E0981 — Wheelchair accessory, seat upholstery, replacement only, each
HCPCS Level II E-code · short descriptor: “Seat upholstery, replacement”
- 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.
E0981 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $49.23 to $82.76 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $82.76 | — |
| AL | $49.23 | $49.23 |
| AR | $51.97 | $54.95 |
| AZ | $51.97 | $53.14 |
| CA | $51.97 | $54.66 |
| CO | $51.97 | $54.95 |
| CT | $51.97 | $54.95 |
| DC | $51.97 | $54.95 |
| DE | $51.97 | $54.95 |
| FL | $51.97 | $54.95 |
| GA | $51.97 | $53.99 |
| HI | $52.39 | — |
| IA | $51.97 | $54.95 |
| ID | $51.97 | $54.95 |
| IL | $51.97 | $53.80 |
| IN | $51.97 | $54.95 |
| KS | $51.97 | $54.95 |
| KY | $51.97 | $54.95 |
| LA | $51.97 | $54.82 |
| MA | $51.97 | $54.95 |
| MD | $51.97 | $54.60 |
| ME | $51.97 | $54.95 |
| MI | $51.97 | $53.85 |
| MN | $49.23 | $49.23 |
| MO | $51.97 | $52.29 |
| MS | $49.23 | $49.23 |
| MT | $51.97 | $53.58 |
| NC | $51.97 | $53.28 |
| ND | $51.97 | $54.88 |
| NE | $51.97 | $54.95 |
| NH | $51.97 | $54.95 |
| NJ | $51.97 | $54.95 |
| NM | $49.23 | $49.23 |
| NV | $51.97 | $53.94 |
| NY | $51.97 | $53.07 |
| OH | $49.23 | $49.23 |
| OK | $51.97 | $52.22 |
| OR | $51.97 | $54.95 |
| PA | $51.97 | $54.95 |
| PR | $54.04 | — |
| RI | $51.97 | $54.95 |
| SC | $51.97 | $54.95 |
| SD | $51.97 | $54.95 |
| TN | $51.97 | $54.14 |
| TX | $49.23 | $49.23 |
| UT | $51.97 | $54.95 |
| VA | $51.97 | $54.95 |
| VI | $53.07 | — |
| VT | $51.97 | $54.95 |
| WA | $51.97 | $54.95 |
| WI | $51.97 | $54.20 |
| WV | $49.23 | $49.23 |
| WY | $51.97 | $54.88 |
NU + KE — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $53.11 to $91.00 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $91.00 | — |
| AL | — | $53.11 |
| AR | — | $59.15 |
| AZ | — | $57.08 |
| CA | — | $58.82 |
| CO | — | $59.15 |
| CT | — | $59.15 |
| DC | — | $59.15 |
| DE | — | $59.15 |
| FL | — | $59.15 |
| GA | — | $58.05 |
| HI | $56.21 | — |
| IA | — | $59.15 |
| ID | — | $59.15 |
| IL | — | $57.84 |
| IN | — | $59.15 |
| KS | — | $59.15 |
| KY | — | $59.15 |
| LA | — | $59.00 |
| MA | — | $59.15 |
| MD | — | $58.75 |
| ME | — | $59.15 |
| MI | — | $57.89 |
| MN | — | $53.11 |
| MO | — | $56.10 |
| MS | — | $53.11 |
| MT | — | $57.58 |
| NC | — | $57.23 |
| ND | — | $59.07 |
| NE | — | $59.15 |
| NH | — | $59.15 |
| NJ | — | $59.15 |
| NM | — | $53.11 |
| NV | — | $57.99 |
| NY | — | $57.00 |
| OH | — | $53.11 |
| OK | — | $56.02 |
| OR | — | $59.15 |
| PA | — | $59.15 |
| PR | $58.10 | — |
| RI | — | $59.15 |
| SC | — | $59.15 |
| SD | — | $59.15 |
| TN | — | $58.22 |
| TX | — | $53.11 |
| UT | — | $59.15 |
| VA | — | $59.15 |
| VI | $57.00 | — |
| VT | — | $59.15 |
| WA | — | $59.15 |
| WI | — | $58.29 |
| WV | — | $53.11 |
| WY | — | $59.07 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $49.22 to $113.58 depending on state and rural status.
Former-CBA payment limits: ceiling $57.90 · floor $49.22
| State | Non-rural | Rural |
|---|---|---|
| AK | $113.58 | — |
| AL | $49.22 | — |
| AR | $57.90 | — |
| AZ | $54.32 | — |
| CA | $57.33 | — |
| CO | $57.90 | — |
| CT | $57.90 | — |
| DC | $57.90 | — |
| DE | $57.90 | — |
| FL | $57.90 | — |
| GA | $56.01 | — |
| HI | $52.80 | — |
| IA | $57.90 | — |
| ID | $57.90 | — |
| IL | $55.64 | — |
| IN | $57.90 | — |
| KS | $57.90 | — |
| KY | $57.90 | — |
| LA | $57.67 | — |
| MA | $57.90 | — |
| MD | $57.21 | — |
| ME | $57.90 | — |
| MI | $55.72 | — |
| MN | $49.22 | — |
| MO | $52.62 | — |
| MS | $49.22 | — |
| MT | $55.18 | — |
| NC | $54.58 | — |
| ND | $57.79 | — |
| NE | $57.90 | — |
| NH | $57.90 | — |
| NJ | $57.90 | — |
| NM | $49.23 | — |
| NV | $55.92 | — |
| NY | $54.16 | — |
| OH | $49.22 | — |
| OK | $52.47 | — |
| OR | $57.90 | — |
| PA | $57.90 | — |
| PR | $56.10 | — |
| RI | $57.90 | — |
| SC | $57.90 | — |
| SD | $57.90 | — |
| TN | $56.28 | — |
| TX | $49.22 | — |
| UT | $57.90 | — |
| VA | $57.90 | — |
| VI | $54.16 | — |
| VT | $57.90 | — |
| WA | $57.90 | — |
| WI | $56.42 | — |
| WV | $49.22 | — |
| WY | $57.79 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $5.01 to $8.28 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $8.28 | — |
| AL | $5.01 | $5.01 |
| AR | $5.20 | $5.55 |
| AZ | $5.20 | $5.55 |
| CA | $5.20 | $5.46 |
| CO | $5.08 | $5.08 |
| CT | $5.20 | $5.55 |
| DC | $5.20 | $5.55 |
| DE | $5.20 | $5.55 |
| FL | $5.20 | $5.55 |
| GA | $5.20 | $5.40 |
| HI | $5.24 | — |
| IA | $5.20 | $5.55 |
| ID | $5.20 | $5.55 |
| IL | $5.20 | $5.55 |
| IN | $5.20 | $5.55 |
| KS | $5.20 | $5.55 |
| KY | $5.20 | $5.55 |
| LA | $5.20 | $5.48 |
| MA | $5.01 | $5.01 |
| MD | $5.20 | $5.55 |
| ME | $5.01 | $5.01 |
| MI | $5.20 | $5.39 |
| MN | $5.01 | $5.01 |
| MO | $5.20 | $5.23 |
| MS | $5.01 | $5.01 |
| MT | $5.20 | $5.35 |
| NC | $5.20 | $5.33 |
| ND | $5.20 | $5.48 |
| NE | $5.20 | $5.49 |
| NH | $5.01 | $5.01 |
| NJ | $5.20 | $5.55 |
| NM | $5.01 | $5.01 |
| NV | $5.20 | $5.55 |
| NY | $5.20 | $5.31 |
| OH | $5.01 | $5.01 |
| OK | $5.20 | $5.22 |
| OR | $5.20 | $5.55 |
| PA | $5.20 | $5.55 |
| PR | $6.10 | — |
| RI | $5.20 | $5.55 |
| SC | $5.20 | $5.55 |
| SD | $5.20 | $5.55 |
| TN | $5.20 | $5.40 |
| TX | $5.01 | $5.01 |
| UT | $5.20 | $5.55 |
| VA | $5.20 | $5.55 |
| VI | $5.31 | — |
| VT | $5.20 | $5.55 |
| WA | $5.20 | $5.55 |
| WI | $5.20 | $5.55 |
| WV | $5.01 | $5.01 |
| WY | $5.20 | $5.48 |
RR + KE — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $5.40 to $9.10 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $9.10 | — |
| AL | — | $5.40 |
| AR | — | $5.97 |
| AZ | — | $5.97 |
| CA | — | $5.88 |
| CO | — | $5.49 |
| CT | — | $5.97 |
| DC | — | $5.97 |
| DE | — | $5.97 |
| FL | — | $5.97 |
| GA | — | $5.80 |
| HI | $5.62 | — |
| IA | — | $5.97 |
| ID | — | $5.97 |
| IL | — | $5.97 |
| IN | — | $5.97 |
| KS | — | $5.97 |
| KY | — | $5.97 |
| LA | — | $5.90 |
| MA | — | $5.40 |
| MD | — | $5.97 |
| ME | — | $5.40 |
| MI | — | $5.79 |
| MN | — | $5.40 |
| MO | — | $5.61 |
| MS | — | $5.40 |
| MT | — | $5.75 |
| NC | — | $5.73 |
| ND | — | $5.90 |
| NE | — | $5.91 |
| NH | — | $5.40 |
| NJ | — | $5.97 |
| NM | — | $5.40 |
| NV | — | $5.97 |
| NY | — | $5.71 |
| OH | — | $5.40 |
| OK | — | $5.61 |
| OR | — | $5.97 |
| PA | — | $5.97 |
| PR | $6.61 | — |
| RI | — | $5.97 |
| SC | — | $5.97 |
| SD | — | $5.97 |
| TN | — | $5.81 |
| TX | — | $5.40 |
| UT | — | $5.97 |
| VA | — | $5.97 |
| VI | $5.71 | — |
| VT | — | $5.97 |
| WA | — | $5.97 |
| WI | — | $5.97 |
| WV | — | $5.40 |
| WY | — | $5.90 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $5.02 to $11.36 depending on state and rural status.
Former-CBA payment limits: ceiling $5.90 · floor $5.02
| State | Non-rural | Rural |
|---|---|---|
| AK | $11.36 | — |
| AL | $5.02 | — |
| AR | $5.90 | — |
| AZ | $5.90 | — |
| CA | $5.72 | — |
| CO | $5.08 | — |
| CT | $5.90 | — |
| DC | $5.90 | — |
| DE | $5.90 | — |
| FL | $5.90 | — |
| GA | $5.60 | — |
| HI | $5.28 | — |
| IA | $5.90 | — |
| ID | $5.90 | — |
| IL | $5.90 | — |
| IN | $5.90 | — |
| KS | $5.90 | — |
| KY | $5.90 | — |
| LA | $5.75 | — |
| MA | $5.02 | — |
| MD | $5.90 | — |
| ME | $5.02 | — |
| MI | $5.58 | — |
| MN | $5.02 | — |
| MO | $5.27 | — |
| MS | $5.02 | — |
| MT | $5.51 | — |
| NC | $5.48 | — |
| ND | $5.75 | — |
| NE | $5.76 | — |
| NH | $5.02 | — |
| NJ | $5.90 | — |
| NM | $5.02 | — |
| NV | $5.90 | — |
| NY | $5.45 | — |
| OH | $5.02 | — |
| OK | $5.26 | — |
| OR | $5.90 | — |
| PA | $5.90 | — |
| PR | $7.00 | — |
| RI | $5.90 | — |
| SC | $5.90 | — |
| SD | $5.90 | — |
| TN | $5.61 | — |
| TX | $5.02 | — |
| UT | $5.90 | — |
| VA | $5.90 | — |
| VI | $5.45 | — |
| VT | $5.90 | — |
| WA | $5.90 | — |
| WI | $5.90 | — |
| WV | $5.02 | — |
| WY | $5.75 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $37.26 to $62.06 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $62.06 | — |
| AL | $37.56 | $37.56 |
| AR | $38.98 | $41.41 |
| AZ | $38.98 | $39.86 |
| CA | $38.98 | $41.00 |
| CO | $38.98 | $41.41 |
| CT | $38.98 | $41.41 |
| DC | $38.98 | $41.41 |
| DE | $38.98 | $41.41 |
| FL | $38.98 | $41.41 |
| GA | $38.98 | $41.34 |
| HI | $39.28 | — |
| IA | $38.98 | $41.41 |
| ID | $38.98 | $41.41 |
| IL | $38.98 | $40.35 |
| IN | $38.98 | $41.41 |
| KS | $38.98 | $41.41 |
| KY | $38.98 | $41.41 |
| LA | $38.98 | $41.10 |
| MA | $38.98 | $41.41 |
| MD | $38.98 | $40.95 |
| ME | $38.98 | $41.41 |
| MI | $38.98 | $40.39 |
| MN | $37.26 | $37.26 |
| MO | $38.98 | $39.21 |
| MS | $37.26 | $37.26 |
| MT | $38.98 | $40.18 |
| NC | $38.98 | $39.95 |
| ND | $38.98 | $41.17 |
| NE | $38.98 | $41.21 |
| NH | $38.98 | $41.41 |
| NJ | $38.98 | $41.41 |
| NM | $37.26 | $37.26 |
| NV | $38.98 | $40.44 |
| NY | $38.98 | $39.82 |
| OH | $37.26 | $37.26 |
| OK | $38.98 | $39.17 |
| OR | $38.98 | $41.41 |
| PA | $38.98 | $41.41 |
| PR | $40.53 | — |
| RI | $38.98 | $41.41 |
| SC | $38.98 | $41.41 |
| SD | $38.98 | $41.41 |
| TN | $38.98 | $40.67 |
| TX | $37.26 | $37.26 |
| UT | $38.98 | $41.41 |
| VA | $38.98 | $41.41 |
| VI | $39.82 | — |
| VT | $38.98 | $41.41 |
| WA | $38.98 | $41.41 |
| WI | $38.98 | $41.41 |
| WV | $37.26 | $37.26 |
| WY | $38.98 | $40.91 |
UE + KE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $40.20 to $68.23 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $68.23 | — |
| AL | — | $40.52 |
| AR | — | $44.59 |
| AZ | — | $42.81 |
| CA | — | $44.11 |
| CO | — | $44.59 |
| CT | — | $44.59 |
| DC | — | $44.59 |
| DE | — | $44.59 |
| FL | — | $44.59 |
| GA | — | $44.51 |
| HI | $42.15 | — |
| IA | — | $44.59 |
| ID | — | $44.59 |
| IL | — | $43.37 |
| IN | — | $44.59 |
| KS | — | $44.59 |
| KY | — | $44.59 |
| LA | — | $44.23 |
| MA | — | $44.59 |
| MD | — | $44.06 |
| ME | — | $44.59 |
| MI | — | $43.42 |
| MN | — | $40.20 |
| MO | — | $42.06 |
| MS | — | $40.20 |
| MT | — | $43.18 |
| NC | — | $42.92 |
| ND | — | $44.31 |
| NE | — | $44.36 |
| NH | — | $44.59 |
| NJ | — | $44.59 |
| NM | — | $40.20 |
| NV | — | $43.48 |
| NY | — | $42.76 |
| OH | — | $40.20 |
| OK | — | $42.03 |
| OR | — | $44.59 |
| PA | — | $44.59 |
| PR | $43.58 | — |
| RI | — | $44.59 |
| SC | — | $44.59 |
| SD | — | $44.59 |
| TN | — | $43.74 |
| TX | — | $40.20 |
| UT | — | $44.59 |
| VA | — | $44.59 |
| VI | $42.76 | — |
| VT | — | $44.59 |
| WA | — | $44.59 |
| WI | — | $44.59 |
| WV | — | $40.20 |
| WY | — | $44.02 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $37.26 to $85.15 depending on state and rural status.
Former-CBA payment limits: ceiling $43.84 · floor $37.26
| State | Non-rural | Rural |
|---|---|---|
| AK | $85.15 | — |
| AL | $37.53 | — |
| AR | $43.84 | — |
| AZ | $40.75 | — |
| CA | $43.00 | — |
| CO | $43.84 | — |
| CT | $43.84 | — |
| DC | $43.84 | — |
| DE | $43.84 | — |
| FL | $43.84 | — |
| GA | $43.70 | — |
| HI | $39.59 | — |
| IA | $43.84 | — |
| ID | $43.84 | — |
| IL | $41.73 | — |
| IN | $43.84 | — |
| KS | $43.84 | — |
| KY | $43.84 | — |
| LA | $43.21 | — |
| MA | $43.84 | — |
| MD | $42.92 | — |
| ME | $43.84 | — |
| MI | $41.79 | — |
| MN | $37.26 | — |
| MO | $39.43 | — |
| MS | $37.26 | — |
| MT | $41.37 | — |
| NC | $40.91 | — |
| ND | $43.37 | — |
| NE | $43.45 | — |
| NH | $43.84 | — |
| NJ | $43.84 | — |
| NM | $37.26 | — |
| NV | $41.91 | — |
| NY | $40.66 | — |
| OH | $37.26 | — |
| OK | $39.37 | — |
| OR | $43.84 | — |
| PA | $43.84 | — |
| PR | $42.08 | — |
| RI | $43.84 | — |
| SC | $43.84 | — |
| SD | $43.84 | — |
| TN | $42.35 | — |
| TX | $37.26 | — |
| UT | $43.84 | — |
| VA | $43.84 | — |
| VI | $40.66 | — |
| VT | $43.84 | — |
| WA | $43.84 | — |
| WI | $43.84 | — |
| WV | $37.26 | — |
| WY | $42.85 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0981 at 1 unit 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
Bill E0981 with confidence
Track prior-authorization requests with AI pre-fill and deadline tracking, and draft PA appeal letters — built for DME teams, PHI-free: no patient data is collected or stored.
Start free trial Run a CMS-0057-F readiness checkPrefer DIY compliance? Self-audit documentation kits for DME suppliers →
Building an AI agent? Try the agent API in the playground — free PA-required lookups, E0981 included, and starter credits via POST /bot-marketplace/register.