |
| CO | $20.72 | — |
| CT | $22.10 | — |
| DC | $20.86 | — |
| DE | $20.86 | — |
| FL | $22.10 | — |
| GA | $22.10 | — |
| HI | $24.14 | — |
| IA | $22.10 | — |
| ID | $22.10 | — |
| IL | $20.00 | — |
| IN | $22.10 | — |
| KS | $22.10 | — |
| KY | $22.10 | — |
| LA | $18.79 | — |
| MA | $18.83 | — |
| MD | $22.10 | — |
| ME | $18.83 | — |
| MI | $22.10 | — |
| MN | $22.10 | — |
| MO | $18.79 | — |
| MS | $22.10 | — |
| MT | $22.10 | — |
| NC | $22.10 | — |
| ND | $20.72 | — |
| NE | $22.10 | — |
| NH | $18.83 | — |
| NJ | $20.86 | — |
| NM | $22.10 | — |
| NV | $22.10 | — |
| NY | $22.10 | — |
| OH | $18.79 | — |
| OK | $21.91 | — |
| OR | $22.10 | — |
| PA | $20.86 | — |
| PR | $36.03 | — |
| RI | $18.79 | — |
| SC | $22.10 | — |
| SD | $20.72 | — |
| TN | $22.10 | — |
| TX | $20.33 | — |
| UT | $21.75 | — |
| VA | $20.13 | — |
| VI | $22.10 | — |
| VT | $22.10 | — |
| WA | $22.10 | — |
| WI | $21.78 | — |
| WV | $21.13 | — |
| WY | $20.72 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $142.31 to $216.11 depending on state and rural status.
Former-CBA payment limits: ceiling $167.42 · floor $142.31
| State | Non-rural | Rural |
|---|---|---|
| AK | $169.33 | — |
| AL | $167.42 | — |
| AR | $142.31 | — |
| AZ | $167.42 | — |
| CA | $167.42 | — |
| CO | $155.38 | — |
| CT | $167.42 | — |
| DC | $156.24 | — |
| DE | $156.24 | — |
| FL | $167.42 | — |
| GA | $167.42 | — |
| HI | $181.05 | — |
| IA | $167.42 | — |
| ID | $167.42 | — |
| IL | $167.42 | — |
| IN | $167.42 | — |
| KS | $167.42 | — |
| KY | $165.73 | — |
| LA | $142.31 | — |
| MA | $167.42 | — |
| MD | $155.64 | — |
| ME | $167.42 | — |
| MI | $167.42 | — |
| MN | $167.42 | — |
| MO | $142.31 | — |
| MS | $167.42 | — |
| MT | $142.31 | — |
| NC | $167.42 | — |
| ND | $155.38 | — |
| NE | $167.42 | — |
| NH | $167.42 | — |
| NJ | $156.24 | — |
| NM | $167.42 | — |
| NV | $167.42 | — |
| NY | $164.38 | — |
| OH | $142.31 | — |
| OK | $164.23 | — |
| OR | $167.42 | — |
| PA | $156.24 | — |
| PR | $216.11 | — |
| RI | $167.42 | — |
| SC | $167.42 | — |
| SD | $155.38 | — |
| TN | $167.25 | — |
| TX | $152.36 | — |
| UT | $163.01 | — |
| VA | $150.95 | — |
| VI | $164.38 | — |
| VT | $167.42 | — |
| WA | $167.42 | — |
| WI | $163.16 | — |
| WV | $158.91 | — |
| WY | $155.38 | — |
Common denial codes to watch
Related E-codes
Bill E0969 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, E0969 included, and starter credits via POST /bot-marketplace/register.