E1084 — Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests
HCPCS Level II E-code · short descriptor: “Hemi-wheelchair detachable a”
- 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.
E1084 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $118.83 to $148.33 depending on state and rural status.
Former-CBA payment limits: ceiling $139.80 · floor $118.83
| State | Non-rural | Rural |
|---|---|---|
| AK | $134.52 | — |
| AL | $139.80 | — |
| AR | $119.69 | — |
| AZ | $139.80 | — |
| CA | $133.18 | — |
| CO | $139.80 | — |
| CT | $139.80 | — |
| DC | $130.88 | — |
| DE | $139.80 | — |
| FL | $118.83 | — |
| GA | $139.80 | — |
| HI | $143.82 | — |
| IA | $139.80 | — |
| ID | $118.83 | — |
| IL | $139.80 | — |
| IN | $139.80 | — |
| KS | $139.80 | — |
| KY | $139.80 | — |
| LA | $130.71 | — |
| MA | $137.62 | — |
| MD | $139.80 | — |
| ME | $139.80 | — |
| MI | $121.53 | — |
| MN | $118.83 | — |
| MO | $139.80 | — |
| MS | $118.83 | — |
| MT | $123.20 | — |
| NC | $129.20 | — |
| ND | $125.65 | — |
| NE | $139.64 | — |
| NH | $129.97 | — |
| NJ | $139.80 | — |
| NM | $139.80 | — |
| NV | $139.80 | — |
| NY | $131.31 | — |
| OH | $139.80 | — |
| OK | $139.80 | — |
| OR | $137.14 | — |
| PA | $139.80 | — |
| PR | $148.33 | — |
| RI | $118.83 | — |
| SC | $139.80 | — |
| SD | $136.92 | — |
| TN | $118.83 | — |
| TX | $139.80 | — |
| UT | $128.57 | — |
| VA | $139.80 | — |
| VI | $131.31 | — |
| VT | $135.86 | — |
| WA | $139.80 | — |
| WI | $130.44 | — |
| WV | $139.80 | — |
| WY | $136.46 | — |
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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