MyMedi-AI

E1298 — Special wheelchair seat depth and/or width, by construction

HCPCS Level II E-code · short descriptor: “Wheelchair spec seat depth/w”

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.

E1298 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $513.20 to $618.01 depending on state and rural status.

Former-CBA payment limits: ceiling $603.77 · floor $513.20

StateNon-ruralRural
AK$577.95—
AL$603.77—
AR$603.77—
AZ$603.77—
CA$572.24—
CO$513.20—
CT$603.77—
DC$544.29—
DE$544.29—
FL$535.82—
GA$603.77—
HI$618.01—
IA$603.77—
ID$513.20—
IL$603.77—
IN$603.77—
KS$603.77—
KY$603.77—
LA$603.77—
MA$513.20—
MD$513.20—
ME$513.20—
MI$513.20—
MN$581.94—
MO$603.77—
MS$603.77—
MT$513.20—
NC$603.77—
ND$513.20—
NE$603.77—
NH$513.20—
NJ$544.29—
NM$603.77—
NV$603.77—
NY$528.14—
OH$513.20—
OK$603.77—
OR$585.70—
PA$513.20—
PR$564.97—
RI$603.77—
SC$593.24—
SD$513.20—
TN$603.77—
TX$513.20—
UT$603.77—
VA$603.77—
VI$528.14—
VT$513.20—
WA$603.77—
WI$603.77—
WV$603.77—
WY$513.20—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $52.50 to $70.64 depending on state and rural status.

Former-CBA payment limits: ceiling $61.77 · floor $52.50

StateNon-ruralRural
AK$57.80—
AL$61.77—
AR$61.77—
AZ$61.77—
CA$57.22—
CO$52.50—
CT$61.77—
DC$54.46—
DE$54.47—
FL$53.58—
GA$61.77—
HI$61.77—
IA$61.77—
ID$52.50—
IL$61.77—
IN$61.77—
KS$61.77—
KY$61.77—
LA$61.77—
MA$52.50—
MD$52.50—
ME$52.50—
MI$52.50—
MN$58.20—
MO$61.77—
MS$61.77—
MT$61.77—
NC$61.77—
ND$52.50—
NE$61.77—
NH$52.50—
NJ$54.46—
NM$61.77—
NV$61.77—
NY$52.80—
OH$52.50—
OK$61.77—
OR$58.55—
PA$52.50—
PR$70.64—
RI$60.36—
SC$59.35—
SD$52.50—
TN$61.77—
TX$52.50—
UT$61.77—
VA$61.77—
VI$52.80—
VT$52.50—
WA$61.77—
WI$61.77—
WV$61.77—
WY$52.50—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $384.90 to $463.50 depending on state and rural status.

Former-CBA payment limits: ceiling $452.82 · floor $384.90

StateNon-ruralRural
AK$433.44—
AL$452.82—
AR$452.82—
AZ$452.82—
CA$429.17—
CO$384.90—
CT$452.82—
DC$408.20—
DE$408.20—
FL$401.86—
GA$452.82—
HI$463.50—
IA$452.82—
ID$384.90—
IL$452.82—
IN$452.82—
KS$452.82—
KY$452.82—
LA$452.82—
MA$384.90—
MD$384.90—
ME$384.90—
MI$384.90—
MN$436.46—
MO$452.82—
MS$452.82—
MT$384.90—
NC$452.82—
ND$384.90—
NE$452.82—
NH$384.90—
NJ$408.20—
NM$452.82—
NV$452.82—
NY$396.13—
OH$384.90—
OK$452.82—
OR$439.29—
PA$384.90—
PR$423.77—
RI$452.82—
SC$444.92—
SD$384.90—
TN$452.82—
TX$384.90—
UT$452.82—
VA$452.82—
VI$396.13—
VT$384.90—
WA$452.82—
WI$452.82—
WV$452.82—
WY$384.90—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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

CO-50 medical necessity

Related E-codes

E1200E1220E1221E1222E1223E1224E1225E1226E1227E1228E1229E1230

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