MyMedi-AI

E1310 — Whirlpool, non-portable (built-in type)

HCPCS Level II E-code · short descriptor: “Whirlpool non-portable”

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
MUE unit limit
1
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.

E1310 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $2601.31 to $3627.06 depending on state and rural status.

Former-CBA payment limits: ceiling $3060.36 · floor $2601.31

StateNon-ruralRural
AK$3090.92—
AL$2601.31—
AR$3060.36—
AZ$2601.31—
CA$3060.36—
CO$3060.36—
CT$3060.36—
DC$3060.36—
DE$3060.36—
FL$2601.31—
GA$3060.36—
HI$3305.18—
IA$2601.31—
ID$3060.36—
IL$2601.31—
IN$2601.31—
KS$2601.31—
KY$3060.36—
LA$3060.36—
MA$2601.31—
MD$2601.31—
ME$2601.31—
MI$2601.31—
MN$2601.31—
MO$2690.99—
MS$3060.36—
MT$3060.36—
NC$3060.36—
ND$3060.36—
NE$2601.31—
NH$2601.31—
NJ$3060.36—
NM$2601.31—
NV$2601.31—
NY$3060.36—
OH$2601.31—
OK$2617.64—
OR$2601.31—
PA$3060.36—
PR$3627.06—
RI$3060.36—
SC$3060.36—
SD$3060.36—
TN$3060.36—
TX$3060.36—
UT$3060.36—
VA$2601.31—
VI$3060.36—
VT$2601.31—
WA$2601.31—
WI$3060.36—
WV$2601.31—
WY$3060.36—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $222.47 to $453.39 depending on state and rural status.

Former-CBA payment limits: ceiling $261.73 · floor $222.47

StateNon-ruralRural
AK$309.06—
AL$222.47—
AR$261.73—
AZ$260.14—
CA$261.73—
CO$261.73—
CT$261.73—
DC$261.73—
DE$261.73—
FL$222.47—
GA$261.73—
HI$330.52—
IA$222.47—
ID$261.73—
IL$222.47—
IN$222.47—
KS$222.47—
KY$261.73—
LA$261.73—
MA$222.47—
MD$261.73—
ME$222.47—
MI$235.42—
MN$222.47—
MO$261.73—
MS$261.73—
MT$261.73—
NC$261.73—
ND$261.73—
NE$222.47—
NH$222.47—
NJ$261.73—
NM$258.13—
NV$260.14—
NY$249.55—
OH$235.42—
OK$261.73—
OR$260.14—
PA$222.47—
PR$453.39—
RI$261.73—
SC$261.73—
SD$261.73—
TN$261.73—
TX$241.78—
UT$261.73—
VA$222.47—
VI$249.55—
VT$222.47—
WA$260.14—
WI$261.73—
WV$235.42—
WY$261.73—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $1950.97 to $2720.30 depending on state and rural status.

Former-CBA payment limits: ceiling $2295.26 · floor $1950.97

StateNon-ruralRural
AK$2318.21—
AL$1950.97—
AR$2295.26—
AZ$1950.97—
CA$2295.26—
CO$2295.26—
CT$2295.26—
DC$2295.26—
DE$2295.26—
FL$1950.97—
GA$2295.26—
HI$2478.89—
IA$1950.97—
ID$2295.26—
IL$1950.97—
IN$1950.97—
KS$1950.97—
KY$2295.26—
LA$2295.26—
MA$1950.97—
MD$1950.97—
ME$1950.97—
MI$1950.97—
MN$1950.97—
MO$2018.22—
MS$2295.26—
MT$2295.26—
NC$2295.26—
ND$2295.26—
NE$1950.97—
NH$1950.97—
NJ$2295.26—
NM$1950.97—
NV$1950.97—
NY$2295.26—
OH$1950.97—
OK$1963.25—
OR$1950.97—
PA$2295.26—
PR$2720.30—
RI$2295.26—
SC$2295.26—
SD$2295.26—
TN$2295.26—
TX$2295.26—
UT$2295.26—
VA$1950.97—
VI$2295.26—
VT$1950.97—
WA$1950.97—
WI$2295.26—
WV$1950.97—
WY$2295.26—
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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps E1310 at 1 unit per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.

Common denial codes to watch

Related E-codes

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