E1296 — Special wheelchair seat height from floor
HCPCS Level II E-code · short descriptor: “Wheelchair special seat heig”
- 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
- 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.
E1296 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $595.57 to $734.49 depending on state and rural status.
Former-CBA payment limits: ceiling $700.67 · floor $595.57
| State | Non-rural | Rural |
|---|---|---|
| AK | $665.61 | — |
| AL | $700.67 | — |
| AR | $700.67 | — |
| AZ | $595.57 | — |
| CA | $659.02 | — |
| CO | $700.67 | — |
| CT | $700.67 | — |
| DC | $595.57 | — |
| DE | $595.57 | — |
| FL | $700.67 | — |
| GA | $700.67 | — |
| HI | $711.75 | — |
| IA | $700.67 | — |
| ID | $615.09 | — |
| IL | $595.57 | — |
| IN | $679.86 | — |
| KS | $700.67 | — |
| KY | $595.57 | — |
| LA | $700.67 | — |
| MA | $700.67 | — |
| MD | $595.57 | — |
| ME | $700.67 | — |
| MI | $595.57 | — |
| MN | $679.86 | — |
| MO | $700.67 | — |
| MS | $700.67 | — |
| MT | $620.50 | — |
| NC | $654.45 | — |
| ND | $700.67 | — |
| NE | $700.67 | — |
| NH | $700.67 | — |
| NJ | $595.57 | — |
| NM | $700.67 | — |
| NV | $595.57 | — |
| NY | $595.57 | — |
| OH | $595.57 | — |
| OK | $700.67 | — |
| OR | $700.67 | — |
| PA | $595.57 | — |
| PR | $734.49 | — |
| RI | $700.67 | — |
| SC | $595.57 | — |
| SD | $700.67 | — |
| TN | $617.70 | — |
| TX | $595.57 | — |
| UT | $700.67 | — |
| VA | $595.57 | — |
| VI | $595.57 | — |
| VT | $700.67 | — |
| WA | $700.67 | — |
| WI | $595.57 | — |
| WV | $595.57 | — |
| WY | $700.67 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $60.53 to $91.80 depending on state and rural status.
Former-CBA payment limits: ceiling $71.21 · floor $60.53
| State | Non-rural | Rural |
|---|---|---|
| AK | $66.59 | — |
| AL | $71.21 | — |
| AR | $71.21 | — |
| AZ | $71.21 | — |
| CA | $65.91 | — |
| CO | $71.21 | — |
| CT | $71.21 | — |
| DC | $60.53 | — |
| DE | $60.53 | — |
| FL | $71.21 | — |
| GA | $71.21 | — |
| HI | $71.21 | — |
| IA | $71.21 | — |
| ID | $61.51 | — |
| IL | $71.21 | — |
| IN | $67.97 | — |
| KS | $71.21 | — |
| KY | $60.53 | — |
| LA | $71.21 | — |
| MA | $71.21 | — |
| MD | $60.53 | — |
| ME | $71.21 | — |
| MI | $60.53 | — |
| MN | $67.97 | — |
| MO | $71.21 | — |
| MS | $70.07 | — |
| MT | $62.08 | — |
| NC | $65.47 | — |
| ND | $71.21 | — |
| NE | $71.21 | — |
| NH | $71.21 | — |
| NJ | $60.53 | — |
| NM | $71.21 | — |
| NV | $60.53 | — |
| NY | $60.53 | — |
| OH | $60.53 | — |
| OK | $71.21 | — |
| OR | $71.21 | — |
| PA | $60.53 | — |
| PR | $91.80 | — |
| RI | $71.21 | — |
| SC | $60.53 | — |
| SD | $71.21 | — |
| TN | $61.76 | — |
| TX | $60.53 | — |
| UT | $71.21 | — |
| VA | $60.53 | — |
| VI | $60.53 | — |
| VT | $71.21 | — |
| WA | $60.53 | — |
| WI | $60.53 | — |
| WV | $60.53 | — |
| WY | $71.21 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $446.69 to $550.87 depending on state and rural status.
Former-CBA payment limits: ceiling $525.52 · floor $446.69
| State | Non-rural | Rural |
|---|---|---|
| AK | $499.20 | — |
| AL | $525.52 | — |
| AR | $525.52 | — |
| AZ | $446.69 | — |
| CA | $494.28 | — |
| CO | $525.52 | — |
| CT | $525.52 | — |
| DC | $446.69 | — |
| DE | $446.69 | — |
| FL | $525.52 | — |
| GA | $525.52 | — |
| HI | $533.84 | — |
| IA | $525.52 | — |
| ID | $461.35 | — |
| IL | $446.69 | — |
| IN | $509.91 | — |
| KS | $525.52 | — |
| KY | $446.69 | — |
| LA | $525.52 | — |
| MA | $525.52 | — |
| MD | $446.69 | — |
| ME | $525.52 | — |
| MI | $446.69 | — |
| MN | $508.24 | — |
| MO | $525.52 | — |
| MS | $525.52 | — |
| MT | $465.36 | — |
| NC | $490.89 | — |
| ND | $525.52 | — |
| NE | $525.52 | — |
| NH | $525.52 | — |
| NJ | $446.69 | — |
| NM | $525.52 | — |
| NV | $446.69 | — |
| NY | $446.69 | — |
| OH | $446.69 | — |
| OK | $525.52 | — |
| OR | $525.52 | — |
| PA | $446.69 | — |
| PR | $550.87 | — |
| RI | $525.52 | — |
| SC | $446.69 | — |
| SD | $525.52 | — |
| TN | $463.32 | — |
| TX | $446.69 | — |
| UT | $525.52 | — |
| VA | $446.69 | — |
| VI | $446.69 | — |
| VT | $525.52 | — |
| WA | $525.52 | — |
| WI | $446.69 | — |
| WV | $446.69 | — |
| WY | $525.52 | — |
Common denial codes to watch
Related E-codes
Bill E1296 with confidence
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