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E1100 — Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests

HCPCS Level II E-code · short descriptor: “Whchr s-recl fxd arm leg res”

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.

E1100 Medicare fee schedule (April 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $125.74 to $182.77 depending on state and rural status.

Former-CBA payment limits: ceiling $147.93 · floor $125.74

StateNon-ruralRural
AK$152.99
AL$125.74
AR$147.93
AZ$136.13
CA$147.93
CO$135.20
CT$147.93
DC$147.93
DE$147.93
FL$125.74
GA$125.74
HI$163.61
IA$147.93
ID$147.93
IL$147.93
IN$147.93
KS$147.93
KY$125.74
LA$133.57
MA$147.93
MD$147.93
ME$147.93
MI$147.93
MN$125.74
MO$147.93
MS$125.74
MT$128.72
NC$125.74
ND$147.93
NE$147.07
NH$138.64
NJ$147.93
NM$147.93
NV$139.40
NY$138.92
OH$125.74
OK$147.93
OR$147.93
PA$147.93
PR$182.77
RI$142.29
SC$125.74
SD$147.93
TN$125.74
TX$147.93
UT$125.74
VA$130.84
VI$138.93
VT$144.86
WA$147.93
WI$125.74
WV$125.74
WY$147.93
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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