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
- 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.
E1230 Medicare fee schedule (April 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 | — |
Common denial codes to watch
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