MyMedi-AI

E1029 — Wheelchair accessory, ventilator tray, fixed

HCPCS Level II E-code · short descriptor: “W/c vent tray fixed”

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
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.

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 (April 13, 2026 update — 83 items). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

E1029 Medicare fee schedule (April 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $45.38 to $50.68 depending on state and rural status.

StateNon-ruralRural
AK$45.38
AL$45.38$45.38
AR$45.38$45.38
AZ$45.38$45.38
CA$45.38$45.38
CO$45.38$45.38
CT$45.38$45.38
DC$45.38$45.38
DE$45.38$45.38
FL$45.38$45.38
GA$45.38$45.38
HI$45.38
IA$45.38$45.38
ID$45.38$45.38
IL$45.38$45.38
IN$45.38$45.38
KS$45.38$45.38
KY$45.38$45.38
LA$45.38$45.38
MA$45.38$45.38
MD$45.38$45.38
ME$45.38$45.38
MI$45.38$45.38
MN$45.38$45.38
MO$45.38$45.38
MS$45.38$45.38
MT$45.38$45.38
NC$45.38$45.38
ND$45.38$45.38
NE$45.38$45.38
NH$45.38$45.38
NJ$45.38$45.38
NM$45.38$45.38
NV$45.38$45.38
NY$45.38$45.38
OH$45.38$45.38
OK$45.38$45.38
OR$45.38$45.38
PA$45.38$45.38
PR$50.68
RI$45.38$45.38
SC$45.38$45.38
SD$45.38$45.38
TN$45.38$45.38
TX$45.38$45.38
UT$45.38$45.38
VA$45.38$45.38
VI$45.38
VT$45.38$45.38
WA$45.38$45.38
WI$45.38$45.38
WV$45.38$45.38
WY$45.38$45.38

RR + KE — Monthly rental Capped rental

Medicare allowable ranges from $48.95 to $54.63 depending on state and rural status.

StateNon-ruralRural
AK$49.42
AL$48.95
AR$48.95
AZ$48.95
CA$48.95
CO$48.95
CT$48.95
DC$48.95
DE$48.95
FL$48.95
GA$48.95
HI$49.42
IA$48.95
ID$48.95
IL$48.95
IN$48.95
KS$48.95
KY$48.95
LA$48.95
MA$48.95
MD$48.95
ME$48.95
MI$48.95
MN$48.95
MO$48.95
MS$48.95
MT$48.95
NC$48.95
ND$48.95
NE$48.95
NH$48.95
NJ$48.95
NM$48.95
NV$48.95
NY$48.95
OH$48.95
OK$48.95
OR$48.95
PA$48.95
PR$54.63
RI$48.95
SC$48.95
SD$48.95
TN$48.95
TX$48.95
UT$48.95
VA$48.95
VI$49.42
VT$48.95
WA$48.95
WI$48.95
WV$48.95
WY$48.95

RR + KU — Monthly rental Capped rental

Medicare allowable ranges from $45.37 to $54.49 depending on state and rural status.

Former-CBA payment limits: ceiling $45.37 · floor $38.56

StateNon-ruralRural
AK$45.37
AL$45.37
AR$45.37
AZ$45.37
CA$45.37
CO$45.37
CT$45.37
DC$45.37
DE$45.37
FL$45.37
GA$45.37
HI$45.37
IA$45.37
ID$45.37
IL$45.37
IN$45.37
KS$45.37
KY$45.37
LA$45.37
MA$45.37
MD$45.37
ME$45.37
MI$45.37
MN$45.37
MO$45.37
MS$45.37
MT$45.37
NC$45.37
ND$45.37
NE$45.37
NH$45.37
NJ$45.37
NM$45.37
NV$45.37
NY$45.37
OH$45.37
OK$45.37
OR$45.37
PA$45.37
PR$54.49
RI$45.37
SC$45.37
SD$45.37
TN$45.37
TX$45.37
UT$45.37
VA$45.37
VI$45.37
VT$45.37
WA$45.37
WI$45.37
WV$45.37
WY$45.37
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

Bill E1029 with confidence

MyMedi-AI scrubs whole claims against NCCI pairs, MUE limits, modifier rules, and PA flags before you submit — built for DME teams, no PHI stored on our servers.

Start free trial   Run a CMS-0057-F readiness check

Prefer DIY compliance? Self-audit documentation kits for DME suppliers →

Building an AI agent? Try the agent API in the playground — free PA-required lookups, E1029 included, and starter credits via POST /bot-marketplace/register.