MyMedi-AI

E1006 — Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction

HCPCS Level II E-code · short descriptor: “Pwr seat combo w/o shear”

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.

E1006 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $792.95 to $877.87 depending on state and rural status.

StateNon-ruralRural
AK$792.95—
AL$792.95$792.95
AR$792.95$792.95
AZ$792.95$792.95
CA$792.95$792.95
CO$792.95$792.95
CT$792.95$792.95
DC$792.95$792.95
DE$792.95$792.95
FL$792.95$792.95
GA$792.95$792.95
HI$792.95—
IA$792.95$792.95
ID$792.95$792.95
IL$792.95$792.95
IN$792.95$792.95
KS$792.95$792.95
KY$792.95$792.95
LA$792.95$792.95
MA$792.95$792.95
MD$792.95$792.95
ME$792.95$792.95
MI$792.95$792.95
MN$792.95$792.95
MO$792.95$792.95
MS$792.95$792.95
MT$792.95$792.95
NC$792.95$792.95
ND$792.95$792.95
NE$792.95$792.95
NH$792.95$792.95
NJ$792.95$792.95
NM$792.95$792.95
NV$792.95$792.95
NY$792.95$792.95
OH$792.95$792.95
OK$792.95$792.95
OR$792.95$792.95
PA$792.95$792.95
PR$877.87—
RI$792.95$792.95
SC$792.95$792.95
SD$792.95$792.95
TN$792.95$792.95
TX$792.95$792.95
UT$792.95$792.95
VA$792.95$792.95
VI$792.95—
VT$792.95$792.95
WA$792.95$792.95
WI$792.95$792.95
WV$792.95$792.95
WY$792.95$792.95

RR + KE — Monthly rental Capped rental

Medicare allowable ranges from $855.50 to $946.86 depending on state and rural status.

StateNon-ruralRural
AK$856.04—
AL—$855.50
AR—$855.50
AZ—$855.50
CA—$855.50
CO—$855.50
CT—$855.50
DC—$855.50
DE—$855.50
FL—$855.50
GA—$855.50
HI$856.04—
IA—$855.50
ID—$855.50
IL—$855.50
IN—$855.50
KS—$855.50
KY—$855.50
LA—$855.50
MA—$855.50
MD—$855.50
ME—$855.50
MI—$855.50
MN—$855.50
MO—$855.50
MS—$855.50
MT—$855.50
NC—$855.50
ND—$855.50
NE—$855.50
NH—$855.50
NJ—$855.50
NM—$855.50
NV—$855.50
NY—$855.50
OH—$855.50
OK—$855.50
OR—$855.50
PA—$855.50
PR$946.86—
RI—$855.50
SC—$855.50
SD—$855.50
TN—$855.50
TX—$855.50
UT—$855.50
VA—$855.50
VI$856.04—
VT—$855.50
WA—$855.50
WI—$855.50
WV—$855.50
WY—$855.50

RR + KU — Monthly rental Capped rental

Medicare allowable ranges from $792.95 to $951.60 depending on state and rural status.

Former-CBA payment limits: ceiling $792.95 · floor $674.01

StateNon-ruralRural
AK$792.95—
AL$792.95—
AR$792.95—
AZ$792.95—
CA$792.95—
CO$792.95—
CT$792.95—
DC$792.95—
DE$792.95—
FL$792.95—
GA$792.95—
HI$792.95—
IA$792.95—
ID$792.95—
IL$792.95—
IN$792.95—
KS$792.95—
KY$792.95—
LA$792.95—
MA$792.95—
MD$792.95—
ME$792.95—
MI$792.95—
MN$792.95—
MO$792.95—
MS$792.95—
MT$792.95—
NC$792.95—
ND$792.95—
NE$792.95—
NH$792.95—
NJ$792.95—
NM$792.95—
NV$792.95—
NY$792.95—
OH$792.95—
OK$792.95—
OR$792.95—
PA$792.95—
PR$951.60—
RI$792.95—
SC$792.95—
SD$792.95—
TN$792.95—
TX$792.95—
UT$792.95—
VA$792.95—
VI$792.95—
VT$792.95—
WA$792.95—
WI$792.95—
WV$792.95—
WY$792.95—
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 E1006 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

E1002E1003E1004E1005E1007E1008E1009E1010E1011E1012E1014E1015

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