E0990 — Wheelchair accessory, elevating leg rest, complete assembly, each
HCPCS Level II E-code · short descriptor: “Wheelchair elevating leg res”
- 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
- 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.
E0990 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $79.35 to $158.96 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $151.05 | — |
| AL | $93.12 | $119.35 |
| AR | $93.12 | $108.53 |
| AZ | $81.22 | $119.35 |
| CA | $85.16 | $114.43 |
| CO | $81.23 | $119.35 |
| CT | $79.35 | $119.35 |
| DC | $79.92 | $108.53 |
| DE | $79.92 | $119.35 |
| FL | $93.12 | $119.35 |
| GA | $93.12 | $119.35 |
| HI | $149.89 | — |
| IA | $89.04 | $108.53 |
| ID | $81.23 | $119.35 |
| IL | $87.89 | $111.34 |
| IN | $87.89 | $108.53 |
| KS | $89.04 | $119.35 |
| KY | $93.12 | $119.35 |
| LA | $93.12 | $119.35 |
| MA | $79.35 | $119.35 |
| MD | $79.92 | $119.35 |
| ME | $79.35 | $119.35 |
| MI | $87.89 | $108.53 |
| MN | $89.04 | $110.71 |
| MO | $89.04 | $108.53 |
| MS | $93.12 | $108.53 |
| MT | $81.23 | $119.35 |
| NC | $93.12 | $114.90 |
| ND | $89.04 | $119.35 |
| NE | $89.04 | $119.35 |
| NH | $79.35 | $108.53 |
| NJ | $79.92 | $108.53 |
| NM | $81.22 | $118.75 |
| NV | $85.16 | $119.35 |
| NY | $79.92 | $119.35 |
| OH | $87.89 | $108.53 |
| OK | $81.22 | $119.35 |
| OR | $85.16 | $108.84 |
| PA | $79.92 | $119.35 |
| PR | $158.96 | — |
| RI | $79.35 | $119.35 |
| SC | $93.12 | $116.82 |
| SD | $89.04 | $119.35 |
| TN | $93.12 | $114.90 |
| TX | $81.22 | $116.18 |
| UT | $81.23 | $108.53 |
| VA | $93.12 | $115.22 |
| VI | $119.35 | — |
| VT | $79.35 | $108.53 |
| WA | $85.16 | $108.53 |
| WI | $87.89 | $119.35 |
| WV | $93.12 | $108.53 |
| WY | $81.23 | $119.35 |
NU + KE — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $117.42 to $175.16 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $166.10 | — |
| AL | — | $129.80 |
| AR | — | $117.42 |
| AZ | — | $129.80 |
| CA | — | $124.17 |
| CO | — | $129.80 |
| CT | — | $129.80 |
| DC | — | $117.42 |
| DE | — | $129.80 |
| FL | — | $129.80 |
| GA | — | $129.80 |
| HI | $164.78 | — |
| IA | — | $117.42 |
| ID | — | $129.80 |
| IL | — | $120.64 |
| IN | — | $117.42 |
| KS | — | $129.80 |
| KY | — | $129.80 |
| LA | — | $129.80 |
| MA | — | $129.80 |
| MD | — | $129.80 |
| ME | — | $129.80 |
| MI | — | $117.42 |
| MN | — | $119.92 |
| MO | — | $117.42 |
| MS | — | $117.42 |
| MT | — | $129.80 |
| NC | — | $124.71 |
| ND | — | $129.80 |
| NE | — | $129.80 |
| NH | — | $117.42 |
| NJ | — | $117.42 |
| NM | — | $129.12 |
| NV | — | $129.80 |
| NY | — | $129.80 |
| OH | — | $117.42 |
| OK | — | $129.80 |
| OR | — | $117.77 |
| PA | — | $129.80 |
| PR | $175.16 | — |
| RI | — | $129.80 |
| SC | — | $126.91 |
| SD | — | $129.80 |
| TN | — | $124.71 |
| TX | — | $126.17 |
| UT | — | $117.42 |
| VA | — | $125.08 |
| VI | $129.80 | — |
| VT | — | $117.42 |
| WA | — | $117.42 |
| WI | — | $129.80 |
| WV | — | $117.42 |
| WY | — | $129.80 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $122.60 to $223.44 depending on state and rural status.
Former-CBA payment limits: ceiling $144.24 · floor $122.60
| State | Non-rural | Rural |
|---|---|---|
| AK | $207.64 | — |
| AL | $144.24 | — |
| AR | $122.60 | — |
| AZ | $144.24 | — |
| CA | $134.41 | — |
| CO | $144.24 | — |
| CT | $144.24 | — |
| DC | $122.60 | — |
| DE | $144.24 | — |
| FL | $144.24 | — |
| GA | $144.24 | — |
| HI | $205.31 | — |
| IA | $122.60 | — |
| ID | $144.24 | — |
| IL | $128.23 | — |
| IN | $122.60 | — |
| KS | $144.24 | — |
| KY | $144.24 | — |
| LA | $144.24 | — |
| MA | $144.24 | — |
| MD | $144.24 | — |
| ME | $144.24 | — |
| MI | $122.60 | — |
| MN | $126.97 | — |
| MO | $122.60 | — |
| MS | $122.60 | — |
| MT | $144.24 | — |
| NC | $135.33 | — |
| ND | $144.24 | — |
| NE | $144.24 | — |
| NH | $122.60 | — |
| NJ | $122.60 | — |
| NM | $143.04 | — |
| NV | $144.24 | — |
| NY | $144.24 | — |
| OH | $122.60 | — |
| OK | $144.24 | — |
| OR | $123.23 | — |
| PA | $144.24 | — |
| PR | $223.44 | — |
| RI | $144.24 | — |
| SC | $139.22 | — |
| SD | $144.24 | — |
| TN | $135.33 | — |
| TX | $137.88 | — |
| UT | $122.60 | — |
| VA | $136.01 | — |
| VI | $144.24 | — |
| VT | $122.60 | — |
| WA | $122.60 | — |
| WI | $144.24 | — |
| WV | $122.60 | — |
| WY | $144.24 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $7.94 to $18.68 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $15.10 | — |
| AL | $9.31 | $12.84 |
| AR | $9.31 | $11.62 |
| AZ | $8.12 | $12.84 |
| CA | $8.52 | $12.84 |
| CO | $8.13 | $12.84 |
| CT | $7.94 | $12.84 |
| DC | $7.99 | $12.84 |
| DE | $7.99 | $12.84 |
| FL | $9.31 | $12.70 |
| GA | $9.31 | $11.94 |
| HI | $14.98 | — |
| IA | $8.91 | $11.62 |
| ID | $8.13 | $12.84 |
| IL | $8.79 | $12.84 |
| IN | $8.79 | $11.62 |
| KS | $8.91 | $12.84 |
| KY | $9.31 | $12.84 |
| LA | $9.31 | $12.77 |
| MA | $7.94 | $12.84 |
| MD | $7.99 | $12.84 |
| ME | $7.94 | $12.84 |
| MI | $8.79 | $11.62 |
| MN | $8.91 | $12.77 |
| MO | $8.91 | $12.84 |
| MS | $9.31 | $11.62 |
| MT | $8.13 | $12.84 |
| NC | $9.31 | $11.62 |
| ND | $8.91 | $12.84 |
| NE | $8.91 | $12.84 |
| NH | $7.94 | $12.84 |
| NJ | $7.99 | $12.84 |
| NM | $8.12 | $11.87 |
| NV | $8.52 | $12.84 |
| NY | $7.99 | $12.23 |
| OH | $8.79 | $11.62 |
| OK | $8.12 | $12.84 |
| OR | $8.52 | $11.62 |
| PA | $7.99 | $12.84 |
| PR | $18.68 | — |
| RI | $7.94 | $12.70 |
| SC | $9.31 | $11.68 |
| SD | $8.91 | $12.84 |
| TN | $9.31 | $11.62 |
| TX | $8.12 | $11.62 |
| UT | $8.13 | $11.62 |
| VA | $9.31 | $12.40 |
| VI | $12.23 | — |
| VT | $7.94 | $11.62 |
| WA | $8.52 | $12.84 |
| WI | $8.79 | $12.84 |
| WV | $9.31 | $11.62 |
| WY | $8.13 | $12.84 |
RR + KE — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $12.63 to $20.70 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $16.61 | — |
| AL | — | $14.02 |
| AR | — | $12.63 |
| AZ | — | $14.02 |
| CA | — | $14.02 |
| CO | — | $14.02 |
| CT | — | $14.02 |
| DC | — | $14.02 |
| DE | — | $14.02 |
| FL | — | $13.86 |
| GA | — | $12.99 |
| HI | $16.47 | — |
| IA | — | $12.63 |
| ID | — | $14.02 |
| IL | — | $14.02 |
| IN | — | $12.63 |
| KS | — | $14.02 |
| KY | — | $14.02 |
| LA | — | $13.94 |
| MA | — | $14.02 |
| MD | — | $14.02 |
| ME | — | $14.02 |
| MI | — | $12.63 |
| MN | — | $13.93 |
| MO | — | $14.02 |
| MS | — | $12.63 |
| MT | — | $14.02 |
| NC | — | $12.63 |
| ND | — | $14.02 |
| NE | — | $14.02 |
| NH | — | $14.02 |
| NJ | — | $14.02 |
| NM | — | $12.90 |
| NV | — | $14.02 |
| NY | — | $13.32 |
| OH | — | $12.63 |
| OK | — | $14.02 |
| OR | — | $12.63 |
| PA | — | $14.02 |
| PR | $20.70 | — |
| RI | — | $13.86 |
| SC | — | $12.68 |
| SD | — | $14.02 |
| TN | — | $12.63 |
| TX | — | $12.63 |
| UT | — | $12.63 |
| VA | — | $13.51 |
| VI | $13.32 | — |
| VT | — | $12.63 |
| WA | — | $14.02 |
| WI | — | $14.02 |
| WV | — | $12.63 |
| WY | — | $14.02 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $13.81 to $27.91 depending on state and rural status.
Former-CBA payment limits: ceiling $16.25 · floor $13.81
| State | Non-rural | Rural |
|---|---|---|
| AK | $20.76 | — |
| AL | $16.25 | — |
| AR | $13.81 | — |
| AZ | $16.25 | — |
| CA | $16.25 | — |
| CO | $16.25 | — |
| CT | $16.25 | — |
| DC | $16.25 | — |
| DE | $16.25 | — |
| FL | $15.98 | — |
| GA | $14.42 | — |
| HI | $20.51 | — |
| IA | $13.81 | — |
| ID | $16.25 | — |
| IL | $16.25 | — |
| IN | $13.81 | — |
| KS | $16.25 | — |
| KY | $16.25 | — |
| LA | $16.11 | — |
| MA | $16.25 | — |
| MD | $16.25 | — |
| ME | $16.25 | — |
| MI | $13.81 | — |
| MN | $16.10 | — |
| MO | $16.25 | — |
| MS | $13.81 | — |
| MT | $16.25 | — |
| NC | $13.81 | — |
| ND | $16.25 | — |
| NE | $16.25 | — |
| NH | $16.25 | — |
| NJ | $16.25 | — |
| NM | $14.30 | — |
| NV | $16.25 | — |
| NY | $14.98 | — |
| OH | $13.81 | — |
| OK | $16.25 | — |
| OR | $13.81 | — |
| PA | $16.25 | — |
| PR | $27.91 | — |
| RI | $15.98 | — |
| SC | $13.91 | — |
| SD | $16.25 | — |
| TN | $13.81 | — |
| TX | $13.81 | — |
| UT | $13.81 | — |
| VA | $15.35 | — |
| VI | $14.98 | — |
| VT | $13.81 | — |
| WA | $16.25 | — |
| WI | $16.25 | — |
| WV | $13.81 | — |
| WY | $16.25 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $59.52 to $119.19 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $113.29 | — |
| AL | $69.84 | $91.77 |
| AR | $69.84 | $83.32 |
| AZ | $60.92 | $91.77 |
| CA | $63.87 | $84.10 |
| CO | $60.92 | $91.77 |
| CT | $59.52 | $91.77 |
| DC | $59.94 | $83.32 |
| DE | $59.94 | $91.77 |
| FL | $69.84 | $91.77 |
| GA | $69.84 | $91.77 |
| HI | $112.41 | — |
| IA | $66.78 | $83.32 |
| ID | $60.92 | $91.77 |
| IL | $65.92 | $83.32 |
| IN | $65.92 | $83.32 |
| KS | $66.78 | $91.77 |
| KY | $69.84 | $91.77 |
| LA | $69.84 | $91.77 |
| MA | $59.52 | $91.77 |
| MD | $59.94 | $91.77 |
| ME | $59.52 | $91.77 |
| MI | $65.92 | $83.32 |
| MN | $66.78 | $83.32 |
| MO | $66.78 | $83.32 |
| MS | $69.84 | $83.32 |
| MT | $60.92 | $91.77 |
| NC | $69.84 | $86.18 |
| ND | $66.78 | $91.77 |
| NE | $66.78 | $91.77 |
| NH | $59.52 | $83.32 |
| NJ | $59.94 | $83.32 |
| NM | $60.92 | $89.04 |
| NV | $63.87 | $91.77 |
| NY | $59.94 | $91.77 |
| OH | $65.92 | $83.32 |
| OK | $60.92 | $91.77 |
| OR | $63.87 | $83.32 |
| PA | $59.94 | $91.77 |
| PR | $119.19 | — |
| RI | $59.52 | $91.77 |
| SC | $69.84 | $87.62 |
| SD | $66.78 | $91.77 |
| TN | $69.84 | $86.18 |
| TX | $60.92 | $87.14 |
| UT | $60.92 | $83.32 |
| VA | $69.84 | $86.40 |
| VI | $91.77 | — |
| VT | $59.52 | $83.32 |
| WA | $63.87 | $83.32 |
| WI | $65.92 | $91.77 |
| WV | $69.84 | $83.32 |
| WY | $60.92 | $91.77 |
UE + KE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $90.26 to $131.34 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $124.58 | — |
| AL | — | $99.94 |
| AR | — | $90.26 |
| AZ | — | $99.94 |
| CA | — | $91.15 |
| CO | — | $99.94 |
| CT | — | $99.94 |
| DC | — | $90.26 |
| DE | — | $99.94 |
| FL | — | $99.94 |
| GA | — | $99.94 |
| HI | $123.58 | — |
| IA | — | $90.26 |
| ID | — | $99.94 |
| IL | — | $90.26 |
| IN | — | $90.26 |
| KS | — | $99.94 |
| KY | — | $99.94 |
| LA | — | $99.94 |
| MA | — | $99.94 |
| MD | — | $99.94 |
| ME | — | $99.94 |
| MI | — | $90.26 |
| MN | — | $90.26 |
| MO | — | $90.26 |
| MS | — | $90.26 |
| MT | — | $99.94 |
| NC | — | $93.53 |
| ND | — | $99.94 |
| NE | — | $99.94 |
| NH | — | $90.26 |
| NJ | — | $90.26 |
| NM | — | $96.82 |
| NV | — | $99.94 |
| NY | — | $99.94 |
| OH | — | $90.26 |
| OK | — | $99.94 |
| OR | — | $90.26 |
| PA | — | $99.94 |
| PR | $131.34 | — |
| RI | — | $99.94 |
| SC | — | $95.19 |
| SD | — | $99.94 |
| TN | — | $93.53 |
| TX | — | $94.64 |
| UT | — | $90.26 |
| VA | — | $93.79 |
| VI | $99.94 | — |
| VT | — | $90.26 |
| WA | — | $90.26 |
| WI | — | $99.94 |
| WV | — | $90.26 |
| WY | — | $99.94 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $95.80 to $167.54 depending on state and rural status.
Former-CBA payment limits: ceiling $112.71 · floor $95.80
| State | Non-rural | Rural |
|---|---|---|
| AK | $155.73 | — |
| AL | $112.71 | — |
| AR | $95.80 | — |
| AZ | $112.71 | — |
| CA | $97.37 | — |
| CO | $112.71 | — |
| CT | $112.71 | — |
| DC | $95.80 | — |
| DE | $112.71 | — |
| FL | $112.71 | — |
| GA | $112.71 | — |
| HI | $153.99 | — |
| IA | $95.80 | — |
| ID | $112.71 | — |
| IL | $95.80 | — |
| IN | $95.80 | — |
| KS | $112.71 | — |
| KY | $112.71 | — |
| LA | $112.71 | — |
| MA | $112.71 | — |
| MD | $112.71 | — |
| ME | $112.71 | — |
| MI | $95.80 | — |
| MN | $95.80 | — |
| MO | $95.80 | — |
| MS | $95.80 | — |
| MT | $112.71 | — |
| NC | $101.50 | — |
| ND | $112.71 | — |
| NE | $112.71 | — |
| NH | $95.80 | — |
| NJ | $95.80 | — |
| NM | $107.24 | — |
| NV | $112.71 | — |
| NY | $112.71 | — |
| OH | $95.80 | — |
| OK | $112.71 | — |
| OR | $95.80 | — |
| PA | $112.71 | — |
| PR | $167.54 | — |
| RI | $112.71 | — |
| SC | $104.41 | — |
| SD | $112.71 | — |
| TN | $101.50 | — |
| TX | $103.45 | — |
| UT | $95.80 | — |
| VA | $101.96 | — |
| VI | $112.71 | — |
| VT | $95.80 | — |
| WA | $95.80 | — |
| WI | $112.71 | — |
| WV | $95.80 | — |
| WY | $112.71 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0990 at 2 units per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Anatomic Consideration.
Common denial codes to watch
Related E-codes
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