E0974 — Manual wheelchair accessory, anti-rollback device, each
HCPCS Level II E-code · short descriptor: “W/ch access anti-rollback”
- 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.
E0974 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $30.08 to $105.25 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $30.08 | — |
| AL | $89.60 | $94.99 |
| AR | $89.60 | $94.99 |
| AZ | $92.08 | $94.99 |
| CA | $89.01 | $105.25 |
| CO | $92.45 | $94.99 |
| CT | $87.05 | $105.25 |
| DC | $83.63 | $105.25 |
| DE | $83.63 | $105.25 |
| FL | $89.60 | $94.99 |
| GA | $89.60 | $105.25 |
| HI | $71.64 | — |
| IA | $92.89 | $100.67 |
| ID | $92.45 | $105.25 |
| IL | $92.65 | $94.99 |
| IN | $92.65 | $105.25 |
| KS | $92.89 | $105.25 |
| KY | $89.60 | $101.20 |
| LA | $89.60 | $94.99 |
| MA | $87.05 | $102.15 |
| MD | $83.63 | $101.24 |
| ME | $87.05 | $102.15 |
| MI | $92.65 | $105.25 |
| MN | $92.89 | $105.25 |
| MO | $92.89 | $105.25 |
| MS | $89.60 | $105.25 |
| MT | $92.45 | $94.99 |
| NC | $89.60 | $94.99 |
| ND | $92.89 | $94.99 |
| NE | $92.89 | $105.25 |
| NH | $87.05 | $102.15 |
| NJ | $83.63 | $105.25 |
| NM | $92.08 | $105.25 |
| NV | $89.01 | $94.99 |
| NY | $83.63 | $101.07 |
| OH | $92.65 | $105.25 |
| OK | $92.08 | $105.25 |
| OR | $89.01 | $105.25 |
| PA | $83.63 | $105.25 |
| PR | $73.47 | — |
| RI | $87.05 | $105.25 |
| SC | $89.60 | $94.99 |
| SD | $92.89 | $94.99 |
| TN | $89.60 | $105.25 |
| TX | $92.08 | $105.25 |
| UT | $92.45 | $105.25 |
| VA | $89.60 | $102.63 |
| VI | $101.07 | — |
| VT | $87.05 | $102.15 |
| WA | $89.01 | $105.25 |
| WI | $92.65 | $100.23 |
| WV | $89.60 | $105.25 |
| WY | $92.45 | $94.99 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $30.09 to $111.74 depending on state and rural status.
Former-CBA payment limits: ceiling $111.74 · floor $94.98
| State | Non-rural | Rural |
|---|---|---|
| AK | $30.09 | — |
| AL | $94.98 | — |
| AR | $94.98 | — |
| AZ | $94.98 | — |
| CA | $111.74 | — |
| CO | $94.98 | — |
| CT | $111.74 | — |
| DC | $111.74 | — |
| DE | $111.74 | — |
| FL | $94.98 | — |
| GA | $111.74 | — |
| HI | $71.67 | — |
| IA | $102.58 | — |
| ID | $111.74 | — |
| IL | $94.98 | — |
| IN | $111.74 | — |
| KS | $111.74 | — |
| KY | $103.62 | — |
| LA | $94.98 | — |
| MA | $105.55 | — |
| MD | $103.71 | — |
| ME | $105.55 | — |
| MI | $111.74 | — |
| MN | $111.74 | — |
| MO | $111.74 | — |
| MS | $111.74 | — |
| MT | $94.98 | — |
| NC | $94.98 | — |
| ND | $94.98 | — |
| NE | $111.74 | — |
| NH | $105.55 | — |
| NJ | $111.74 | — |
| NM | $111.74 | — |
| NV | $94.98 | — |
| NY | $103.40 | — |
| OH | $111.74 | — |
| OK | $111.74 | — |
| OR | $111.74 | — |
| PA | $111.74 | — |
| PR | $73.46 | — |
| RI | $111.74 | — |
| SC | $94.98 | — |
| SD | $94.98 | — |
| TN | $111.74 | — |
| TX | $111.74 | — |
| UT | $111.74 | — |
| VA | $106.50 | — |
| VI | $103.40 | — |
| VT | $105.55 | — |
| WA | $111.74 | — |
| WI | $101.71 | — |
| WV | $111.74 | — |
| WY | $94.98 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $2.99 to $10.86 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $2.99 | — |
| AL | $8.96 | $9.98 |
| AR | $8.96 | $9.98 |
| AZ | $9.21 | $10.86 |
| CA | $8.90 | $10.86 |
| CO | $9.25 | $9.98 |
| CT | $8.71 | $10.86 |
| DC | $8.36 | $10.86 |
| DE | $8.36 | $10.86 |
| FL | $8.96 | $9.98 |
| GA | $8.96 | $10.86 |
| HI | $7.15 | — |
| IA | $9.29 | $10.05 |
| ID | $9.25 | $10.86 |
| IL | $9.27 | $10.86 |
| IN | $9.27 | $10.77 |
| KS | $9.29 | $10.86 |
| KY | $8.96 | $10.13 |
| LA | $8.96 | $9.98 |
| MA | $8.71 | $9.98 |
| MD | $8.36 | $10.86 |
| ME | $8.71 | $9.98 |
| MI | $9.27 | $10.56 |
| MN | $9.29 | $10.77 |
| MO | $9.29 | $10.86 |
| MS | $8.96 | $10.86 |
| MT | $9.25 | $9.98 |
| NC | $8.96 | $9.98 |
| ND | $9.29 | $9.98 |
| NE | $9.29 | $10.86 |
| NH | $8.71 | $9.98 |
| NJ | $8.36 | $10.86 |
| NM | $9.21 | $10.86 |
| NV | $8.90 | $10.86 |
| NY | $8.36 | $10.29 |
| OH | $9.27 | $10.86 |
| OK | $9.21 | $10.86 |
| OR | $8.90 | $10.86 |
| PA | $8.36 | $10.86 |
| PR | $9.19 | — |
| RI | $8.71 | $10.86 |
| SC | $8.96 | $9.98 |
| SD | $9.29 | $9.98 |
| TN | $8.96 | $10.52 |
| TX | $9.21 | $10.86 |
| UT | $9.25 | $10.86 |
| VA | $8.96 | $10.24 |
| VI | $10.29 | — |
| VT | $8.71 | $10.21 |
| WA | $8.90 | $10.86 |
| WI | $9.27 | $10.02 |
| WV | $8.96 | $10.86 |
| WY | $9.25 | $9.98 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $2.98 to $11.84 depending on state and rural status.
Former-CBA payment limits: ceiling $11.84 · floor $10.06
| State | Non-rural | Rural |
|---|---|---|
| AK | $2.98 | — |
| AL | $10.06 | — |
| AR | $10.06 | — |
| AZ | $11.84 | — |
| CA | $11.84 | — |
| CO | $10.06 | — |
| CT | $11.84 | — |
| DC | $11.84 | — |
| DE | $11.84 | — |
| FL | $10.06 | — |
| GA | $11.84 | — |
| HI | $7.14 | — |
| IA | $10.26 | — |
| ID | $11.84 | — |
| IL | $11.84 | — |
| IN | $11.66 | — |
| KS | $11.84 | — |
| KY | $10.39 | — |
| LA | $10.06 | — |
| MA | $10.06 | — |
| MD | $11.84 | — |
| ME | $10.06 | — |
| MI | $11.24 | — |
| MN | $11.66 | — |
| MO | $11.84 | — |
| MS | $11.84 | — |
| MT | $10.06 | — |
| NC | $10.06 | — |
| ND | $10.06 | — |
| NE | $11.84 | — |
| NH | $10.06 | — |
| NJ | $11.84 | — |
| NM | $11.84 | — |
| NV | $11.84 | — |
| NY | $10.72 | — |
| OH | $11.84 | — |
| OK | $11.84 | — |
| OR | $11.84 | — |
| PA | $11.84 | — |
| PR | $9.20 | — |
| RI | $11.84 | — |
| SC | $10.06 | — |
| SD | $10.06 | — |
| TN | $11.17 | — |
| TX | $11.84 | — |
| UT | $11.84 | — |
| VA | $10.61 | — |
| VI | $10.72 | — |
| VT | $10.56 | — |
| WA | $11.84 | — |
| WI | $10.17 | — |
| WV | $11.84 | — |
| WY | $10.06 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $22.58 to $79.25 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $22.58 | — |
| AL | $67.20 | $71.77 |
| AR | $67.20 | $71.77 |
| AZ | $69.06 | $71.77 |
| CA | $66.76 | $79.25 |
| CO | $69.34 | $71.77 |
| CT | $65.29 | $79.25 |
| DC | $62.72 | $79.25 |
| DE | $62.72 | $79.25 |
| FL | $67.20 | $71.77 |
| GA | $67.20 | $79.25 |
| HI | $53.76 | — |
| IA | $69.67 | $75.51 |
| ID | $69.34 | $79.25 |
| IL | $69.49 | $79.25 |
| IN | $69.49 | $79.25 |
| KS | $69.67 | $79.25 |
| KY | $67.20 | $75.88 |
| LA | $67.20 | $71.77 |
| MA | $65.29 | $76.61 |
| MD | $62.72 | $75.92 |
| ME | $65.29 | $76.61 |
| MI | $69.49 | $79.25 |
| MN | $69.67 | $79.25 |
| MO | $69.67 | $79.25 |
| MS | $67.20 | $79.25 |
| MT | $69.34 | $71.77 |
| NC | $67.20 | $71.77 |
| ND | $69.67 | $71.77 |
| NE | $69.67 | $79.25 |
| NH | $65.29 | $76.61 |
| NJ | $62.72 | $79.25 |
| NM | $69.06 | $79.25 |
| NV | $66.76 | $71.77 |
| NY | $62.72 | $77.28 |
| OH | $69.49 | $79.25 |
| OK | $69.06 | $79.25 |
| OR | $66.76 | $79.25 |
| PA | $62.72 | $79.25 |
| PR | $55.06 | — |
| RI | $65.29 | $79.25 |
| SC | $67.20 | $71.77 |
| SD | $69.67 | $71.77 |
| TN | $67.20 | $78.95 |
| TX | $69.06 | $79.25 |
| UT | $69.34 | $79.25 |
| VA | $67.20 | $76.97 |
| VI | $77.28 | — |
| VT | $65.29 | $76.61 |
| WA | $66.76 | $79.25 |
| WI | $69.49 | $75.17 |
| WV | $67.20 | $79.25 |
| WY | $69.34 | $71.77 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $22.58 to $84.45 depending on state and rural status.
Former-CBA payment limits: ceiling $84.45 · floor $71.78
| State | Non-rural | Rural |
|---|---|---|
| AK | $22.58 | — |
| AL | $71.78 | — |
| AR | $71.78 | — |
| AZ | $71.78 | — |
| CA | $84.45 | — |
| CO | $71.78 | — |
| CT | $84.45 | — |
| DC | $84.45 | — |
| DE | $84.45 | — |
| FL | $71.78 | — |
| GA | $84.45 | — |
| HI | $53.76 | — |
| IA | $76.97 | — |
| ID | $84.45 | — |
| IL | $84.45 | — |
| IN | $84.45 | — |
| KS | $84.45 | — |
| KY | $77.70 | — |
| LA | $71.78 | — |
| MA | $79.16 | — |
| MD | $77.79 | — |
| ME | $79.16 | — |
| MI | $84.45 | — |
| MN | $84.45 | — |
| MO | $84.45 | — |
| MS | $84.45 | — |
| MT | $71.78 | — |
| NC | $71.78 | — |
| ND | $71.78 | — |
| NE | $84.45 | — |
| NH | $79.16 | — |
| NJ | $84.45 | — |
| NM | $84.45 | — |
| NV | $71.78 | — |
| NY | $80.48 | — |
| OH | $84.45 | — |
| OK | $84.45 | — |
| OR | $84.45 | — |
| PA | $84.45 | — |
| PR | $55.06 | — |
| RI | $84.45 | — |
| SC | $71.78 | — |
| SD | $71.78 | — |
| TN | $83.82 | — |
| TX | $84.45 | — |
| UT | $84.45 | — |
| VA | $79.89 | — |
| VI | $80.48 | — |
| VT | $79.16 | — |
| WA | $84.45 | — |
| WI | $76.27 | — |
| WV | $84.45 | — |
| WY | $71.78 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0974 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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