MyMedi-AI

E1012 — Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each

HCPCS Level II E-code · short descriptor: “Ctr mount pwr elev leg rest”

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.

E1012 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $139.14 to $153.87 depending on state and rural status.

StateNon-ruralRural
AK$139.82—
AL$139.14$139.82
AR$139.14$139.82
AZ$139.14$139.82
CA$139.14$139.82
CO$139.14$139.82
CT$139.14$139.82
DC$139.14$139.82
DE$139.14$139.82
FL$139.14$139.82
GA$139.14$139.82
HI$139.82—
IA$139.14$139.82
ID$139.14$139.82
IL$139.14$139.82
IN$139.14$139.82
KS$139.14$139.82
KY$139.14$139.82
LA$139.14$139.82
MA$139.14$139.82
MD$139.14$139.82
ME$139.14$139.82
MI$139.14$139.82
MN$139.14$139.82
MO$139.14$139.82
MS$139.14$139.82
MT$139.14$139.82
NC$139.14$139.82
ND$139.14$139.82
NE$139.14$139.82
NH$139.14$139.82
NJ$139.14$139.82
NM$139.14$139.82
NV$139.14$139.82
NY$139.14$139.82
OH$139.14$139.82
OK$139.14$139.82
OR$139.14$139.82
PA$139.14$139.82
PR$153.87—
RI$139.14$139.82
SC$139.14$139.82
SD$139.14$139.82
TN$139.14$139.82
TX$139.14$139.82
UT$139.14$139.82
VA$139.14$139.82
VI$139.82—
VT$139.14$139.82
WA$139.14$139.82
WI$139.14$139.82
WV$139.14$139.82
WY$139.14$139.82

RR + KU — Monthly rental Capped rental

Medicare allowable ranges from $140.49 to $168.59 depending on state and rural status.

Former-CBA payment limits: ceiling $140.49 · floor $119.42

StateNon-ruralRural
AK$140.49—
AL$140.49—
AR$140.49—
AZ$140.49—
CA$140.49—
CO$140.49—
CT$140.49—
DC$140.49—
DE$140.49—
FL$140.49—
GA$140.49—
HI$140.49—
IA$140.49—
ID$140.49—
IL$140.49—
IN$140.49—
KS$140.49—
KY$140.49—
LA$140.49—
MA$140.49—
MD$140.49—
ME$140.49—
MI$140.49—
MN$140.49—
MO$140.49—
MS$140.49—
MT$140.49—
NC$140.49—
ND$140.49—
NE$140.49—
NH$140.49—
NJ$140.49—
NM$140.49—
NV$140.49—
NY$140.49—
OH$140.49—
OK$140.49—
OR$140.49—
PA$140.49—
PR$168.59—
RI$140.49—
SC$140.49—
SD$140.49—
TN$140.49—
TX$140.49—
UT$140.49—
VA$140.49—
VI$140.49—
VT$140.49—
WA$140.49—
WI$140.49—
WV$140.49—
WY$140.49—
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 E1012 at 1 unit per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Nature of Equipment.

Common denial codes to watch

CO-50 medical necessityCO-151 frequency/units

Related E-codes

E1002E1003E1004E1005E1006E1007E1008E1009E1010E1011E1014E1015

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