E0971 — Manual wheelchair accessory, anti-tipping device, each
HCPCS Level II E-code · short descriptor: “Wheelchair anti-tipping devi”
- 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.
E0971 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $35.00 to $57.44 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $51.25 | — |
| AL | $38.35 | $51.25 |
| AR | $38.35 | $51.25 |
| AZ | $35.00 | $51.25 |
| CA | $36.11 | $51.25 |
| CO | $36.76 | $51.25 |
| CT | $36.92 | $51.25 |
| DC | $35.33 | $51.25 |
| DE | $35.33 | $51.25 |
| FL | $38.35 | $51.25 |
| GA | $38.35 | $51.25 |
| HI | $51.25 | — |
| IA | $37.70 | $51.25 |
| ID | $36.76 | $51.25 |
| IL | $37.22 | $51.25 |
| IN | $37.22 | $51.25 |
| KS | $37.70 | $51.25 |
| KY | $38.35 | $51.25 |
| LA | $38.35 | $51.25 |
| MA | $36.92 | $51.25 |
| MD | $35.33 | $51.25 |
| ME | $36.92 | $51.25 |
| MI | $37.22 | $51.25 |
| MN | $37.70 | $51.25 |
| MO | $37.70 | $51.25 |
| MS | $38.35 | $51.25 |
| MT | $36.76 | $51.25 |
| NC | $38.35 | $51.25 |
| ND | $37.70 | $51.25 |
| NE | $37.70 | $51.25 |
| NH | $36.92 | $51.25 |
| NJ | $35.33 | $51.25 |
| NM | $35.00 | $51.25 |
| NV | $36.11 | $51.25 |
| NY | $35.33 | $51.25 |
| OH | $37.22 | $51.25 |
| OK | $35.00 | $51.25 |
| OR | $36.11 | $51.25 |
| PA | $35.33 | $51.25 |
| PR | $57.44 | — |
| RI | $36.92 | $51.25 |
| SC | $38.35 | $51.25 |
| SD | $37.70 | $51.25 |
| TN | $38.35 | $51.25 |
| TX | $35.00 | $51.25 |
| UT | $36.76 | $51.25 |
| VA | $38.35 | $51.25 |
| VI | $51.25 | — |
| VT | $36.92 | $51.25 |
| WA | $36.11 | $51.25 |
| WI | $37.22 | $51.25 |
| WV | $38.35 | $51.25 |
| WY | $36.76 | $51.25 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $61.83 to $74.22 depending on state and rural status.
Former-CBA payment limits: ceiling $61.83 · floor $52.56
| State | Non-rural | Rural |
|---|---|---|
| AK | $61.83 | — |
| AL | $61.83 | — |
| AR | $61.83 | — |
| AZ | $61.83 | — |
| CA | $61.83 | — |
| CO | $61.83 | — |
| CT | $61.83 | — |
| DC | $61.83 | — |
| DE | $61.83 | — |
| FL | $61.83 | — |
| GA | $61.83 | — |
| HI | $61.83 | — |
| IA | $61.83 | — |
| ID | $61.83 | — |
| IL | $61.83 | — |
| IN | $61.83 | — |
| KS | $61.83 | — |
| KY | $61.83 | — |
| LA | $61.83 | — |
| MA | $61.83 | — |
| MD | $61.83 | — |
| ME | $61.83 | — |
| MI | $61.83 | — |
| MN | $61.83 | — |
| MO | $61.83 | — |
| MS | $61.83 | — |
| MT | $61.83 | — |
| NC | $61.83 | — |
| ND | $61.83 | — |
| NE | $61.83 | — |
| NH | $61.83 | — |
| NJ | $61.83 | — |
| NM | $61.83 | — |
| NV | $61.83 | — |
| NY | $61.83 | — |
| OH | $61.83 | — |
| OK | $61.83 | — |
| OR | $61.83 | — |
| PA | $61.83 | — |
| PR | $74.22 | — |
| RI | $61.83 | — |
| SC | $61.83 | — |
| SD | $61.83 | — |
| TN | $61.83 | — |
| TX | $61.83 | — |
| UT | $61.83 | — |
| VA | $61.83 | — |
| VI | $61.83 | — |
| VT | $61.83 | — |
| WA | $61.83 | — |
| WI | $61.83 | — |
| WV | $61.83 | — |
| WY | $61.83 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $3.50 to $5.73 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $5.13 | — |
| AL | $3.84 | $5.13 |
| AR | $3.84 | $5.13 |
| AZ | $3.50 | $5.13 |
| CA | $3.61 | $5.13 |
| CO | $3.68 | $5.13 |
| CT | $3.69 | $5.13 |
| DC | $3.53 | $5.13 |
| DE | $3.53 | $5.13 |
| FL | $3.84 | $5.13 |
| GA | $3.84 | $5.13 |
| HI | $5.13 | — |
| IA | $3.77 | $5.13 |
| ID | $3.68 | $5.13 |
| IL | $3.72 | $5.13 |
| IN | $3.72 | $5.13 |
| KS | $3.77 | $5.13 |
| KY | $3.84 | $5.13 |
| LA | $3.84 | $5.13 |
| MA | $3.69 | $5.13 |
| MD | $3.53 | $5.13 |
| ME | $3.69 | $5.13 |
| MI | $3.72 | $5.13 |
| MN | $3.77 | $5.13 |
| MO | $3.77 | $5.13 |
| MS | $3.84 | $5.13 |
| MT | $3.68 | $5.13 |
| NC | $3.84 | $5.13 |
| ND | $3.77 | $5.13 |
| NE | $3.77 | $5.13 |
| NH | $3.69 | $5.13 |
| NJ | $3.53 | $5.13 |
| NM | $3.50 | $5.13 |
| NV | $3.61 | $5.13 |
| NY | $3.53 | $5.13 |
| OH | $3.72 | $5.13 |
| OK | $3.50 | $5.13 |
| OR | $3.61 | $5.13 |
| PA | $3.53 | $5.13 |
| PR | $5.73 | — |
| RI | $3.69 | $5.13 |
| SC | $3.84 | $5.13 |
| SD | $3.77 | $5.13 |
| TN | $3.84 | $5.13 |
| TX | $3.50 | $5.13 |
| UT | $3.68 | $5.13 |
| VA | $3.84 | $5.13 |
| VI | $5.13 | — |
| VT | $3.69 | $5.13 |
| WA | $3.61 | $5.13 |
| WI | $3.72 | $5.13 |
| WV | $3.84 | $5.13 |
| WY | $3.68 | $5.13 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $6.19 to $7.38 depending on state and rural status.
Former-CBA payment limits: ceiling $6.19 · floor $5.26
| State | Non-rural | Rural |
|---|---|---|
| AK | $6.19 | — |
| AL | $6.19 | — |
| AR | $6.19 | — |
| AZ | $6.19 | — |
| CA | $6.19 | — |
| CO | $6.19 | — |
| CT | $6.19 | — |
| DC | $6.19 | — |
| DE | $6.19 | — |
| FL | $6.19 | — |
| GA | $6.19 | — |
| HI | $6.19 | — |
| IA | $6.19 | — |
| ID | $6.19 | — |
| IL | $6.19 | — |
| IN | $6.19 | — |
| KS | $6.19 | — |
| KY | $6.19 | — |
| LA | $6.19 | — |
| MA | $6.19 | — |
| MD | $6.19 | — |
| ME | $6.19 | — |
| MI | $6.19 | — |
| MN | $6.19 | — |
| MO | $6.19 | — |
| MS | $6.19 | — |
| MT | $6.19 | — |
| NC | $6.19 | — |
| ND | $6.19 | — |
| NE | $6.19 | — |
| NH | $6.19 | — |
| NJ | $6.19 | — |
| NM | $6.19 | — |
| NV | $6.19 | — |
| NY | $6.19 | — |
| OH | $6.19 | — |
| OK | $6.19 | — |
| OR | $6.19 | — |
| PA | $6.19 | — |
| PR | $7.38 | — |
| RI | $6.19 | — |
| SC | $6.19 | — |
| SD | $6.19 | — |
| TN | $6.19 | — |
| TX | $6.19 | — |
| UT | $6.19 | — |
| VA | $6.19 | — |
| VI | $6.19 | — |
| VT | $6.19 | — |
| WA | $6.19 | — |
| WI | $6.19 | — |
| WV | $6.19 | — |
| WY | $6.19 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $26.25 to $43.08 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $38.46 | — |
| AL | $28.76 | $38.46 |
| AR | $28.76 | $38.46 |
| AZ | $26.25 | $38.46 |
| CA | $27.09 | $38.46 |
| CO | $27.57 | $38.46 |
| CT | $27.69 | $38.46 |
| DC | $26.50 | $38.46 |
| DE | $26.50 | $38.46 |
| FL | $28.76 | $38.46 |
| GA | $28.76 | $38.46 |
| HI | $38.46 | — |
| IA | $28.27 | $38.46 |
| ID | $27.57 | $38.46 |
| IL | $27.92 | $38.46 |
| IN | $27.92 | $38.46 |
| KS | $28.27 | $38.46 |
| KY | $28.76 | $38.46 |
| LA | $28.76 | $38.46 |
| MA | $27.69 | $38.46 |
| MD | $26.50 | $38.46 |
| ME | $27.69 | $38.46 |
| MI | $27.92 | $38.46 |
| MN | $28.27 | $38.46 |
| MO | $28.27 | $38.46 |
| MS | $28.76 | $38.46 |
| MT | $27.57 | $38.46 |
| NC | $28.76 | $38.46 |
| ND | $28.27 | $38.46 |
| NE | $28.27 | $38.46 |
| NH | $27.69 | $38.46 |
| NJ | $26.50 | $38.46 |
| NM | $26.25 | $38.46 |
| NV | $27.09 | $38.46 |
| NY | $26.50 | $38.46 |
| OH | $27.92 | $38.46 |
| OK | $26.25 | $38.46 |
| OR | $27.09 | $38.46 |
| PA | $26.50 | $38.46 |
| PR | $43.08 | — |
| RI | $27.69 | $38.46 |
| SC | $28.76 | $38.46 |
| SD | $28.27 | $38.46 |
| TN | $28.76 | $38.46 |
| TX | $26.25 | $38.46 |
| UT | $27.57 | $38.46 |
| VA | $28.76 | $38.46 |
| VI | $38.46 | — |
| VT | $27.69 | $38.46 |
| WA | $27.09 | $38.46 |
| WI | $27.92 | $38.46 |
| WV | $28.76 | $38.46 |
| WY | $27.57 | $38.46 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $46.42 to $55.65 depending on state and rural status.
Former-CBA payment limits: ceiling $46.42 · floor $39.46
| State | Non-rural | Rural |
|---|---|---|
| AK | $46.42 | — |
| AL | $46.42 | — |
| AR | $46.42 | — |
| AZ | $46.42 | — |
| CA | $46.42 | — |
| CO | $46.42 | — |
| CT | $46.42 | — |
| DC | $46.42 | — |
| DE | $46.42 | — |
| FL | $46.42 | — |
| GA | $46.42 | — |
| HI | $46.42 | — |
| IA | $46.42 | — |
| ID | $46.42 | — |
| IL | $46.42 | — |
| IN | $46.42 | — |
| KS | $46.42 | — |
| KY | $46.42 | — |
| LA | $46.42 | — |
| MA | $46.42 | — |
| MD | $46.42 | — |
| ME | $46.42 | — |
| MI | $46.42 | — |
| MN | $46.42 | — |
| MO | $46.42 | — |
| MS | $46.42 | — |
| MT | $46.42 | — |
| NC | $46.42 | — |
| ND | $46.42 | — |
| NE | $46.42 | — |
| NH | $46.42 | — |
| NJ | $46.42 | — |
| NM | $46.42 | — |
| NV | $46.42 | — |
| NY | $46.42 | — |
| OH | $46.42 | — |
| OK | $46.42 | — |
| OR | $46.42 | — |
| PA | $46.42 | — |
| PR | $55.65 | — |
| RI | $46.42 | — |
| SC | $46.42 | — |
| SD | $46.42 | — |
| TN | $46.42 | — |
| TX | $46.42 | — |
| UT | $46.42 | — |
| VA | $46.42 | — |
| VI | $46.42 | — |
| VT | $46.42 | — |
| WA | $46.42 | — |
| WI | $46.42 | — |
| WV | $46.42 | — |
| WY | $46.42 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0971 at 2 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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