MyMedi-AI

E1008 — Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction

HCPCS Level II E-code · short descriptor: “Pwr seat combo pwr 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.

E1008 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $1023.89 to $1156.21 depending on state and rural status.

StateNon-ruralRural
AK$1048.84—
AL$1023.89$1048.84
AR$1023.89$1048.84
AZ$1023.89$1048.84
CA$1023.89$1048.84
CO$1023.89$1048.84
CT$1023.89$1048.84
DC$1023.89$1048.84
DE$1023.89$1048.84
FL$1023.89$1048.84
GA$1023.89$1048.84
HI$1048.84—
IA$1023.89$1048.84
ID$1023.89$1048.84
IL$1023.89$1048.84
IN$1023.89$1048.84
KS$1023.89$1048.84
KY$1023.89$1048.84
LA$1023.89$1048.84
MA$1023.89$1048.84
MD$1023.89$1048.84
ME$1023.89$1048.84
MI$1023.89$1048.84
MN$1023.89$1048.84
MO$1023.89$1048.84
MS$1023.89$1048.84
MT$1023.89$1048.84
NC$1023.89$1048.84
ND$1023.89$1048.84
NE$1023.89$1048.84
NH$1023.89$1048.84
NJ$1023.89$1048.84
NM$1023.89$1048.84
NV$1023.89$1048.84
NY$1023.89$1048.84
OH$1023.89$1048.84
OK$1023.89$1048.84
OR$1023.89$1048.84
PA$1023.89$1048.84
PR$1156.21—
RI$1023.89$1048.84
SC$1023.89$1048.84
SD$1023.89$1048.84
TN$1023.89$1048.84
TX$1023.89$1048.84
UT$1023.89$1048.84
VA$1023.89$1048.84
VI$1048.84—
VT$1023.89$1048.84
WA$1023.89$1048.84
WI$1023.89$1048.84
WV$1023.89$1048.84
WY$1023.89$1048.84

RR + KE — Monthly rental Capped rental

Medicare allowable ranges from $1126.69 to $1249.63 depending on state and rural status.

StateNon-ruralRural
AK$1126.69—
AL—$1126.69
AR—$1126.69
AZ—$1126.69
CA—$1126.69
CO—$1126.69
CT—$1126.69
DC—$1126.69
DE—$1126.69
FL—$1126.69
GA—$1126.69
HI$1126.69—
IA—$1126.69
ID—$1126.69
IL—$1126.69
IN—$1126.69
KS—$1126.69
KY—$1126.69
LA—$1126.69
MA—$1126.69
MD—$1126.69
ME—$1126.69
MI—$1126.69
MN—$1126.69
MO—$1126.69
MS—$1126.69
MT—$1126.69
NC—$1126.69
ND—$1126.69
NE—$1126.69
NH—$1126.69
NJ—$1126.69
NM—$1126.69
NV—$1126.69
NY—$1126.69
OH—$1126.69
OK—$1126.69
OR—$1126.69
PA—$1126.69
PR$1249.63—
RI—$1126.69
SC—$1126.69
SD—$1126.69
TN—$1126.69
TX—$1126.69
UT—$1126.69
VA—$1126.69
VI$1126.69—
VT—$1126.69
WA—$1126.69
WI—$1126.69
WV—$1126.69
WY—$1126.69

RR + KU — Monthly rental Capped rental

Medicare allowable ranges from $1073.79 to $1288.57 depending on state and rural status.

Former-CBA payment limits: ceiling $1073.79 · floor $912.72

StateNon-ruralRural
AK$1073.79—
AL$1073.79—
AR$1073.79—
AZ$1073.79—
CA$1073.79—
CO$1073.79—
CT$1073.79—
DC$1073.79—
DE$1073.79—
FL$1073.79—
GA$1073.79—
HI$1073.79—
IA$1073.79—
ID$1073.79—
IL$1073.79—
IN$1073.79—
KS$1073.79—
KY$1073.79—
LA$1073.79—
MA$1073.79—
MD$1073.79—
ME$1073.79—
MI$1073.79—
MN$1073.79—
MO$1073.79—
MS$1073.79—
MT$1073.79—
NC$1073.79—
ND$1073.79—
NE$1073.79—
NH$1073.79—
NJ$1073.79—
NM$1073.79—
NV$1073.79—
NY$1073.79—
OH$1073.79—
OK$1073.79—
OR$1073.79—
PA$1073.79—
PR$1288.57—
RI$1073.79—
SC$1073.79—
SD$1073.79—
TN$1073.79—
TX$1073.79—
UT$1073.79—
VA$1073.79—
VI$1073.79—
VT$1073.79—
WA$1073.79—
WI$1073.79—
WV$1073.79—
WY$1073.79—
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 E1008 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

E1002E1003E1004E1005E1006E1007E1009E1010E1011E1012E1014E1015

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