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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

StateNon-ruralRural
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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