MyMedi-AI

E1002 — Wheelchair accessory, power seating system, tilt only

HCPCS Level II E-code · short descriptor: “Pwr seat tilt”

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.

E1002 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $463.44 to $530.44 depending on state and rural status.

StateNon-ruralRural
AK$480.64—
AL$463.44$480.64
AR$463.44$480.64
AZ$463.44$480.64
CA$463.44$480.64
CO$463.44$480.64
CT$463.44$480.64
DC$463.44$480.64
DE$463.44$480.64
FL$463.44$480.64
GA$463.44$480.64
HI$480.64—
IA$463.44$480.64
ID$463.44$480.64
IL$463.44$480.64
IN$463.44$480.64
KS$463.44$480.64
KY$463.44$480.64
LA$463.44$480.64
MA$463.44$480.64
MD$463.44$480.64
ME$463.44$480.64
MI$463.44$480.64
MN$463.44$480.64
MO$463.44$480.64
MS$463.44$480.64
MT$463.44$480.64
NC$463.44$480.64
ND$463.44$480.64
NE$463.44$480.64
NH$463.44$480.64
NJ$463.44$480.64
NM$463.44$480.64
NV$463.44$480.64
NY$463.44$480.64
OH$463.44$480.64
OK$463.44$480.64
OR$463.44$480.64
PA$463.44$480.64
PR$530.44—
RI$463.44$480.64
SC$463.44$480.64
SD$463.44$480.64
TN$463.44$480.64
TX$463.44$480.64
UT$463.44$480.64
VA$463.44$480.64
VI$480.64—
VT$463.44$480.64
WA$463.44$480.64
WI$463.44$480.64
WV$463.44$480.64
WY$463.44$480.64

RR + KE — Monthly rental Capped rental

Medicare allowable ranges from $516.73 to $573.75 depending on state and rural status.

StateNon-ruralRural
AK$516.73—
AL—$516.73
AR—$516.73
AZ—$516.73
CA—$516.73
CO—$516.73
CT—$516.73
DC—$516.73
DE—$516.73
FL—$516.73
GA—$516.73
HI$516.73—
IA—$516.73
ID—$516.73
IL—$516.73
IN—$516.73
KS—$516.73
KY—$516.73
LA—$516.73
MA—$516.73
MD—$516.73
ME—$516.73
MI—$516.73
MN—$516.73
MO—$516.73
MS—$516.73
MT—$516.73
NC—$516.73
ND—$516.73
NE—$516.73
NH—$516.73
NJ—$516.73
NM—$516.73
NV—$516.73
NY—$516.73
OH—$516.73
OK—$516.73
OR—$516.73
PA—$516.73
PR$573.75—
RI—$516.73
SC—$516.73
SD—$516.73
TN—$516.73
TX—$516.73
UT—$516.73
VA—$516.73
VI$516.73—
VT—$516.73
WA—$516.73
WI—$516.73
WV—$516.73
WY—$516.73

RR + KU — Monthly rental Capped rental

Medicare allowable ranges from $497.84 to $597.42 depending on state and rural status.

Former-CBA payment limits: ceiling $497.84 · floor $423.16

StateNon-ruralRural
AK$497.84—
AL$497.84—
AR$497.84—
AZ$497.84—
CA$497.84—
CO$497.84—
CT$497.84—
DC$497.84—
DE$497.84—
FL$497.84—
GA$497.84—
HI$497.84—
IA$497.84—
ID$497.84—
IL$497.84—
IN$497.84—
KS$497.84—
KY$497.84—
LA$497.84—
MA$497.84—
MD$497.84—
ME$497.84—
MI$497.84—
MN$497.84—
MO$497.84—
MS$497.84—
MT$497.84—
NC$497.84—
ND$497.84—
NE$497.84—
NH$497.84—
NJ$497.84—
NM$497.84—
NV$497.84—
NY$497.84—
OH$497.84—
OK$497.84—
OR$497.84—
PA$497.84—
PR$597.42—
RI$497.84—
SC$497.84—
SD$497.84—
TN$497.84—
TX$497.84—
UT$497.84—
VA$497.84—
VI$497.84—
VT$497.84—
WA$497.84—
WI$497.84—
WV$497.84—
WY$497.84—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps E1002 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

CO-50 medical necessityCO-151 frequency/units

Related E-codes

E1003E1004E1005E1006E1007E1008E1009E1010E1011E1012E1014E1015

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