MyMedi-AI

E1035 — Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs

HCPCS Level II E-code · short descriptor: “Patient transfer system <300”

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
1
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.

E1035 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $676.30 to $921.30 depending on state and rural status.

StateNon-ruralRural
AK$833.90—
AL$733.41$833.90
AR$733.41$833.90
AZ$718.32$833.90
CA$686.72$833.90
CO$761.71$833.90
CT$701.10$833.90
DC$676.30$833.90
DE$676.30$833.90
FL$733.41$833.90
GA$733.41$833.90
HI$833.90—
IA$744.44$833.90
ID$761.71$833.90
IL$731.87$833.90
IN$731.87$833.90
KS$744.44$833.90
KY$733.41$833.90
LA$733.41$833.90
MA$701.10$833.90
MD$676.30$833.90
ME$701.10$833.90
MI$731.87$833.90
MN$744.44$833.90
MO$744.44$833.90
MS$733.41$833.90
MT$761.71$833.90
NC$733.41$833.90
ND$744.44$833.90
NE$744.44$833.90
NH$701.10$833.90
NJ$676.30$833.90
NM$718.32$833.90
NV$686.72$833.90
NY$676.30$833.90
OH$731.87$833.90
OK$718.32$833.90
OR$686.72$833.90
PA$676.30$833.90
PR$921.30—
RI$701.10$833.90
SC$733.41$833.90
SD$744.44$833.90
TN$733.41$833.90
TX$718.32$833.90
UT$761.71$833.90
VA$733.41$833.90
VI$833.90—
VT$701.10$833.90
WA$686.72$833.90
WI$731.87$833.90
WV$733.41$833.90
WY$761.71$833.90
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 E1035 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

Related E-codes

Bill E1035 with confidence

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