E1028 — Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other
HCPCS Level II E-code · short descriptor: “W/c manual swingaway”
- 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
- 6
- 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.
E1028 Medicare fee schedule (October 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $15.68 to $24.27 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $21.73 | — |
| AL | $17.19 | $21.73 |
| AR | $17.19 | $21.73 |
| AZ | $15.69 | $21.73 |
| CA | $16.27 | $21.73 |
| CO | $16.34 | $21.73 |
| CT | $16.58 | $21.73 |
| DC | $15.68 | $21.73 |
| DE | $15.68 | $21.73 |
| FL | $17.19 | $21.73 |
| GA | $17.19 | $21.73 |
| HI | $21.73 | — |
| IA | $16.47 | $21.73 |
| ID | $16.34 | $21.73 |
| IL | $16.36 | $21.73 |
| IN | $16.36 | $21.73 |
| KS | $16.47 | $21.73 |
| KY | $17.19 | $21.73 |
| LA | $17.19 | $21.73 |
| MA | $16.58 | $21.73 |
| MD | $15.68 | $21.73 |
| ME | $16.58 | $21.73 |
| MI | $16.36 | $21.73 |
| MN | $16.47 | $21.73 |
| MO | $16.47 | $21.73 |
| MS | $17.19 | $21.73 |
| MT | $16.34 | $21.73 |
| NC | $17.19 | $21.73 |
| ND | $16.47 | $21.73 |
| NE | $16.47 | $21.73 |
| NH | $16.58 | $21.73 |
| NJ | $15.68 | $21.73 |
| NM | $15.69 | $21.73 |
| NV | $16.27 | $21.73 |
| NY | $15.68 | $21.73 |
| OH | $16.36 | $21.73 |
| OK | $15.69 | $21.73 |
| OR | $16.27 | $21.73 |
| PA | $15.68 | $21.73 |
| PR | $24.27 | — |
| RI | $16.58 | $21.73 |
| SC | $17.19 | $21.73 |
| SD | $16.47 | $21.73 |
| TN | $17.19 | $21.73 |
| TX | $15.69 | $21.73 |
| UT | $16.34 | $21.73 |
| VA | $17.19 | $21.73 |
| VI | $21.73 | — |
| VT | $16.58 | $21.73 |
| WA | $16.27 | $21.73 |
| WI | $16.36 | $21.73 |
| WV | $17.19 | $21.73 |
| WY | $16.34 | $21.73 |
RR + KE — Monthly rental Capped rental
Medicare allowable ranges from $23.57 to $26.47 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $23.57 | — |
| AL | — | $23.57 |
| AR | — | $23.57 |
| AZ | — | $23.57 |
| CA | — | $23.57 |
| CO | — | $23.57 |
| CT | — | $23.57 |
| DC | — | $23.57 |
| DE | — | $23.57 |
| FL | — | $23.57 |
| GA | — | $23.57 |
| HI | $23.57 | — |
| IA | — | $23.57 |
| ID | — | $23.57 |
| IL | — | $23.57 |
| IN | — | $23.57 |
| KS | — | $23.57 |
| KY | — | $23.57 |
| LA | — | $23.57 |
| MA | — | $23.57 |
| MD | — | $23.57 |
| ME | — | $23.57 |
| MI | — | $23.57 |
| MN | — | $23.57 |
| MO | — | $23.57 |
| MS | — | $23.57 |
| MT | — | $23.57 |
| NC | — | $23.57 |
| ND | — | $23.57 |
| NE | — | $23.57 |
| NH | — | $23.57 |
| NJ | — | $23.57 |
| NM | — | $23.57 |
| NV | — | $23.57 |
| NY | — | $23.57 |
| OH | — | $23.57 |
| OK | — | $23.57 |
| OR | — | $23.57 |
| PA | — | $23.57 |
| PR | $26.47 | — |
| RI | — | $23.57 |
| SC | — | $23.57 |
| SD | — | $23.57 |
| TN | — | $23.57 |
| TX | — | $23.57 |
| UT | — | $23.57 |
| VA | — | $23.57 |
| VI | $23.57 | — |
| VT | — | $23.57 |
| WA | — | $23.57 |
| WI | — | $23.57 |
| WV | — | $23.57 |
| WY | — | $23.57 |
RR + KU — Monthly rental Capped rental
Medicare allowable ranges from $25.36 to $30.44 depending on state and rural status.
Former-CBA payment limits: ceiling $25.36 · floor $21.56
| State | Non-rural | Rural |
|---|---|---|
| AK | $25.36 | — |
| AL | $25.36 | — |
| AR | $25.36 | — |
| AZ | $25.36 | — |
| CA | $25.36 | — |
| CO | $25.36 | — |
| CT | $25.36 | — |
| DC | $25.36 | — |
| DE | $25.36 | — |
| FL | $25.36 | — |
| GA | $25.36 | — |
| HI | $25.36 | — |
| IA | $25.36 | — |
| ID | $25.36 | — |
| IL | $25.36 | — |
| IN | $25.36 | — |
| KS | $25.36 | — |
| KY | $25.36 | — |
| LA | $25.36 | — |
| MA | $25.36 | — |
| MD | $25.36 | — |
| ME | $25.36 | — |
| MI | $25.36 | — |
| MN | $25.36 | — |
| MO | $25.36 | — |
| MS | $25.36 | — |
| MT | $25.36 | — |
| NC | $25.36 | — |
| ND | $25.36 | — |
| NE | $25.36 | — |
| NH | $25.36 | — |
| NJ | $25.36 | — |
| NM | $25.36 | — |
| NV | $25.36 | — |
| NY | $25.36 | — |
| OH | $25.36 | — |
| OK | $25.36 | — |
| OR | $25.36 | — |
| PA | $25.36 | — |
| PR | $30.44 | — |
| RI | $25.36 | — |
| SC | $25.36 | — |
| SD | $25.36 | — |
| TN | $25.36 | — |
| TX | $25.36 | — |
| UT | $25.36 | — |
| VA | $25.36 | — |
| VI | $25.36 | — |
| VT | $25.36 | — |
| WA | $25.36 | — |
| WI | $25.36 | — |
| WV | $25.36 | — |
| WY | $25.36 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E1028 at 6 units per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Clinical: Data.
Common denial codes to watch
Related E-codes
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