E1015 — Shock absorber for manual wheelchair, each
HCPCS Level II E-code · short descriptor: “Shock absorber for man w/c”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Special coverage instructions apply
- DMEPOS payment category
- Inexpensive or routinely purchased
- Prior authorization
- Not on Medicare required-PA list
- Face-to-face & WOPD
- Not on the required list
- MUE unit limit
- 2
- 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.
E1015 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $136.28 to $179.38 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $163.05 | — |
| AL | $146.36 | $161.83 |
| AR | $146.36 | $161.83 |
| AZ | $144.30 | $161.83 |
| CA | $136.43 | $161.83 |
| CO | $148.67 | $161.83 |
| CT | $141.70 | $161.83 |
| DC | $136.28 | $161.83 |
| DE | $136.28 | $161.83 |
| FL | $146.36 | $161.83 |
| GA | $146.36 | $161.83 |
| HI | $163.05 | — |
| IA | $152.70 | $161.83 |
| ID | $148.67 | $161.83 |
| IL | $155.30 | $161.83 |
| IN | $155.30 | $161.83 |
| KS | $152.70 | $161.83 |
| KY | $146.36 | $161.83 |
| LA | $146.36 | $161.83 |
| MA | $141.70 | $161.83 |
| MD | $136.28 | $161.83 |
| ME | $141.70 | $161.83 |
| MI | $155.30 | $161.83 |
| MN | $152.70 | $161.83 |
| MO | $152.70 | $161.83 |
| MS | $146.36 | $161.83 |
| MT | $148.67 | $161.83 |
| NC | $146.36 | $161.83 |
| ND | $152.70 | $161.83 |
| NE | $152.70 | $161.83 |
| NH | $141.70 | $161.83 |
| NJ | $136.28 | $161.83 |
| NM | $144.30 | $161.83 |
| NV | $136.43 | $161.83 |
| NY | $136.28 | $161.83 |
| OH | $155.30 | $161.83 |
| OK | $144.30 | $161.83 |
| OR | $136.43 | $161.83 |
| PA | $136.28 | $161.83 |
| PR | $179.38 | — |
| RI | $141.70 | $161.83 |
| SC | $146.36 | $161.83 |
| SD | $152.70 | $161.83 |
| TN | $146.36 | $161.83 |
| TX | $144.30 | $161.83 |
| UT | $148.67 | $161.83 |
| VA | $146.36 | $161.83 |
| VI | $163.05 | — |
| VT | $141.70 | $161.83 |
| WA | $136.43 | $161.83 |
| WI | $155.30 | $161.83 |
| WV | $146.36 | $161.83 |
| WY | $148.67 | $161.83 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $163.49 to $196.14 depending on state and rural status.
Former-CBA payment limits: ceiling $163.49 · floor $138.97
| State | Non-rural | Rural |
|---|---|---|
| AK | $163.49 | — |
| AL | $163.49 | — |
| AR | $163.49 | — |
| AZ | $163.49 | — |
| CA | $163.49 | — |
| CO | $163.49 | — |
| CT | $163.49 | — |
| DC | $163.49 | — |
| DE | $163.49 | — |
| FL | $163.49 | — |
| GA | $163.49 | — |
| HI | $163.49 | — |
| IA | $163.49 | — |
| ID | $163.49 | — |
| IL | $163.49 | — |
| IN | $163.49 | — |
| KS | $163.49 | — |
| KY | $163.49 | — |
| LA | $163.49 | — |
| MA | $163.49 | — |
| MD | $163.49 | — |
| ME | $163.49 | — |
| MI | $163.49 | — |
| MN | $163.49 | — |
| MO | $163.49 | — |
| MS | $163.49 | — |
| MT | $163.49 | — |
| NC | $163.49 | — |
| ND | $163.49 | — |
| NE | $163.49 | — |
| NH | $163.49 | — |
| NJ | $163.49 | — |
| NM | $163.49 | — |
| NV | $163.49 | — |
| NY | $163.49 | — |
| OH | $163.49 | — |
| OK | $163.49 | — |
| OR | $163.49 | — |
| PA | $163.49 | — |
| PR | $196.14 | — |
| RI | $163.49 | — |
| SC | $163.49 | — |
| SD | $163.49 | — |
| TN | $163.49 | — |
| TX | $163.49 | — |
| UT | $163.49 | — |
| VA | $163.49 | — |
| VI | $163.49 | — |
| VT | $163.49 | — |
| WA | $163.49 | — |
| WI | $163.49 | — |
| WV | $163.49 | — |
| WY | $163.49 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $13.63 to $17.95 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $16.30 | — |
| AL | $14.64 | $16.18 |
| AR | $14.64 | $16.18 |
| AZ | $14.43 | $16.18 |
| CA | $13.65 | $16.18 |
| CO | $14.87 | $16.18 |
| CT | $14.17 | $16.18 |
| DC | $13.63 | $16.18 |
| DE | $13.63 | $16.18 |
| FL | $14.64 | $16.18 |
| GA | $14.64 | $16.18 |
| HI | $16.30 | — |
| IA | $15.27 | $16.18 |
| ID | $14.87 | $16.18 |
| IL | $15.53 | $16.18 |
| IN | $15.53 | $16.18 |
| KS | $15.27 | $16.18 |
| KY | $14.64 | $16.18 |
| LA | $14.64 | $16.18 |
| MA | $14.17 | $16.18 |
| MD | $13.63 | $16.18 |
| ME | $14.17 | $16.18 |
| MI | $15.53 | $16.18 |
| MN | $15.27 | $16.18 |
| MO | $15.27 | $16.18 |
| MS | $14.64 | $16.18 |
| MT | $14.87 | $16.18 |
| NC | $14.64 | $16.18 |
| ND | $15.27 | $16.18 |
| NE | $15.27 | $16.18 |
| NH | $14.17 | $16.18 |
| NJ | $13.63 | $16.18 |
| NM | $14.43 | $16.18 |
| NV | $13.65 | $16.18 |
| NY | $13.63 | $16.18 |
| OH | $15.53 | $16.18 |
| OK | $14.43 | $16.18 |
| OR | $13.65 | $16.18 |
| PA | $13.63 | $16.18 |
| PR | $17.95 | — |
| RI | $14.17 | $16.18 |
| SC | $14.64 | $16.18 |
| SD | $15.27 | $16.18 |
| TN | $14.64 | $16.18 |
| TX | $14.43 | $16.18 |
| UT | $14.87 | $16.18 |
| VA | $14.64 | $16.18 |
| VI | $16.30 | — |
| VT | $14.17 | $16.18 |
| WA | $13.65 | $16.18 |
| WI | $15.53 | $16.18 |
| WV | $14.64 | $16.18 |
| WY | $14.87 | $16.18 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $16.35 to $19.66 depending on state and rural status.
Former-CBA payment limits: ceiling $16.35 · floor $13.90
| State | Non-rural | Rural |
|---|---|---|
| AK | $16.35 | — |
| AL | $16.35 | — |
| AR | $16.35 | — |
| AZ | $16.35 | — |
| CA | $16.35 | — |
| CO | $16.35 | — |
| CT | $16.35 | — |
| DC | $16.35 | — |
| DE | $16.35 | — |
| FL | $16.35 | — |
| GA | $16.35 | — |
| HI | $16.35 | — |
| IA | $16.35 | — |
| ID | $16.35 | — |
| IL | $16.35 | — |
| IN | $16.35 | — |
| KS | $16.35 | — |
| KY | $16.35 | — |
| LA | $16.35 | — |
| MA | $16.35 | — |
| MD | $16.35 | — |
| ME | $16.35 | — |
| MI | $16.35 | — |
| MN | $16.35 | — |
| MO | $16.35 | — |
| MS | $16.35 | — |
| MT | $16.35 | — |
| NC | $16.35 | — |
| ND | $16.35 | — |
| NE | $16.35 | — |
| NH | $16.35 | — |
| NJ | $16.35 | — |
| NM | $16.35 | — |
| NV | $16.35 | — |
| NY | $16.35 | — |
| OH | $16.35 | — |
| OK | $16.35 | — |
| OR | $16.35 | — |
| PA | $16.35 | — |
| PR | $19.66 | — |
| RI | $16.35 | — |
| SC | $16.35 | — |
| SD | $16.35 | — |
| TN | $16.35 | — |
| TX | $16.35 | — |
| UT | $16.35 | — |
| VA | $16.35 | — |
| VI | $16.35 | — |
| VT | $16.35 | — |
| WA | $16.35 | — |
| WI | $16.35 | — |
| WV | $16.35 | — |
| WY | $16.35 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $102.21 to $134.54 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $122.28 | — |
| AL | $109.77 | $121.37 |
| AR | $109.77 | $121.37 |
| AZ | $108.23 | $121.37 |
| CA | $102.33 | $121.37 |
| CO | $111.50 | $121.37 |
| CT | $106.28 | $121.37 |
| DC | $102.21 | $121.37 |
| DE | $102.21 | $121.37 |
| FL | $109.77 | $121.37 |
| GA | $109.77 | $121.37 |
| HI | $122.28 | — |
| IA | $114.53 | $121.37 |
| ID | $111.50 | $121.37 |
| IL | $116.48 | $121.37 |
| IN | $116.48 | $121.37 |
| KS | $114.53 | $121.37 |
| KY | $109.77 | $121.37 |
| LA | $109.77 | $121.37 |
| MA | $106.28 | $121.37 |
| MD | $102.21 | $121.37 |
| ME | $106.28 | $121.37 |
| MI | $116.48 | $121.37 |
| MN | $114.53 | $121.37 |
| MO | $114.53 | $121.37 |
| MS | $109.77 | $121.37 |
| MT | $111.50 | $121.37 |
| NC | $109.77 | $121.37 |
| ND | $114.53 | $121.37 |
| NE | $114.53 | $121.37 |
| NH | $106.28 | $121.37 |
| NJ | $102.21 | $121.37 |
| NM | $108.23 | $121.37 |
| NV | $102.33 | $121.37 |
| NY | $102.21 | $121.37 |
| OH | $116.48 | $121.37 |
| OK | $108.23 | $121.37 |
| OR | $102.33 | $121.37 |
| PA | $102.21 | $121.37 |
| PR | $134.54 | — |
| RI | $106.28 | $121.37 |
| SC | $109.77 | $121.37 |
| SD | $114.53 | $121.37 |
| TN | $109.77 | $121.37 |
| TX | $108.23 | $121.37 |
| UT | $111.50 | $121.37 |
| VA | $109.77 | $121.37 |
| VI | $122.28 | — |
| VT | $106.28 | $121.37 |
| WA | $102.33 | $121.37 |
| WI | $116.48 | $121.37 |
| WV | $109.77 | $121.37 |
| WY | $111.50 | $121.37 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $122.60 to $147.10 depending on state and rural status.
Former-CBA payment limits: ceiling $122.60 · floor $104.21
| State | Non-rural | Rural |
|---|---|---|
| AK | $122.60 | — |
| AL | $122.60 | — |
| AR | $122.60 | — |
| AZ | $122.60 | — |
| CA | $122.60 | — |
| CO | $122.60 | — |
| CT | $122.60 | — |
| DC | $122.60 | — |
| DE | $122.60 | — |
| FL | $122.60 | — |
| GA | $122.60 | — |
| HI | $122.60 | — |
| IA | $122.60 | — |
| ID | $122.60 | — |
| IL | $122.60 | — |
| IN | $122.60 | — |
| KS | $122.60 | — |
| KY | $122.60 | — |
| LA | $122.60 | — |
| MA | $122.60 | — |
| MD | $122.60 | — |
| ME | $122.60 | — |
| MI | $122.60 | — |
| MN | $122.60 | — |
| MO | $122.60 | — |
| MS | $122.60 | — |
| MT | $122.60 | — |
| NC | $122.60 | — |
| ND | $122.60 | — |
| NE | $122.60 | — |
| NH | $122.60 | — |
| NJ | $122.60 | — |
| NM | $122.60 | — |
| NV | $122.60 | — |
| NY | $122.60 | — |
| OH | $122.60 | — |
| OK | $122.60 | — |
| OR | $122.60 | — |
| PA | $122.60 | — |
| PR | $147.10 | — |
| RI | $122.60 | — |
| SC | $122.60 | — |
| SD | $122.60 | — |
| TN | $122.60 | — |
| TX | $122.60 | — |
| UT | $122.60 | — |
| VA | $122.60 | — |
| VI | $122.60 | — |
| VT | $122.60 | — |
| WA | $122.60 | — |
| WI | $122.60 | — |
| WV | $122.60 | — |
| WY | $122.60 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E1015 at 2 units per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Nature of Equipment.
Common denial codes to watch
Related E-codes
Bill E1015 with confidence
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