E1038 — Transport chair, adult size, patient weight capacity up to and including 300 pounds
HCPCS Level II E-code · short descriptor: “Transport chair pt wt<=300lb”
- 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
- 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.
E1038 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $16.27 to $25.27 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $22.72 | — |
| AL | $19.04 | $22.72 |
| AR | $19.04 | $22.72 |
| AZ | $17.99 | $22.72 |
| CA | $17.34 | $22.72 |
| CO | $18.43 | $22.72 |
| CT | $17.01 | $22.72 |
| DC | $16.27 | $22.72 |
| DE | $16.27 | $22.72 |
| FL | $19.04 | $22.72 |
| GA | $19.04 | $22.72 |
| HI | $22.72 | — |
| IA | $18.31 | $22.72 |
| ID | $18.43 | $22.72 |
| IL | $17.89 | $22.72 |
| IN | $17.89 | $22.72 |
| KS | $18.31 | $22.72 |
| KY | $19.04 | $22.72 |
| LA | $19.04 | $22.72 |
| MA | $17.01 | $22.72 |
| MD | $16.27 | $22.72 |
| ME | $17.01 | $22.72 |
| MI | $17.89 | $22.72 |
| MN | $18.31 | $22.72 |
| MO | $18.31 | $22.72 |
| MS | $19.04 | $22.72 |
| MT | $18.43 | $22.72 |
| NC | $19.04 | $22.72 |
| ND | $18.31 | $22.72 |
| NE | $18.31 | $22.72 |
| NH | $17.01 | $22.72 |
| NJ | $16.27 | $22.72 |
| NM | $17.99 | $22.72 |
| NV | $17.34 | $22.72 |
| NY | $16.27 | $22.72 |
| OH | $17.89 | $22.72 |
| OK | $17.99 | $22.72 |
| OR | $17.34 | $22.72 |
| PA | $16.27 | $22.72 |
| PR | $25.27 | — |
| RI | $17.01 | $22.72 |
| SC | $19.04 | $22.72 |
| SD | $18.31 | $22.72 |
| TN | $19.04 | $22.72 |
| TX | $17.99 | $22.72 |
| UT | $18.43 | $22.72 |
| VA | $19.04 | $22.72 |
| VI | $22.72 | — |
| VT | $17.01 | $22.72 |
| WA | $17.34 | $22.72 |
| WI | $17.89 | $22.72 |
| WV | $19.04 | $22.72 |
| WY | $18.43 | $22.72 |
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 E1038 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 checkPrefer DIY compliance? Self-audit documentation kits for DME suppliers →