E0978 — Wheelchair accessory, positioning belt/safety belt/pelvic strap, each
HCPCS Level II E-code · short descriptor: “W/c acc,saf belt pelv strap”
- 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
- 1
- 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.
E0978 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $27.72 to $50.65 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $44.11 | — |
| AL | $30.95 | $38.75 |
| AR | $30.95 | $38.75 |
| AZ | $27.72 | $40.41 |
| CA | $28.48 | $38.75 |
| CO | $31.20 | $40.43 |
| CT | $29.68 | $42.68 |
| DC | $29.02 | $42.68 |
| DE | $29.02 | $42.68 |
| FL | $30.95 | $38.75 |
| GA | $30.95 | $42.68 |
| HI | $48.77 | — |
| IA | $29.65 | $38.75 |
| ID | $31.20 | $41.69 |
| IL | $30.86 | $42.68 |
| IN | $30.86 | $42.68 |
| KS | $29.65 | $42.68 |
| KY | $30.95 | $42.68 |
| LA | $30.95 | $38.75 |
| MA | $29.68 | $42.68 |
| MD | $29.02 | $42.68 |
| ME | $29.68 | $42.68 |
| MI | $30.86 | $41.73 |
| MN | $29.65 | $41.42 |
| MO | $29.65 | $38.75 |
| MS | $30.95 | $42.68 |
| MT | $31.20 | $38.75 |
| NC | $30.95 | $41.92 |
| ND | $29.65 | $42.68 |
| NE | $29.65 | $42.68 |
| NH | $29.68 | $42.68 |
| NJ | $29.02 | $42.68 |
| NM | $27.72 | $38.75 |
| NV | $28.48 | $41.86 |
| NY | $29.02 | $42.68 |
| OH | $30.86 | $42.23 |
| OK | $27.72 | $39.53 |
| OR | $28.48 | $38.75 |
| PA | $29.02 | $42.68 |
| PR | $50.65 | — |
| RI | $29.68 | $42.68 |
| SC | $30.95 | $42.39 |
| SD | $29.65 | $42.68 |
| TN | $30.95 | $39.84 |
| TX | $27.72 | $41.91 |
| UT | $31.20 | $42.68 |
| VA | $30.95 | $40.15 |
| VI | $42.69 | — |
| VT | $29.68 | $42.68 |
| WA | $28.48 | $42.68 |
| WI | $30.86 | $42.68 |
| WV | $30.95 | $42.23 |
| WY | $31.20 | $42.68 |
NU + KE — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $41.98 to $55.61 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $48.11 | — |
| AL | — | $41.98 |
| AR | — | $41.98 |
| AZ | — | $43.88 |
| CA | — | $41.98 |
| CO | — | $43.90 |
| CT | — | $46.48 |
| DC | — | $46.48 |
| DE | — | $46.48 |
| FL | — | $41.98 |
| GA | — | $46.48 |
| HI | $53.45 | — |
| IA | — | $41.98 |
| ID | — | $45.35 |
| IL | — | $46.48 |
| IN | — | $46.48 |
| KS | — | $46.48 |
| KY | — | $46.48 |
| LA | — | $41.98 |
| MA | — | $46.48 |
| MD | — | $46.48 |
| ME | — | $46.48 |
| MI | — | $45.40 |
| MN | — | $45.04 |
| MO | — | $41.98 |
| MS | — | $46.48 |
| MT | — | $41.98 |
| NC | — | $45.62 |
| ND | — | $46.48 |
| NE | — | $46.48 |
| NH | — | $46.48 |
| NJ | — | $46.48 |
| NM | — | $41.98 |
| NV | — | $45.54 |
| NY | — | $46.48 |
| OH | — | $45.97 |
| OK | — | $42.88 |
| OR | — | $41.98 |
| PA | — | $46.48 |
| PR | $55.61 | — |
| RI | — | $46.48 |
| SC | — | $46.15 |
| SD | — | $46.48 |
| TN | — | $43.23 |
| TX | — | $45.60 |
| UT | — | $46.48 |
| VA | — | $43.59 |
| VI | $46.49 | — |
| VT | — | $46.48 |
| WA | — | $46.48 |
| WI | — | $46.48 |
| WV | — | $45.97 |
| WY | — | $46.48 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $44.58 to $68.39 depending on state and rural status.
Former-CBA payment limits: ceiling $52.45 · floor $44.58
| State | Non-rural | Rural |
|---|---|---|
| AK | $55.28 | — |
| AL | $44.58 | — |
| AR | $44.58 | — |
| AZ | $47.91 | — |
| CA | $44.58 | — |
| CO | $47.94 | — |
| CT | $52.45 | — |
| DC | $52.45 | — |
| DE | $52.45 | — |
| FL | $44.58 | — |
| GA | $52.45 | — |
| HI | $64.62 | — |
| IA | $44.58 | — |
| ID | $50.46 | — |
| IL | $52.45 | — |
| IN | $52.45 | — |
| KS | $52.45 | — |
| KY | $52.45 | — |
| LA | $44.58 | — |
| MA | $52.45 | — |
| MD | $52.45 | — |
| ME | $52.45 | — |
| MI | $50.54 | — |
| MN | $49.92 | — |
| MO | $44.58 | — |
| MS | $52.45 | — |
| MT | $44.58 | — |
| NC | $50.94 | — |
| ND | $52.45 | — |
| NE | $52.45 | — |
| NH | $52.45 | — |
| NJ | $52.45 | — |
| NM | $44.58 | — |
| NV | $50.81 | — |
| NY | $52.45 | — |
| OH | $51.54 | — |
| OK | $46.17 | — |
| OR | $44.58 | — |
| PA | $52.45 | — |
| PR | $68.39 | — |
| RI | $52.45 | — |
| SC | $51.86 | — |
| SD | $52.45 | — |
| TN | $46.75 | — |
| TX | $50.91 | — |
| UT | $52.45 | — |
| VA | $47.39 | — |
| VI | $52.45 | — |
| VT | $52.45 | — |
| WA | $52.45 | — |
| WI | $52.45 | — |
| WV | $51.54 | — |
| WY | $52.45 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $2.77 to $5.90 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $4.41 | — |
| AL | $3.10 | $3.88 |
| AR | $3.10 | $3.88 |
| AZ | $2.77 | $4.27 |
| CA | $2.85 | $3.88 |
| CO | $3.12 | $4.05 |
| CT | $2.97 | $4.27 |
| DC | $2.90 | $4.27 |
| DE | $2.90 | $4.27 |
| FL | $3.10 | $3.88 |
| GA | $3.10 | $4.27 |
| HI | $4.89 | — |
| IA | $2.97 | $3.88 |
| ID | $3.12 | $4.18 |
| IL | $3.09 | $4.27 |
| IN | $3.09 | $4.27 |
| KS | $2.97 | $4.27 |
| KY | $3.10 | $4.27 |
| LA | $3.10 | $3.88 |
| MA | $2.97 | $4.27 |
| MD | $2.90 | $4.27 |
| ME | $2.97 | $4.27 |
| MI | $3.09 | $3.88 |
| MN | $2.97 | $4.14 |
| MO | $2.97 | $3.88 |
| MS | $3.10 | $4.27 |
| MT | $3.12 | $3.88 |
| NC | $3.10 | $4.20 |
| ND | $2.97 | $4.27 |
| NE | $2.97 | $4.27 |
| NH | $2.97 | $4.27 |
| NJ | $2.90 | $4.27 |
| NM | $2.77 | $3.88 |
| NV | $2.85 | $4.27 |
| NY | $2.90 | $4.27 |
| OH | $3.09 | $4.22 |
| OK | $2.77 | $3.95 |
| OR | $2.85 | $3.88 |
| PA | $2.90 | $4.27 |
| PR | $5.90 | — |
| RI | $2.97 | $4.27 |
| SC | $3.10 | $4.23 |
| SD | $2.97 | $4.27 |
| TN | $3.10 | $3.98 |
| TX | $2.77 | $4.20 |
| UT | $3.12 | $4.27 |
| VA | $3.10 | $4.00 |
| VI | $4.27 | — |
| VT | $2.97 | $4.27 |
| WA | $2.85 | $3.88 |
| WI | $3.09 | $4.18 |
| WV | $3.10 | $4.22 |
| WY | $3.12 | $4.27 |
RR + KE — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $4.20 to $6.51 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $4.81 | — |
| AL | — | $4.20 |
| AR | — | $4.20 |
| AZ | — | $4.65 |
| CA | — | $4.20 |
| CO | — | $4.40 |
| CT | — | $4.65 |
| DC | — | $4.65 |
| DE | — | $4.65 |
| FL | — | $4.20 |
| GA | — | $4.65 |
| HI | $5.37 | — |
| IA | — | $4.20 |
| ID | — | $4.54 |
| IL | — | $4.65 |
| IN | — | $4.65 |
| KS | — | $4.65 |
| KY | — | $4.65 |
| LA | — | $4.20 |
| MA | — | $4.65 |
| MD | — | $4.65 |
| ME | — | $4.65 |
| MI | — | $4.20 |
| MN | — | $4.51 |
| MO | — | $4.20 |
| MS | — | $4.65 |
| MT | — | $4.20 |
| NC | — | $4.57 |
| ND | — | $4.65 |
| NE | — | $4.65 |
| NH | — | $4.65 |
| NJ | — | $4.65 |
| NM | — | $4.20 |
| NV | — | $4.65 |
| NY | — | $4.65 |
| OH | — | $4.59 |
| OK | — | $4.28 |
| OR | — | $4.20 |
| PA | — | $4.65 |
| PR | $6.51 | — |
| RI | — | $4.65 |
| SC | — | $4.61 |
| SD | — | $4.65 |
| TN | — | $4.31 |
| TX | — | $4.57 |
| UT | — | $4.65 |
| VA | — | $4.34 |
| VI | $4.65 | — |
| VT | — | $4.65 |
| WA | — | $4.20 |
| WI | — | $4.54 |
| WV | — | $4.59 |
| WY | — | $4.65 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $4.47 to $8.48 depending on state and rural status.
Former-CBA payment limits: ceiling $5.26 · floor $4.47
| State | Non-rural | Rural |
|---|---|---|
| AK | $5.53 | — |
| AL | $4.47 | — |
| AR | $4.47 | — |
| AZ | $5.26 | — |
| CA | $4.47 | — |
| CO | $4.83 | — |
| CT | $5.26 | — |
| DC | $5.26 | — |
| DE | $5.26 | — |
| FL | $4.47 | — |
| GA | $5.26 | — |
| HI | $6.52 | — |
| IA | $4.47 | — |
| ID | $5.06 | — |
| IL | $5.26 | — |
| IN | $5.26 | — |
| KS | $5.26 | — |
| KY | $5.26 | — |
| LA | $4.47 | — |
| MA | $5.26 | — |
| MD | $5.26 | — |
| ME | $5.26 | — |
| MI | $4.47 | — |
| MN | $4.99 | — |
| MO | $4.47 | — |
| MS | $5.26 | — |
| MT | $4.47 | — |
| NC | $5.10 | — |
| ND | $5.26 | — |
| NE | $5.26 | — |
| NH | $5.26 | — |
| NJ | $5.26 | — |
| NM | $4.47 | — |
| NV | $5.26 | — |
| NY | $5.26 | — |
| OH | $5.13 | — |
| OK | $4.61 | — |
| OR | $4.47 | — |
| PA | $5.26 | — |
| PR | $8.48 | — |
| RI | $5.26 | — |
| SC | $5.18 | — |
| SD | $5.26 | — |
| TN | $4.66 | — |
| TX | $5.10 | — |
| UT | $5.26 | — |
| VA | $4.72 | — |
| VI | $5.26 | — |
| VT | $5.26 | — |
| WA | $4.47 | — |
| WI | $5.06 | — |
| WV | $5.13 | — |
| WY | $5.26 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $20.79 to $37.98 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $33.08 | — |
| AL | $23.21 | $28.88 |
| AR | $23.21 | $28.88 |
| AZ | $20.79 | $30.30 |
| CA | $21.36 | $28.88 |
| CO | $23.40 | $30.80 |
| CT | $22.27 | $31.79 |
| DC | $21.77 | $31.79 |
| DE | $21.77 | $31.79 |
| FL | $23.21 | $28.88 |
| GA | $23.21 | $31.79 |
| HI | $36.57 | — |
| IA | $22.24 | $28.88 |
| ID | $23.40 | $31.29 |
| IL | $23.15 | $31.79 |
| IN | $23.15 | $31.79 |
| KS | $22.24 | $31.79 |
| KY | $23.21 | $31.79 |
| LA | $23.21 | $28.88 |
| MA | $22.27 | $31.79 |
| MD | $21.77 | $31.79 |
| ME | $22.27 | $31.79 |
| MI | $23.15 | $31.31 |
| MN | $22.24 | $31.06 |
| MO | $22.24 | $28.88 |
| MS | $23.21 | $31.79 |
| MT | $23.40 | $28.88 |
| NC | $23.21 | $31.46 |
| ND | $22.24 | $31.79 |
| NE | $22.24 | $31.79 |
| NH | $22.27 | $31.79 |
| NJ | $21.77 | $31.79 |
| NM | $20.79 | $28.88 |
| NV | $21.36 | $31.39 |
| NY | $21.77 | $31.79 |
| OH | $23.15 | $31.68 |
| OK | $20.79 | $29.63 |
| OR | $21.36 | $28.88 |
| PA | $21.77 | $31.79 |
| PR | $37.98 | — |
| RI | $22.27 | $31.79 |
| SC | $23.21 | $31.79 |
| SD | $22.24 | $31.79 |
| TN | $23.21 | $29.81 |
| TX | $20.79 | $31.44 |
| UT | $23.40 | $31.79 |
| VA | $23.21 | $30.32 |
| VI | $31.79 | — |
| VT | $22.27 | $31.79 |
| WA | $21.36 | $31.64 |
| WI | $23.15 | $31.79 |
| WV | $23.21 | $31.68 |
| WY | $23.40 | $31.79 |
UE + KE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $31.27 to $41.70 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $36.09 | — |
| AL | — | $31.27 |
| AR | — | $31.27 |
| AZ | — | $32.90 |
| CA | — | $31.27 |
| CO | — | $33.48 |
| CT | — | $34.61 |
| DC | — | $34.61 |
| DE | — | $34.61 |
| FL | — | $31.27 |
| GA | — | $34.61 |
| HI | $40.08 | — |
| IA | — | $31.27 |
| ID | — | $34.04 |
| IL | — | $34.61 |
| IN | — | $34.61 |
| KS | — | $34.61 |
| KY | — | $34.61 |
| LA | — | $31.27 |
| MA | — | $34.61 |
| MD | — | $34.61 |
| ME | — | $34.61 |
| MI | — | $34.07 |
| MN | — | $33.78 |
| MO | — | $31.27 |
| MS | — | $34.61 |
| MT | — | $31.27 |
| NC | — | $34.23 |
| ND | — | $34.61 |
| NE | — | $34.61 |
| NH | — | $34.61 |
| NJ | — | $34.61 |
| NM | — | $31.27 |
| NV | — | $34.15 |
| NY | — | $34.61 |
| OH | — | $34.48 |
| OK | — | $32.14 |
| OR | — | $31.27 |
| PA | — | $34.61 |
| PR | $41.70 | — |
| RI | — | $34.61 |
| SC | — | $34.61 |
| SD | — | $34.61 |
| TN | — | $32.34 |
| TX | — | $34.21 |
| UT | — | $34.61 |
| VA | — | $32.93 |
| VI | $34.61 | — |
| VT | — | $34.61 |
| WA | — | $34.43 |
| WI | — | $34.61 |
| WV | — | $34.48 |
| WY | — | $34.61 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $33.04 to $51.27 depending on state and rural status.
Former-CBA payment limits: ceiling $38.87 · floor $33.04
| State | Non-rural | Rural |
|---|---|---|
| AK | $41.48 | — |
| AL | $33.04 | — |
| AR | $33.04 | — |
| AZ | $35.92 | — |
| CA | $33.04 | — |
| CO | $36.93 | — |
| CT | $38.87 | — |
| DC | $38.87 | — |
| DE | $38.87 | — |
| FL | $33.04 | — |
| GA | $38.87 | — |
| HI | $48.45 | — |
| IA | $33.04 | — |
| ID | $37.90 | — |
| IL | $38.87 | — |
| IN | $38.87 | — |
| KS | $38.87 | — |
| KY | $38.87 | — |
| LA | $33.04 | — |
| MA | $38.87 | — |
| MD | $38.87 | — |
| ME | $38.87 | — |
| MI | $37.94 | — |
| MN | $37.43 | — |
| MO | $33.04 | — |
| MS | $38.87 | — |
| MT | $33.04 | — |
| NC | $38.22 | — |
| ND | $38.87 | — |
| NE | $38.87 | — |
| NH | $38.87 | — |
| NJ | $38.87 | — |
| NM | $33.04 | — |
| NV | $38.11 | — |
| NY | $38.87 | — |
| OH | $38.67 | — |
| OK | $34.58 | — |
| OR | $33.04 | — |
| PA | $38.87 | — |
| PR | $51.27 | — |
| RI | $38.87 | — |
| SC | $38.87 | — |
| SD | $38.87 | — |
| TN | $34.91 | — |
| TX | $38.20 | — |
| UT | $38.87 | — |
| VA | $35.97 | — |
| VI | $38.87 | — |
| VT | $38.87 | — |
| WA | $38.59 | — |
| WI | $38.87 | — |
| WV | $38.67 | — |
| WY | $38.87 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0978 at 1 unit 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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