E0985 — Wheelchair accessory, seat lift mechanism
HCPCS Level II E-code · short descriptor: “W/c seat lift mechanism”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Carrier judgment — coverage decided by the DME MAC
- DMEPOS payment category
- Capped rental
- 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.
E0985 Medicare fee schedule (October 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $24.90 to $31.82 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $28.93 | — |
| AL | $25.96 | $28.93 |
| AR | $25.96 | $28.93 |
| AZ | $26.17 | $28.93 |
| CA | $24.90 | $28.93 |
| CO | $26.35 | $28.93 |
| CT | $26.81 | $28.93 |
| DC | $25.55 | $28.93 |
| DE | $25.55 | $28.93 |
| FL | $25.96 | $28.93 |
| GA | $25.96 | $28.93 |
| HI | $28.93 | — |
| IA | $27.21 | $28.93 |
| ID | $26.35 | $28.93 |
| IL | $27.83 | $28.93 |
| IN | $27.83 | $28.93 |
| KS | $27.21 | $28.93 |
| KY | $25.96 | $28.93 |
| LA | $25.96 | $28.93 |
| MA | $26.81 | $28.93 |
| MD | $25.55 | $28.93 |
| ME | $26.81 | $28.93 |
| MI | $27.83 | $28.93 |
| MN | $27.21 | $28.93 |
| MO | $27.21 | $28.93 |
| MS | $25.96 | $28.93 |
| MT | $26.35 | $28.93 |
| NC | $25.96 | $28.93 |
| ND | $27.21 | $28.93 |
| NE | $27.21 | $28.93 |
| NH | $26.81 | $28.93 |
| NJ | $25.55 | $28.93 |
| NM | $26.17 | $28.93 |
| NV | $24.90 | $28.93 |
| NY | $25.55 | $28.93 |
| OH | $27.83 | $28.93 |
| OK | $26.17 | $28.93 |
| OR | $24.90 | $28.93 |
| PA | $25.55 | $28.93 |
| PR | $31.82 | — |
| RI | $26.81 | $28.93 |
| SC | $25.96 | $28.93 |
| SD | $27.21 | $28.93 |
| TN | $25.96 | $28.93 |
| TX | $26.17 | $28.93 |
| UT | $26.35 | $28.93 |
| VA | $25.96 | $28.93 |
| VI | $28.93 | — |
| VT | $26.81 | $28.93 |
| WA | $24.90 | $28.93 |
| WI | $27.83 | $28.93 |
| WV | $25.96 | $28.93 |
| WY | $26.35 | $28.93 |
RR + KU — Monthly rental Capped rental
Medicare allowable ranges from $28.95 to $34.66 depending on state and rural status.
Former-CBA payment limits: ceiling $28.95 · floor $24.61
| State | Non-rural | Rural |
|---|---|---|
| AK | $28.95 | — |
| AL | $28.95 | — |
| AR | $28.95 | — |
| AZ | $28.95 | — |
| CA | $28.95 | — |
| CO | $28.95 | — |
| CT | $28.95 | — |
| DC | $28.95 | — |
| DE | $28.95 | — |
| FL | $28.95 | — |
| GA | $28.95 | — |
| HI | $28.95 | — |
| IA | $28.95 | — |
| ID | $28.95 | — |
| IL | $28.95 | — |
| IN | $28.95 | — |
| KS | $28.95 | — |
| KY | $28.95 | — |
| LA | $28.95 | — |
| MA | $28.95 | — |
| MD | $28.95 | — |
| ME | $28.95 | — |
| MI | $28.95 | — |
| MN | $28.95 | — |
| MO | $28.95 | — |
| MS | $28.95 | — |
| MT | $28.95 | — |
| NC | $28.95 | — |
| ND | $28.95 | — |
| NE | $28.95 | — |
| NH | $28.95 | — |
| NJ | $28.95 | — |
| NM | $28.95 | — |
| NV | $28.95 | — |
| NY | $28.95 | — |
| OH | $28.95 | — |
| OK | $28.95 | — |
| OR | $28.95 | — |
| PA | $28.95 | — |
| PR | $34.66 | — |
| RI | $28.95 | — |
| SC | $28.95 | — |
| SD | $28.95 | — |
| TN | $28.95 | — |
| TX | $28.95 | — |
| UT | $28.95 | — |
| VA | $28.95 | — |
| VI | $28.95 | — |
| VT | $28.95 | — |
| WA | $28.95 | — |
| WI | $28.95 | — |
| WV | $28.95 | — |
| WY | $28.95 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0985 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
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