E0980 — Safety vest, wheelchair
HCPCS Level II E-code · short descriptor: “Wheelchair safety vest”
- 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
- 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 2026-10-26; 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 2026-10-26; 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.
E0980 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $39.93 to $48.57 depending on state and rural status.
Former-CBA payment limits: ceiling $47.10 · floor $40.04
| State | Non-rural | Rural |
|---|---|---|
| AK | $39.93 | — |
| AL | $40.04 | — |
| AR | $40.04 | — |
| AZ | $40.04 | — |
| CA | $40.04 | — |
| CO | $47.10 | — |
| CT | $47.10 | — |
| DC | $47.10 | — |
| DE | $47.10 | — |
| FL | $40.04 | — |
| GA | $40.04 | — |
| HI | $42.70 | — |
| IA | $47.10 | — |
| ID | $47.10 | — |
| IL | $47.10 | — |
| IN | $47.10 | — |
| KS | $47.10 | — |
| KY | $47.10 | — |
| LA | $40.04 | — |
| MA | $47.10 | — |
| MD | $47.10 | — |
| ME | $47.10 | — |
| MI | $45.55 | — |
| MN | $45.55 | — |
| MO | $40.04 | — |
| MS | $46.44 | — |
| MT | $40.04 | — |
| NC | $40.04 | — |
| ND | $47.10 | — |
| NE | $47.10 | — |
| NH | $47.10 | — |
| NJ | $47.10 | — |
| NM | $46.22 | — |
| NV | $40.04 | — |
| NY | $40.04 | — |
| OH | $45.55 | — |
| OK | $46.85 | — |
| OR | $43.94 | — |
| PA | $47.10 | — |
| PR | $48.57 | — |
| RI | $47.10 | — |
| SC | $40.04 | — |
| SD | $47.10 | — |
| TN | $40.04 | — |
| TX | $44.13 | — |
| UT | $47.10 | — |
| VA | $46.56 | — |
| VI | $40.04 | — |
| VT | $47.10 | — |
| WA | $47.10 | — |
| WI | $47.10 | — |
| WV | $45.55 | — |
| WY | $47.10 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $3.99 to $6.08 depending on state and rural status.
Former-CBA payment limits: ceiling $4.72 · floor $4.01
| State | Non-rural | Rural |
|---|---|---|
| AK | $3.99 | — |
| AL | $4.01 | — |
| AR | $4.01 | — |
| AZ | $4.72 | — |
| CA | $4.01 | — |
| CO | $4.72 | — |
| CT | $4.72 | — |
| DC | $4.72 | — |
| DE | $4.72 | — |
| FL | $4.01 | — |
| GA | $4.01 | — |
| HI | $4.30 | — |
| IA | $4.72 | — |
| ID | $4.72 | — |
| IL | $4.72 | — |
| IN | $4.72 | — |
| KS | $4.72 | — |
| KY | $4.72 | — |
| LA | $4.01 | — |
| MA | $4.72 | — |
| MD | $4.72 | — |
| ME | $4.72 | — |
| MI | $4.01 | — |
| MN | $4.53 | — |
| MO | $4.01 | — |
| MS | $4.64 | — |
| MT | $4.01 | — |
| NC | $4.01 | — |
| ND | $4.72 | — |
| NE | $4.72 | — |
| NH | $4.72 | — |
| NJ | $4.72 | — |
| NM | $4.63 | — |
| NV | $4.72 | — |
| NY | $4.01 | — |
| OH | $4.53 | — |
| OK | $4.70 | — |
| OR | $4.40 | — |
| PA | $4.72 | — |
| PR | $6.08 | — |
| RI | $4.72 | — |
| SC | $4.01 | — |
| SD | $4.72 | — |
| TN | $4.01 | — |
| TX | $4.41 | — |
| UT | $4.72 | — |
| VA | $4.66 | — |
| VI | $4.01 | — |
| VT | $4.72 | — |
| WA | $4.40 | — |
| WI | $4.72 | — |
| WV | $4.53 | — |
| WY | $4.72 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $29.86 to $36.43 depending on state and rural status.
Former-CBA payment limits: ceiling $35.13 · floor $29.86
| State | Non-rural | Rural |
|---|---|---|
| AK | $29.96 | — |
| AL | $33.90 | — |
| AR | $29.86 | — |
| AZ | $29.86 | — |
| CA | $29.86 | — |
| CO | $35.13 | — |
| CT | $35.13 | — |
| DC | $35.13 | — |
| DE | $35.13 | — |
| FL | $29.86 | — |
| GA | $29.86 | — |
| HI | $31.96 | — |
| IA | $35.13 | — |
| ID | $35.13 | — |
| IL | $35.13 | — |
| IN | $35.13 | — |
| KS | $35.13 | — |
| KY | $35.13 | — |
| LA | $29.86 | — |
| MA | $35.13 | — |
| MD | $35.13 | — |
| ME | $35.13 | — |
| MI | $34.17 | — |
| MN | $34.17 | — |
| MO | $29.86 | — |
| MS | $34.83 | — |
| MT | $29.86 | — |
| NC | $29.86 | — |
| ND | $35.13 | — |
| NE | $35.13 | — |
| NH | $35.13 | — |
| NJ | $35.13 | — |
| NM | $34.64 | — |
| NV | $29.86 | — |
| NY | $29.86 | — |
| OH | $34.17 | — |
| OK | $35.13 | — |
| OR | $32.96 | — |
| PA | $35.13 | — |
| PR | $36.43 | — |
| RI | $35.13 | — |
| SC | $29.86 | — |
| SD | $35.13 | — |
| TN | $29.86 | — |
| TX | $33.08 | — |
| UT | $35.13 | — |
| VA | $34.91 | — |
| VI | $29.86 | — |
| VT | $35.13 | — |
| WA | $32.96 | — |
| WI | $35.13 | — |
| WV | $34.17 | — |
| WY | $35.13 | — |
Common denial codes to watch
Related E-codes
Bill E0980 with confidence
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