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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
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

E1020 Medicare fee schedule (April 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 April 2026. 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.

Common denial codes to watch

Related E-codes

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