MyMedi-AI

E0973 — Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each

HCPCS Level II E-code · short descriptor: “W/ch access det adj armrest”

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
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.

E0973 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $60.18 to $111.45 depending on state and rural status.

StateNon-ruralRural
AK$95.12—
AL$70.58$95.94
AR$70.58$95.94
AZ$62.23$106.54
CA$67.93$95.94
CO$60.18$106.54
CT$61.55$106.54
DC$62.75$106.54
DE$62.75$106.54
FL$70.58$95.94
GA$70.58$106.54
HI$98.82—
IA$65.34$106.54
ID$60.18$106.54
IL$65.79$106.54
IN$65.79$106.54
KS$65.34$106.54
KY$70.58$95.94
LA$70.58$95.94
MA$61.55$106.54
MD$62.75$106.54
ME$61.55$106.54
MI$65.79$95.94
MN$65.34$106.54
MO$65.34$106.54
MS$70.58$95.94
MT$60.18$106.54
NC$70.58$106.54
ND$65.34$102.16
NE$65.34$106.54
NH$61.55$106.54
NJ$62.75$106.54
NM$62.23$95.94
NV$67.93$106.54
NY$62.75$98.69
OH$65.79$95.94
OK$62.23$95.94
OR$67.93$106.54
PA$62.75$95.94
PR$111.45—
RI$61.55$106.54
SC$70.58$106.54
SD$65.34$102.16
TN$70.58$102.51
TX$62.23$95.94
UT$60.18$106.54
VA$70.58$103.17
VI$104.47—
VT$61.55$106.54
WA$67.93$95.94
WI$65.79$95.94
WV$70.58$95.94
WY$60.18$102.16

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $102.87 to $121.56 depending on state and rural status.

StateNon-ruralRural
AK$102.87—
AL—$104.65
AR—$104.65
AZ—$116.78
CA—$104.65
CO—$116.78
CT—$116.78
DC—$116.78
DE—$116.78
FL—$104.65
GA—$116.78
HI$107.11—
IA—$116.78
ID—$116.78
IL—$116.78
IN—$116.78
KS—$116.78
KY—$104.65
LA—$104.65
MA—$116.78
MD—$116.78
ME—$116.78
MI—$104.65
MN—$116.78
MO—$116.78
MS—$104.65
MT—$116.78
NC—$116.78
ND—$111.76
NE—$116.78
NH—$116.78
NJ—$116.78
NM—$104.65
NV—$116.78
NY—$107.79
OH—$104.65
OK—$104.65
OR—$116.78
PA—$104.65
PR$121.56—
RI—$116.78
SC—$116.78
SD—$111.76
TN—$112.16
TX—$104.65
UT—$116.78
VA—$112.92
VI$113.57—
VT—$116.78
WA—$104.65
WI—$104.65
WV—$104.65
WY—$111.76

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $106.82 to $141.24 depending on state and rural status.

Former-CBA payment limits: ceiling $141.24 · floor $120.05

StateNon-ruralRural
AK$106.82—
AL$120.05—
AR$120.05—
AZ$141.24—
CA$120.05—
CO$141.24—
CT$141.24—
DC$141.24—
DE$141.24—
FL$120.05—
GA$141.24—
HI$114.22—
IA$141.24—
ID$141.24—
IL$141.24—
IN$141.24—
KS$141.24—
KY$120.05—
LA$120.05—
MA$141.24—
MD$141.24—
ME$141.24—
MI$120.05—
MN$141.24—
MO$141.24—
MS$120.05—
MT$141.24—
NC$141.24—
ND$132.47—
NE$141.24—
NH$141.24—
NJ$141.24—
NM$120.05—
NV$141.24—
NY$125.51—
OH$120.05—
OK$120.05—
OR$141.24—
PA$120.05—
PR$139.47—
RI$141.24—
SC$141.24—
SD$132.47—
TN$133.17—
TX$120.05—
UT$141.24—
VA$134.50—
VI$125.51—
VT$141.24—
WA$120.05—
WI$120.05—
WV$120.05—
WY$132.47—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $6.02 to $12.88 depending on state and rural status.

StateNon-ruralRural
AK$9.50—
AL$7.06$9.31
AR$7.06$9.31
AZ$6.22$10.31
CA$6.80$9.39
CO$6.02$10.31
CT$6.16$10.31
DC$6.28$10.31
DE$6.28$10.31
FL$7.06$9.31
GA$7.06$10.31
HI$9.88—
IA$6.53$10.31
ID$6.02$10.31
IL$6.58$10.31
IN$6.58$10.31
KS$6.53$10.31
KY$7.06$9.31
LA$7.06$9.31
MA$6.16$9.31
MD$6.28$10.31
ME$6.16$9.31
MI$6.58$9.31
MN$6.53$10.31
MO$6.53$10.31
MS$7.06$9.31
MT$6.02$10.31
NC$7.06$10.31
ND$6.53$10.22
NE$6.53$10.31
NH$6.16$9.31
NJ$6.28$10.31
NM$6.22$9.31
NV$6.80$10.31
NY$6.28$9.63
OH$6.58$9.31
OK$6.22$9.31
OR$6.80$10.31
PA$6.28$10.31
PR$12.88—
RI$6.16$9.31
SC$7.06$10.31
SD$6.53$10.22
TN$7.06$10.25
TX$6.22$9.31
UT$6.02$9.31
VA$7.06$10.31
VI$10.21—
VT$6.16$10.31
WA$6.80$10.31
WI$6.58$9.31
WV$7.06$9.31
WY$6.02$10.22

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $10.14 to $14.14 depending on state and rural status.

StateNon-ruralRural
AK$10.27—
AL—$10.14
AR—$10.14
AZ—$11.29
CA—$10.23
CO—$11.29
CT—$11.29
DC—$11.29
DE—$11.29
FL—$10.14
GA—$11.29
HI$10.70—
IA—$11.29
ID—$11.29
IL—$11.29
IN—$11.29
KS—$11.29
KY—$10.14
LA—$10.14
MA—$10.14
MD—$11.29
ME—$10.14
MI—$10.14
MN—$11.29
MO—$11.29
MS—$10.14
MT—$11.29
NC—$11.29
ND—$11.18
NE—$11.29
NH—$10.14
NJ—$11.29
NM—$10.14
NV—$11.29
NY—$10.51
OH—$10.14
OK—$10.14
OR—$11.29
PA—$11.29
PR$14.14—
RI—$10.14
SC—$11.29
SD—$11.18
TN—$11.22
TX—$10.14
UT—$10.14
VA—$11.29
VI$11.09—
VT—$11.29
WA—$11.29
WI—$10.14
WV—$10.14
WY—$11.18

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $10.67 to $17.43 depending on state and rural status.

Former-CBA payment limits: ceiling $13.44 · floor $11.42

StateNon-ruralRural
AK$10.67—
AL$11.42—
AR$11.42—
AZ$13.44—
CA$11.58—
CO$13.44—
CT$13.44—
DC$13.44—
DE$13.44—
FL$11.42—
GA$13.44—
HI$11.41—
IA$13.44—
ID$13.44—
IL$13.44—
IN$13.44—
KS$13.44—
KY$11.42—
LA$11.42—
MA$11.42—
MD$13.44—
ME$11.42—
MI$11.42—
MN$13.44—
MO$13.44—
MS$11.42—
MT$13.44—
NC$13.44—
ND$13.24—
NE$13.44—
NH$11.42—
NJ$13.44—
NM$11.42—
NV$13.44—
NY$12.08—
OH$11.42—
OK$11.42—
OR$13.44—
PA$13.44—
PR$17.43—
RI$11.42—
SC$13.44—
SD$13.24—
TN$13.30—
TX$11.42—
UT$11.42—
VA$13.44—
VI$12.08—
VT$13.44—
WA$13.44—
WI$11.42—
WV$11.42—
WY$13.24—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $45.13 to $84.24 depending on state and rural status.

StateNon-ruralRural
AK$70.16—
AL$52.94$71.96
AR$52.94$71.96
AZ$46.67$79.90
CA$50.95$71.96
CO$45.13$79.90
CT$46.16$79.90
DC$47.06$79.90
DE$47.06$79.90
FL$52.94$71.96
GA$52.94$79.90
HI$74.12—
IA$49.01$79.90
ID$45.13$79.90
IL$49.35$79.90
IN$49.35$79.90
KS$49.01$79.90
KY$52.94$71.96
LA$52.94$71.96
MA$46.16$79.90
MD$47.06$79.90
ME$46.16$79.90
MI$49.35$71.96
MN$49.01$79.90
MO$49.01$79.90
MS$52.94$71.96
MT$45.13$79.90
NC$52.94$79.90
ND$49.01$76.63
NE$49.01$79.90
NH$46.16$79.90
NJ$47.06$79.90
NM$46.67$71.96
NV$50.95$79.90
NY$47.06$79.90
OH$49.35$71.96
OK$46.67$71.96
OR$50.95$79.90
PA$47.06$71.96
PR$83.62—
RI$46.16$79.90
SC$52.94$79.90
SD$49.01$76.63
TN$52.94$76.88
TX$46.67$71.96
UT$45.13$71.96
VA$52.94$77.38
VI$84.24—
VT$46.16$79.90
WA$50.95$71.96
WI$49.35$71.96
WV$52.94$71.96
WY$45.13$79.00

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $75.79 to $91.92 depending on state and rural status.

StateNon-ruralRural
AK$75.79—
AL—$78.49
AR—$78.49
AZ—$87.58
CA—$78.49
CO—$87.58
CT—$87.58
DC—$87.58
DE—$87.58
FL—$78.49
GA—$87.58
HI$80.33—
IA—$87.58
ID—$87.58
IL—$87.58
IN—$87.58
KS—$87.58
KY—$78.49
LA—$78.49
MA—$87.58
MD—$87.58
ME—$87.58
MI—$78.49
MN—$87.58
MO—$87.58
MS—$78.49
MT—$87.58
NC—$87.58
ND—$83.84
NE—$87.58
NH—$87.58
NJ—$87.58
NM—$78.49
NV—$87.58
NY—$87.58
OH—$78.49
OK—$78.49
OR—$87.58
PA—$78.49
PR$91.21—
RI—$87.58
SC—$87.58
SD—$83.84
TN—$84.13
TX—$78.49
UT—$78.49
VA—$84.69
VI$91.92—
VT—$87.58
WA—$78.49
WI—$78.49
WV—$78.49
WY—$86.55

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $77.76 to $105.91 depending on state and rural status.

Former-CBA payment limits: ceiling $105.91 · floor $90.02

StateNon-ruralRural
AK$77.76—
AL$90.02—
AR$90.02—
AZ$105.91—
CA$90.02—
CO$105.91—
CT$105.91—
DC$105.91—
DE$105.91—
FL$90.02—
GA$105.91—
HI$85.68—
IA$105.91—
ID$105.91—
IL$105.91—
IN$105.91—
KS$105.91—
KY$90.02—
LA$90.02—
MA$105.91—
MD$105.91—
ME$105.91—
MI$90.02—
MN$105.91—
MO$105.91—
MS$90.02—
MT$105.91—
NC$105.91—
ND$99.37—
NE$105.91—
NH$105.91—
NJ$105.91—
NM$90.02—
NV$105.91—
NY$105.91—
OH$90.02—
OK$90.02—
OR$105.91—
PA$90.02—
PR$104.68—
RI$105.91—
SC$105.91—
SD$99.37—
TN$99.87—
TX$90.02—
UT$90.02—
VA$100.87—
VI$105.91—
VT$105.91—
WA$90.02—
WI$90.02—
WV$90.02—
WY$104.13—
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 E0973 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

Related E-codes

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