E1230 — Power operated vehicle (three or four wheel nonhighway) specify brand name and model number
HCPCS Level II E-code · short descriptor: “Power operated vehicle”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Special coverage instructions apply
- DMEPOS payment category
- Inexpensive or routinely purchased
- 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.
E1230 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $2618.37 to $3830.63 depending on state and rural status.
Former-CBA payment limits: ceiling $3223.39 · floor $2739.88
| State | Non-rural | Rural |
|---|---|---|
| AK | $2618.37 | — |
| AL | $3037.46 | — |
| AR | $3223.39 | — |
| AZ | $3223.39 | — |
| CA | $2739.88 | — |
| CO | $2739.88 | — |
| CT | $3223.39 | — |
| DC | $2900.24 | — |
| DE | $2900.24 | — |
| FL | $2739.88 | — |
| GA | $3223.39 | — |
| HI | $2799.84 | — |
| IA | $3223.39 | — |
| ID | $2739.88 | — |
| IL | $2820.34 | — |
| IN | $3018.39 | — |
| KS | $3223.39 | — |
| KY | $3223.39 | — |
| LA | $2862.12 | — |
| MA | $3223.39 | — |
| MD | $2839.43 | — |
| ME | $3223.39 | — |
| MI | $2739.88 | — |
| MN | $3223.39 | — |
| MO | $3223.39 | — |
| MS | $2739.88 | — |
| MT | $2739.88 | — |
| NC | $2739.88 | — |
| ND | $3223.39 | — |
| NE | $3223.39 | — |
| NH | $3223.39 | — |
| NJ | $2900.24 | — |
| NM | $3170.35 | — |
| NV | $3223.39 | — |
| NY | $3223.39 | — |
| OH | $3156.85 | — |
| OK | $3223.39 | — |
| OR | $3223.39 | — |
| PA | $2900.24 | — |
| PR | $3830.63 | — |
| RI | $3223.39 | — |
| SC | $2739.88 | — |
| SD | $3223.39 | — |
| TN | $2872.01 | — |
| TX | $2975.74 | — |
| UT | $3223.39 | — |
| VA | $2953.12 | — |
| VI | $3223.39 | — |
| VT | $3223.39 | — |
| WA | $3223.39 | — |
| WI | $3223.39 | — |
| WV | $3195.13 | — |
| WY | $3223.39 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $269.48 to $478.84 depending on state and rural status.
Former-CBA payment limits: ceiling $317.03 · floor $269.48
| State | Non-rural | Rural |
|---|---|---|
| AK | $275.92 | — |
| AL | $301.55 | — |
| AR | $317.03 | — |
| AZ | $317.03 | — |
| CA | $273.23 | — |
| CO | $269.48 | — |
| CT | $269.48 | — |
| DC | $290.02 | — |
| DE | $290.02 | — |
| FL | $272.71 | — |
| GA | $317.03 | — |
| HI | $295.01 | — |
| IA | $317.03 | — |
| ID | $269.48 | — |
| IL | $269.48 | — |
| IN | $285.64 | — |
| KS | $317.03 | — |
| KY | $313.33 | — |
| LA | $286.22 | — |
| MA | $317.03 | — |
| MD | $269.48 | — |
| ME | $317.03 | — |
| MI | $317.03 | — |
| MN | $317.03 | — |
| MO | $269.48 | — |
| MS | $269.48 | — |
| MT | $269.48 | — |
| NC | $269.48 | — |
| ND | $317.03 | — |
| NE | $317.03 | — |
| NH | $317.03 | — |
| NJ | $317.03 | — |
| NM | $317.03 | — |
| NV | $317.03 | — |
| NY | $317.03 | — |
| OH | $317.03 | — |
| OK | $317.03 | — |
| OR | $317.03 | — |
| PA | $290.02 | — |
| PR | $478.84 | — |
| RI | $317.03 | — |
| SC | $269.48 | — |
| SD | $317.03 | — |
| TN | $287.23 | — |
| TX | $317.03 | — |
| UT | $317.03 | — |
| VA | $295.27 | — |
| VI | $317.03 | — |
| VT | $269.48 | — |
| WA | $269.48 | — |
| WI | $303.59 | — |
| WV | $317.03 | — |
| WY | $317.03 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $1955.76 to $2872.91 depending on state and rural status.
Former-CBA payment limits: ceiling $2549.32 · floor $2166.92
| State | Non-rural | Rural |
|---|---|---|
| AK | $1955.76 | — |
| AL | $2549.32 | — |
| AR | $2549.32 | — |
| AZ | $2549.32 | — |
| CA | $2166.92 | — |
| CO | $2549.32 | — |
| CT | $2549.32 | — |
| DC | $2166.92 | — |
| DE | $2166.92 | — |
| FL | $2166.92 | — |
| GA | $2440.97 | — |
| HI | $2091.29 | — |
| IA | $2549.32 | — |
| ID | $2166.92 | — |
| IL | $2166.92 | — |
| IN | $2166.92 | — |
| KS | $2549.32 | — |
| KY | $2549.32 | — |
| LA | $2549.32 | — |
| MA | $2549.32 | — |
| MD | $2166.92 | — |
| ME | $2549.32 | — |
| MI | $2166.92 | — |
| MN | $2494.17 | — |
| MO | $2549.32 | — |
| MS | $2166.92 | — |
| MT | $2166.92 | — |
| NC | $2166.92 | — |
| ND | $2549.32 | — |
| NE | $2549.32 | — |
| NH | $2549.32 | — |
| NJ | $2166.92 | — |
| NM | $2377.78 | — |
| NV | $2549.32 | — |
| NY | $2549.32 | — |
| OH | $2320.42 | — |
| OK | $2549.32 | — |
| OR | $2417.54 | — |
| PA | $2166.92 | — |
| PR | $2872.91 | — |
| RI | $2549.32 | — |
| SC | $2166.92 | — |
| SD | $2549.32 | — |
| TN | $2166.92 | — |
| TX | $2231.80 | — |
| UT | $2549.32 | — |
| VA | $2166.92 | — |
| VI | $2549.32 | — |
| VT | $2549.32 | — |
| WA | $2549.32 | — |
| WI | $2549.32 | — |
| WV | $2396.30 | — |
| WY | $2549.32 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E1230 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 E1230 with confidence
Track prior-authorization requests with AI pre-fill and deadline tracking, and draft PA appeal letters — built for DME teams, PHI-free: no patient data is collected or stored.
Start free trial Run a CMS-0057-F readiness checkPrefer DIY compliance? Self-audit documentation kits for DME suppliers →
Building an AI agent? Try the agent API in the playground — free PA-required lookups, E1230 included, and starter credits via POST /bot-marketplace/register.