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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
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

E0990 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $79.35 to $158.96 depending on state and rural status.

StateNon-ruralRural
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.

StateNon-ruralRural
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

StateNon-ruralRural
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.

StateNon-ruralRural
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.

StateNon-ruralRural
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

StateNon-ruralRural
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.

StateNon-ruralRural
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.

StateNon-ruralRural
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

StateNon-ruralRural
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
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

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