MyMedi-AI

E1016 — Shock absorber for power wheelchair, each

HCPCS Level II E-code · short descriptor: “Shock absorber for power 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.

E1016 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $129.22 to $176.80 depending on state and rural status.

StateNon-ruralRural
AK$160.69—
AL$133.52$155.83
AR$133.52$155.83
AZ$136.71$155.83
CA$131.95$155.83
CO$138.02$155.83
CT$140.16$155.83
DC$129.22$155.83
DE$129.22$155.83
FL$133.52$155.83
GA$133.52$155.83
HI$160.69—
IA$139.06$155.83
ID$138.02$155.83
IL$148.29$155.83
IN$148.29$155.83
KS$139.06$155.83
KY$133.52$155.83
LA$133.52$155.83
MA$140.16$155.83
MD$129.22$155.83
ME$140.16$155.83
MI$148.29$155.83
MN$139.06$155.83
MO$139.06$155.83
MS$133.52$155.83
MT$138.02$155.83
NC$133.52$155.83
ND$139.06$155.83
NE$139.06$155.83
NH$140.16$155.83
NJ$129.22$155.83
NM$136.71$155.83
NV$131.95$155.83
NY$129.22$155.83
OH$148.29$155.83
OK$136.71$155.83
OR$131.95$155.83
PA$129.22$155.83
PR$176.80—
RI$140.16$155.83
SC$133.52$155.83
SD$139.06$155.83
TN$133.52$155.83
TX$136.71$155.83
UT$138.02$155.83
VA$133.52$155.83
VI$160.69—
VT$140.16$155.83
WA$131.95$155.83
WI$148.29$155.83
WV$133.52$155.83
WY$138.02$155.83

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $167.53 to $190.83 depending on state and rural status.

StateNon-ruralRural
AK$172.38—
AL—$167.53
AR—$167.53
AZ—$167.53
CA—$167.53
CO—$167.53
CT—$167.53
DC—$167.53
DE—$167.53
FL—$167.53
GA—$167.53
HI$172.38—
IA—$167.53
ID—$167.53
IL—$167.53
IN—$167.53
KS—$167.53
KY—$167.53
LA—$167.53
MA—$167.53
MD—$167.53
ME—$167.53
MI—$167.53
MN—$167.53
MO—$167.53
MS—$167.53
MT—$167.53
NC—$167.53
ND—$167.53
NE—$167.53
NH—$167.53
NJ—$167.53
NM—$167.53
NV—$167.53
NY—$167.53
OH—$167.53
OK—$167.53
OR—$167.53
PA—$167.53
PR$190.83—
RI—$167.53
SC—$167.53
SD—$167.53
TN—$167.53
TX—$167.53
UT—$167.53
VA—$167.53
VI$172.38—
VT—$167.53
WA—$167.53
WI—$167.53
WV—$167.53
WY—$167.53

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $161.31 to $193.56 depending on state and rural status.

Former-CBA payment limits: ceiling $161.31 · floor $137.11

StateNon-ruralRural
AK$161.31—
AL$161.31—
AR$161.31—
AZ$161.31—
CA$161.31—
CO$161.31—
CT$161.31—
DC$161.31—
DE$161.31—
FL$161.31—
GA$161.31—
HI$161.31—
IA$161.31—
ID$161.31—
IL$161.31—
IN$161.31—
KS$161.31—
KY$161.31—
LA$161.31—
MA$161.31—
MD$161.31—
ME$161.31—
MI$161.31—
MN$161.31—
MO$161.31—
MS$161.31—
MT$161.31—
NC$161.31—
ND$161.31—
NE$161.31—
NH$161.31—
NJ$161.31—
NM$161.31—
NV$161.31—
NY$161.31—
OH$161.31—
OK$161.31—
OR$161.31—
PA$161.31—
PR$193.56—
RI$161.31—
SC$161.31—
SD$161.31—
TN$161.31—
TX$161.31—
UT$161.31—
VA$161.31—
VI$161.31—
VT$161.31—
WA$161.31—
WI$161.31—
WV$161.31—
WY$161.31—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $12.92 to $17.69 depending on state and rural status.

StateNon-ruralRural
AK$16.08—
AL$13.35$15.59
AR$13.35$15.59
AZ$13.67$15.59
CA$13.19$15.59
CO$13.80$15.59
CT$14.01$15.59
DC$12.92$15.59
DE$12.92$15.59
FL$13.35$15.59
GA$13.35$15.59
HI$16.08—
IA$13.91$15.59
ID$13.80$15.59
IL$14.83$15.59
IN$14.83$15.59
KS$13.91$15.59
KY$13.35$15.59
LA$13.35$15.59
MA$14.01$15.59
MD$12.92$15.59
ME$14.01$15.59
MI$14.83$15.59
MN$13.91$15.59
MO$13.91$15.59
MS$13.35$15.59
MT$13.80$15.59
NC$13.35$15.59
ND$13.91$15.59
NE$13.91$15.59
NH$14.01$15.59
NJ$12.92$15.59
NM$13.67$15.59
NV$13.19$15.59
NY$12.92$15.59
OH$14.83$15.59
OK$13.67$15.59
OR$13.19$15.59
PA$12.92$15.59
PR$17.69—
RI$14.01$15.59
SC$13.35$15.59
SD$13.91$15.59
TN$13.35$15.59
TX$13.67$15.59
UT$13.80$15.59
VA$13.35$15.59
VI$16.08—
VT$14.01$15.59
WA$13.19$15.59
WI$14.83$15.59
WV$13.35$15.59
WY$13.80$15.59

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $16.77 to $19.10 depending on state and rural status.

StateNon-ruralRural
AK$17.25—
AL—$16.77
AR—$16.77
AZ—$16.77
CA—$16.77
CO—$16.77
CT—$16.77
DC—$16.77
DE—$16.77
FL—$16.77
GA—$16.77
HI$17.25—
IA—$16.77
ID—$16.77
IL—$16.77
IN—$16.77
KS—$16.77
KY—$16.77
LA—$16.77
MA—$16.77
MD—$16.77
ME—$16.77
MI—$16.77
MN—$16.77
MO—$16.77
MS—$16.77
MT—$16.77
NC—$16.77
ND—$16.77
NE—$16.77
NH—$16.77
NJ—$16.77
NM—$16.77
NV—$16.77
NY—$16.77
OH—$16.77
OK—$16.77
OR—$16.77
PA—$16.77
PR$19.10—
RI—$16.77
SC—$16.77
SD—$16.77
TN—$16.77
TX—$16.77
UT—$16.77
VA—$16.77
VI$17.25—
VT—$16.77
WA—$16.77
WI—$16.77
WV—$16.77
WY—$16.77

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $16.16 to $19.39 depending on state and rural status.

Former-CBA payment limits: ceiling $16.16 · floor $13.74

StateNon-ruralRural
AK$16.16—
AL$16.16—
AR$16.16—
AZ$16.16—
CA$16.16—
CO$16.16—
CT$16.16—
DC$16.16—
DE$16.16—
FL$16.16—
GA$16.16—
HI$16.16—
IA$16.16—
ID$16.16—
IL$16.16—
IN$16.16—
KS$16.16—
KY$16.16—
LA$16.16—
MA$16.16—
MD$16.16—
ME$16.16—
MI$16.16—
MN$16.16—
MO$16.16—
MS$16.16—
MT$16.16—
NC$16.16—
ND$16.16—
NE$16.16—
NH$16.16—
NJ$16.16—
NM$16.16—
NV$16.16—
NY$16.16—
OH$16.16—
OK$16.16—
OR$16.16—
PA$16.16—
PR$19.39—
RI$16.16—
SC$16.16—
SD$16.16—
TN$16.16—
TX$16.16—
UT$16.16—
VA$16.16—
VI$16.16—
VT$16.16—
WA$16.16—
WI$16.16—
WV$16.16—
WY$16.16—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $96.91 to $132.61 depending on state and rural status.

StateNon-ruralRural
AK$120.51—
AL$100.14$116.87
AR$100.14$116.87
AZ$102.53$116.87
CA$98.97$116.87
CO$103.51$116.87
CT$105.12$116.87
DC$96.91$116.87
DE$96.91$116.87
FL$100.14$116.87
GA$100.14$116.87
HI$120.51—
IA$104.30$116.87
ID$103.51$116.87
IL$111.22$116.87
IN$111.22$116.87
KS$104.30$116.87
KY$100.14$116.87
LA$100.14$116.87
MA$105.12$116.87
MD$96.91$116.87
ME$105.12$116.87
MI$111.22$116.87
MN$104.30$116.87
MO$104.30$116.87
MS$100.14$116.87
MT$103.51$116.87
NC$100.14$116.87
ND$104.30$116.87
NE$104.30$116.87
NH$105.12$116.87
NJ$96.91$116.87
NM$102.53$116.87
NV$98.97$116.87
NY$96.91$116.87
OH$111.22$116.87
OK$102.53$116.87
OR$98.97$116.87
PA$96.91$116.87
PR$132.61—
RI$105.12$116.87
SC$100.14$116.87
SD$104.30$116.87
TN$100.14$116.87
TX$102.53$116.87
UT$103.51$116.87
VA$100.14$116.87
VI$120.51—
VT$105.12$116.87
WA$98.97$116.87
WI$111.22$116.87
WV$100.14$116.87
WY$103.51$116.87

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $125.64 to $143.13 depending on state and rural status.

StateNon-ruralRural
AK$129.28—
AL—$125.64
AR—$125.64
AZ—$125.64
CA—$125.64
CO—$125.64
CT—$125.64
DC—$125.64
DE—$125.64
FL—$125.64
GA—$125.64
HI$129.28—
IA—$125.64
ID—$125.64
IL—$125.64
IN—$125.64
KS—$125.64
KY—$125.64
LA—$125.64
MA—$125.64
MD—$125.64
ME—$125.64
MI—$125.64
MN—$125.64
MO—$125.64
MS—$125.64
MT—$125.64
NC—$125.64
ND—$125.64
NE—$125.64
NH—$125.64
NJ—$125.64
NM—$125.64
NV—$125.64
NY—$125.64
OH—$125.64
OK—$125.64
OR—$125.64
PA—$125.64
PR$143.13—
RI—$125.64
SC—$125.64
SD—$125.64
TN—$125.64
TX—$125.64
UT—$125.64
VA—$125.64
VI$129.28—
VT—$125.64
WA—$125.64
WI—$125.64
WV—$125.64
WY—$125.64

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $120.96 to $145.19 depending on state and rural status.

Former-CBA payment limits: ceiling $120.96 · floor $102.82

StateNon-ruralRural
AK$120.96—
AL$120.96—
AR$120.96—
AZ$120.96—
CA$120.96—
CO$120.96—
CT$120.96—
DC$120.96—
DE$120.96—
FL$120.96—
GA$120.96—
HI$120.96—
IA$120.96—
ID$120.96—
IL$120.96—
IN$120.96—
KS$120.96—
KY$120.96—
LA$120.96—
MA$120.96—
MD$120.96—
ME$120.96—
MI$120.96—
MN$120.96—
MO$120.96—
MS$120.96—
MT$120.96—
NC$120.96—
ND$120.96—
NE$120.96—
NH$120.96—
NJ$120.96—
NM$120.96—
NV$120.96—
NY$120.96—
OH$120.96—
OK$120.96—
OR$120.96—
PA$120.96—
PR$145.19—
RI$120.96—
SC$120.96—
SD$120.96—
TN$120.96—
TX$120.96—
UT$120.96—
VA$120.96—
VI$120.96—
VT$120.96—
WA$120.96—
WI$120.96—
WV$120.96—
WY$120.96—
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 E1016 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

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