E1280 — Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests
HCPCS Level II E-code · short descriptor: “Whchr h-duty det arm leg res”
- 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.
E1280 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $140.99 to $295.83 depending on state and rural status.
Former-CBA payment limits: ceiling $187.06 · floor $159.00
| State | Non-rural | Rural |
|---|---|---|
| AK | $140.99 | — |
| AL | $187.06 | — |
| AR | $159.00 | — |
| AZ | $187.06 | — |
| CA | $159.00 | — |
| CO | $187.06 | — |
| CT | $187.06 | — |
| DC | $187.06 | — |
| DE | $159.00 | — |
| FL | $159.00 | — |
| GA | $162.92 | — |
| HI | $150.78 | — |
| IA | $181.33 | — |
| ID | $187.06 | — |
| IL | $187.06 | — |
| IN | $185.63 | — |
| KS | $187.06 | — |
| KY | $187.06 | — |
| LA | $159.00 | — |
| MA | $187.06 | — |
| MD | $187.06 | — |
| ME | $187.06 | — |
| MI | $174.45 | — |
| MN | $159.00 | — |
| MO | $182.02 | — |
| MS | $159.00 | — |
| MT | $187.06 | — |
| NC | $178.67 | — |
| ND | $187.06 | — |
| NE | $187.06 | — |
| NH | $187.06 | — |
| NJ | $175.02 | — |
| NM | $187.06 | — |
| NV | $187.06 | — |
| NY | $187.06 | — |
| OH | $171.16 | — |
| OK | $164.28 | — |
| OR | $159.00 | — |
| PA | $187.06 | — |
| PR | $295.83 | — |
| RI | $161.06 | — |
| SC | $162.25 | — |
| SD | $187.06 | — |
| TN | $159.00 | — |
| TX | $187.06 | — |
| UT | $159.00 | — |
| VA | $187.06 | — |
| VI | $187.06 | — |
| VT | $187.06 | — |
| WA | $185.02 | — |
| WI | $159.00 | — |
| WV | $159.00 | — |
| WY | $187.06 | — |
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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