E1297 — Special wheelchair seat depth, by upholstery
HCPCS Level II E-code · short descriptor: “Wheelchair special seat dept”
- 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.
E1297 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $118.82 to $166.47 depending on state and rural status.
Former-CBA payment limits: ceiling $149.08 · floor $126.72
| State | Non-rural | Rural |
|---|---|---|
| AK | $118.82 | — |
| AL | $149.08 | — |
| AR | $149.08 | — |
| AZ | $149.08 | — |
| CA | $126.72 | — |
| CO | $149.08 | — |
| CT | $149.08 | — |
| DC | $126.72 | — |
| DE | $126.72 | — |
| FL | $149.08 | — |
| GA | $149.08 | — |
| HI | $127.07 | — |
| IA | $149.08 | — |
| ID | $149.08 | — |
| IL | $126.72 | — |
| IN | $148.00 | — |
| KS | $149.08 | — |
| KY | $142.90 | — |
| LA | $149.08 | — |
| MA | $126.72 | — |
| MD | $149.08 | — |
| ME | $126.72 | — |
| MI | $149.08 | — |
| MN | $146.90 | — |
| MO | $149.08 | — |
| MS | $149.08 | — |
| MT | $149.08 | — |
| NC | $133.76 | — |
| ND | $149.08 | — |
| NE | $149.08 | — |
| NH | $126.72 | — |
| NJ | $126.72 | — |
| NM | $126.72 | — |
| NV | $149.08 | — |
| NY | $126.72 | — |
| OH | $126.72 | — |
| OK | $126.72 | — |
| OR | $149.08 | — |
| PA | $126.72 | — |
| PR | $166.47 | — |
| RI | $126.72 | — |
| SC | $126.72 | — |
| SD | $149.08 | — |
| TN | $129.32 | — |
| TX | $126.72 | — |
| UT | $149.08 | — |
| VA | $149.08 | — |
| VI | $126.72 | — |
| VT | $126.72 | — |
| WA | $149.08 | — |
| WI | $146.90 | — |
| WV | $126.72 | — |
| WY | $149.08 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $14.08 to $44.21 depending on state and rural status.
Former-CBA payment limits: ceiling $16.56 · floor $14.08
| State | Non-rural | Rural |
|---|---|---|
| AK | $41.33 | — |
| AL | $16.56 | — |
| AR | $16.56 | — |
| AZ | $16.56 | — |
| CA | $16.56 | — |
| CO | $16.56 | — |
| CT | $16.56 | — |
| DC | $14.08 | — |
| DE | $14.08 | — |
| FL | $16.56 | — |
| GA | $16.56 | — |
| HI | $44.21 | — |
| IA | $16.56 | — |
| ID | $16.56 | — |
| IL | $16.56 | — |
| IN | $14.82 | — |
| KS | $16.56 | — |
| KY | $14.31 | — |
| LA | $16.56 | — |
| MA | $14.08 | — |
| MD | $16.56 | — |
| ME | $14.08 | — |
| MI | $16.56 | — |
| MN | $14.68 | — |
| MO | $16.56 | — |
| MS | $14.88 | — |
| MT | $16.56 | — |
| NC | $14.08 | — |
| ND | $16.56 | — |
| NE | $16.56 | — |
| NH | $14.08 | — |
| NJ | $14.08 | — |
| NM | $14.08 | — |
| NV | $16.56 | — |
| NY | $14.08 | — |
| OH | $14.08 | — |
| OK | $14.08 | — |
| OR | $16.56 | — |
| PA | $14.08 | — |
| PR | $20.81 | — |
| RI | $14.08 | — |
| SC | $14.08 | — |
| SD | $16.56 | — |
| TN | $14.08 | — |
| TX | $14.08 | — |
| UT | $16.43 | — |
| VA | $16.56 | — |
| VI | $14.08 | — |
| VT | $14.08 | — |
| WA | $16.56 | — |
| WI | $14.68 | — |
| WV | $14.08 | — |
| WY | $16.56 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $89.13 to $124.88 depending on state and rural status.
Former-CBA payment limits: ceiling $111.79 · floor $95.02
| State | Non-rural | Rural |
|---|---|---|
| AK | $89.13 | — |
| AL | $111.79 | — |
| AR | $111.79 | — |
| AZ | $111.79 | — |
| CA | $95.02 | — |
| CO | $111.79 | — |
| CT | $111.79 | — |
| DC | $95.02 | — |
| DE | $95.02 | — |
| FL | $111.79 | — |
| GA | $111.79 | — |
| HI | $95.29 | — |
| IA | $111.79 | — |
| ID | $111.79 | — |
| IL | $95.02 | — |
| IN | $111.01 | — |
| KS | $111.79 | — |
| KY | $107.16 | — |
| LA | $111.79 | — |
| MA | $95.02 | — |
| MD | $111.79 | — |
| ME | $95.02 | — |
| MI | $111.79 | — |
| MN | $110.19 | — |
| MO | $111.79 | — |
| MS | $111.79 | — |
| MT | $111.79 | — |
| NC | $100.30 | — |
| ND | $111.79 | — |
| NE | $111.79 | — |
| NH | $95.02 | — |
| NJ | $95.02 | — |
| NM | $95.02 | — |
| NV | $111.79 | — |
| NY | $95.02 | — |
| OH | $95.02 | — |
| OK | $95.02 | — |
| OR | $111.79 | — |
| PA | $95.02 | — |
| PR | $124.88 | — |
| RI | $95.02 | — |
| SC | $95.02 | — |
| SD | $111.79 | — |
| TN | $97.01 | — |
| TX | $95.02 | — |
| UT | $111.79 | — |
| VA | $111.79 | — |
| VI | $95.02 | — |
| VT | $95.02 | — |
| WA | $111.79 | — |
| WI | $110.19 | — |
| WV | $95.02 | — |
| WY | $111.79 | — |
Common denial codes to watch
Related E-codes
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