MyMedi-AI

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

StateNon-ruralRural
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

StateNon-ruralRural
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

StateNon-ruralRural
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
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

Bill E1230 with confidence

MyMedi-AI scrubs whole claims against NCCI pairs, MUE limits, modifier rules, and PA flags before you submit — built for DME teams, no PHI stored on our servers.

Start free trial   Run a CMS-0057-F readiness check

Prefer DIY compliance? Self-audit documentation kits for DME suppliers →