E1037 — Transport chair, pediatric size
HCPCS Level II E-code · short descriptor: “Transport chair, ped size”
- 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
- 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.
E1037 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $120.03 to $169.86 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $154.39 | — |
| AL | $129.67 | $149.46 |
| AR | $129.67 | $149.46 |
| AZ | $125.69 | $149.46 |
| CA | $120.03 | $149.46 |
| CO | $128.64 | $149.46 |
| CT | $135.83 | $149.46 |
| DC | $129.13 | $149.46 |
| DE | $129.13 | $149.46 |
| FL | $129.67 | $149.46 |
| GA | $129.67 | $149.46 |
| HI | $154.39 | — |
| IA | $138.02 | $149.46 |
| ID | $128.64 | $149.46 |
| IL | $138.16 | $149.46 |
| IN | $138.16 | $149.46 |
| KS | $138.02 | $149.46 |
| KY | $129.67 | $149.46 |
| LA | $129.67 | $149.46 |
| MA | $135.83 | $149.46 |
| MD | $129.13 | $149.46 |
| ME | $135.83 | $149.46 |
| MI | $138.16 | $149.46 |
| MN | $138.02 | $149.46 |
| MO | $138.02 | $149.46 |
| MS | $129.67 | $149.46 |
| MT | $128.64 | $149.46 |
| NC | $129.67 | $149.46 |
| ND | $138.02 | $149.46 |
| NE | $138.02 | $149.46 |
| NH | $135.83 | $149.46 |
| NJ | $129.13 | $149.46 |
| NM | $125.69 | $149.46 |
| NV | $120.03 | $149.46 |
| NY | $129.13 | $149.46 |
| OH | $138.16 | $149.46 |
| OK | $125.69 | $149.46 |
| OR | $120.03 | $149.46 |
| PA | $129.13 | $149.46 |
| PR | $169.86 | — |
| RI | $135.83 | $149.46 |
| SC | $129.67 | $149.46 |
| SD | $138.02 | $149.46 |
| TN | $129.67 | $149.46 |
| TX | $125.69 | $149.46 |
| UT | $128.64 | $149.46 |
| VA | $129.67 | $149.46 |
| VI | $154.39 | — |
| VT | $135.83 | $149.46 |
| WA | $120.03 | $149.46 |
| WI | $138.16 | $149.46 |
| WV | $129.67 | $149.46 |
| WY | $128.64 | $149.46 |
Common denial codes to watch
Related E-codes
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