MyMedi-AI

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.

StateNon-ruralRural
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
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

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