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
MUE unit limit
1
Status
Active (HCPCS Level II October 2026)

Prior authorization

Not on the Medicare required-PA list (CMS Required Prior Authorization List — 82 items in force on 2026-10-30 (2 of them in some states only); 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 — 105 items in force on 2026-10-30; 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.

E1029 Medicare fee schedule (October 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 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 E1029 at 1 unit 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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