MyMedi-AI

E1020 — Residual limb support system for wheelchair, any type

HCPCS Level II E-code · short descriptor: “Residual limb support system”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Special coverage instructions apply
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
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.

E1020 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $20.68 to $30.04 depending on state and rural status.

StateNon-ruralRural
AK$27.04—
AL$22.42$27.02
AR$22.42$27.02
AZ$22.14$27.02
CA$21.59$27.02
CO$22.27$27.02
CT$21.25$27.02
DC$20.68$27.02
DE$20.68$27.02
FL$22.42$27.02
GA$22.42$27.02
HI$27.04—
IA$22.41$27.02
ID$22.27$27.02
IL$22.45$27.02
IN$22.45$27.02
KS$22.41$27.02
KY$22.42$27.02
LA$22.42$27.02
MA$21.25$27.02
MD$20.68$27.02
ME$21.25$27.02
MI$22.45$27.02
MN$22.41$27.02
MO$22.41$27.02
MS$22.42$27.02
MT$22.27$27.02
NC$22.42$27.02
ND$22.41$27.02
NE$22.41$27.02
NH$21.25$27.02
NJ$20.68$27.02
NM$22.14$27.02
NV$21.59$27.02
NY$20.68$27.02
OH$22.45$27.02
OK$22.14$27.02
OR$21.59$27.02
PA$20.68$27.02
PR$30.04—
RI$21.25$27.02
SC$22.42$27.02
SD$22.41$27.02
TN$22.42$27.02
TX$22.14$27.02
UT$22.27$27.02
VA$22.42$27.02
VI$27.04—
VT$21.25$27.02
WA$21.59$27.02
WI$22.45$27.02
WV$22.42$27.02
WY$22.27$27.02

RR + KE — Monthly rental Capped rental

Medicare allowable ranges from $29.18 to $32.64 depending on state and rural status.

StateNon-ruralRural
AK$29.21—
AL—$29.18
AR—$29.18
AZ—$29.18
CA—$29.18
CO—$29.18
CT—$29.18
DC—$29.18
DE—$29.18
FL—$29.18
GA—$29.18
HI$29.21—
IA—$29.18
ID—$29.18
IL—$29.18
IN—$29.18
KS—$29.18
KY—$29.18
LA—$29.18
MA—$29.18
MD—$29.18
ME—$29.18
MI—$29.18
MN—$29.18
MO—$29.18
MS—$29.18
MT—$29.18
NC—$29.18
ND—$29.18
NE—$29.18
NH—$29.18
NJ—$29.18
NM—$29.18
NV—$29.18
NY—$29.18
OH—$29.18
OK—$29.18
OR—$29.18
PA—$29.18
PR$32.64—
RI—$29.18
SC—$29.18
SD—$29.18
TN—$29.18
TX—$29.18
UT—$29.18
VA—$29.18
VI$29.21—
VT—$29.18
WA—$29.18
WI—$29.18
WV—$29.18
WY—$29.18

RR + KU — Monthly rental Capped rental

Medicare allowable ranges from $29.88 to $35.86 depending on state and rural status.

Former-CBA payment limits: ceiling $29.88 · floor $25.40

StateNon-ruralRural
AK$29.88—
AL$29.88—
AR$29.88—
AZ$29.88—
CA$29.88—
CO$29.88—
CT$29.88—
DC$29.88—
DE$29.88—
FL$29.88—
GA$29.88—
HI$29.88—
IA$29.88—
ID$29.88—
IL$29.88—
IN$29.88—
KS$29.88—
KY$29.88—
LA$29.88—
MA$29.88—
MD$29.88—
ME$29.88—
MI$29.88—
MN$29.88—
MO$29.88—
MS$29.88—
MT$29.88—
NC$29.88—
ND$29.88—
NE$29.88—
NH$29.88—
NJ$29.88—
NM$29.88—
NV$29.88—
NY$29.88—
OH$29.88—
OK$29.88—
OR$29.88—
PA$29.88—
PR$35.86—
RI$29.88—
SC$29.88—
SD$29.88—
TN$29.88—
TX$29.88—
UT$29.88—
VA$29.88—
VI$29.88—
VT$29.88—
WA$29.88—
WI$29.88—
WV$29.88—
WY$29.88—
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 E1020 at 2 units 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

E1002E1003E1004E1005E1006E1007E1008E1009E1010E1011E1012E1014

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