MyMedi-AI

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
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.

E0969 Medicare fee schedule (April 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

StateNon-ruralRural
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

StateNon-ruralRural
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

StateNon-ruralRural
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
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

Bill E0969 with confidence

MyMedi-AI scrubs whole claims against NCCI pairs, MUE limits, modifier rules, and PA flags before you submit — built for DME teams, no PHI stored on our servers.

Start free trial   Run a CMS-0057-F readiness check

Prefer DIY compliance? Self-audit documentation kits for DME suppliers →