E1190 — Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests
HCPCS Level II E-code · short descriptor: “Wheelchair amputee w/ leg re”
- 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.
E1190 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $141.81 to $217.43 depending on state and rural status.
Former-CBA payment limits: ceiling $166.84 · floor $141.81
| State | Non-rural | Rural |
|---|---|---|
| AK | $148.63 | — |
| AL | $141.81 | — |
| AR | $166.84 | — |
| AZ | $166.84 | — |
| CA | $147.12 | — |
| CO | $141.81 | — |
| CT | $166.84 | — |
| DC | $149.75 | — |
| DE | $166.84 | — |
| FL | $141.81 | — |
| GA | $141.81 | — |
| HI | $158.94 | — |
| IA | $166.84 | — |
| ID | $166.84 | — |
| IL | $166.84 | — |
| IN | $166.84 | — |
| KS | $166.84 | — |
| KY | $166.84 | — |
| LA | $144.74 | — |
| MA | $153.82 | — |
| MD | $141.81 | — |
| ME | $150.75 | — |
| MI | $166.84 | — |
| MN | $166.84 | — |
| MO | $166.84 | — |
| MS | $141.81 | — |
| MT | $166.84 | — |
| NC | $141.81 | — |
| ND | $166.84 | — |
| NE | $151.15 | — |
| NH | $145.26 | — |
| NJ | $155.43 | — |
| NM | $166.84 | — |
| NV | $141.81 | — |
| NY | $166.84 | — |
| OH | $146.61 | — |
| OK | $166.84 | — |
| OR | $141.81 | — |
| PA | $145.33 | — |
| PR | $217.43 | — |
| RI | $141.81 | — |
| SC | $141.81 | — |
| SD | $166.84 | — |
| TN | $166.84 | — |
| TX | $166.84 | — |
| UT | $147.72 | — |
| VA | $166.84 | — |
| VI | $166.84 | — |
| VT | $151.82 | — |
| WA | $166.84 | — |
| WI | $166.84 | — |
| WV | $141.81 | — |
| WY | $166.84 | — |
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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