MyMedi-AI

E1060 — Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests

HCPCS Level II E-code · short descriptor: “Wheelchair detachable arms”

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.

E1060 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $152.70 to $191.53 depending on state and rural status.

Former-CBA payment limits: ceiling $179.65 · floor $152.70

StateNon-ruralRural
AK$158.75—
AL$152.70—
AR$179.65—
AZ$179.65—
CA$157.19—
CO$179.65—
CT$163.00—
DC$179.65—
DE$179.65—
FL$152.70—
GA$152.70—
HI$169.77—
IA$179.65—
ID$175.30—
IL$179.65—
IN$179.65—
KS$172.98—
KY$179.65—
LA$156.11—
MA$179.65—
MD$176.65—
ME$179.65—
MI$179.65—
MN$154.74—
MO$164.01—
MS$152.70—
MT$165.24—
NC$158.57—
ND$179.65—
NE$179.65—
NH$178.16—
NJ$161.48—
NM$179.65—
NV$179.65—
NY$157.14—
OH$179.65—
OK$179.65—
OR$179.65—
PA$179.65—
PR$191.53—
RI$169.48—
SC$152.70—
SD$179.65—
TN$152.70—
TX$179.65—
UT$172.78—
VA$179.65—
VI$157.14—
VT$179.65—
WA$177.06—
WI$152.70—
WV$164.58—
WY$179.65—
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 E1060 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 E1060 with confidence

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