E1171 — Amputee wheelchair, fixed full length arms, without footrests or legrest
HCPCS Level II E-code · short descriptor: “Wheelchair amputee w/o leg r”
- 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.
E1171 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $97.09 to $168.26 depending on state and rural status.
Former-CBA payment limits: ceiling $114.22 · floor $97.09
| State | Non-rural | Rural |
|---|---|---|
| AK | $110.70 | — |
| AL | $99.79 | — |
| AR | $114.22 | — |
| AZ | $114.22 | — |
| CA | $109.63 | — |
| CO | $114.22 | — |
| CT | $114.22 | — |
| DC | $105.42 | — |
| DE | $101.79 | — |
| FL | $97.09 | — |
| GA | $101.03 | — |
| HI | $118.37 | — |
| IA | $101.56 | — |
| ID | $114.22 | — |
| IL | $114.22 | — |
| IN | $114.22 | — |
| KS | $114.05 | — |
| KY | $97.09 | — |
| LA | $114.22 | — |
| MA | $114.22 | — |
| MD | $105.80 | — |
| ME | $114.22 | — |
| MI | $114.22 | — |
| MN | $104.72 | — |
| MO | $114.03 | — |
| MS | $97.09 | — |
| MT | $114.22 | — |
| NC | $97.09 | — |
| ND | $114.22 | — |
| NE | $111.92 | — |
| NH | $114.22 | — |
| NJ | $97.87 | — |
| NM | $114.22 | — |
| NV | $114.22 | — |
| NY | $109.25 | — |
| OH | $97.09 | — |
| OK | $114.22 | — |
| OR | $114.22 | — |
| PA | $99.98 | — |
| PR | $168.26 | — |
| RI | $102.33 | — |
| SC | $97.09 | — |
| SD | $114.22 | — |
| TN | $97.09 | — |
| TX | $114.22 | — |
| UT | $97.09 | — |
| VA | $114.22 | — |
| VI | $109.25 | — |
| VT | $114.22 | — |
| WA | $114.22 | — |
| WI | $114.22 | — |
| WV | $97.09 | — |
| WY | $114.22 | — |
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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