E1702 — Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200
HCPCS Level II E-code · short descriptor: “Repl measr scales jaw motion”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Carrier judgment — coverage decided by the DME MAC
- DMEPOS payment category
- Supplies
- 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.
E1702 Medicare fee schedule (April 2026)
Base (no modifier) Supplies
Medicare allowable ranges from $27.33 to $40.82 depending on state and rural status.
Former-CBA payment limits: ceiling $32.15 · floor $27.33
| State | Non-rural | Rural |
|---|---|---|
| AK | $30.69 | — |
| AL | $31.74 | — |
| AR | $27.33 | — |
| AZ | $32.15 | — |
| CA | $30.44 | — |
| CO | $32.15 | — |
| CT | $27.33 | — |
| DC | $29.67 | — |
| DE | $29.67 | — |
| FL | $28.83 | — |
| GA | $28.83 | — |
| HI | $32.86 | — |
| IA | $32.15 | — |
| ID | $32.15 | — |
| IL | $32.15 | — |
| IN | $32.15 | — |
| KS | $29.77 | — |
| KY | $31.19 | — |
| LA | $27.33 | — |
| MA | $32.15 | — |
| MD | $27.33 | — |
| ME | $32.15 | — |
| MI | $27.33 | — |
| MN | $32.15 | — |
| MO | $30.09 | — |
| MS | $27.33 | — |
| MT | $32.15 | — |
| NC | $32.15 | — |
| ND | $32.15 | — |
| NE | $29.67 | — |
| NH | $32.15 | — |
| NJ | $29.67 | — |
| NM | $30.50 | — |
| NV | $32.15 | — |
| NY | $32.15 | — |
| OH | $32.15 | — |
| OK | $31.01 | — |
| OR | $32.15 | — |
| PA | $29.67 | — |
| PR | $40.82 | — |
| RI | $32.15 | — |
| SC | $32.14 | — |
| SD | $32.15 | — |
| TN | $32.15 | — |
| TX | $27.33 | — |
| UT | $32.15 | — |
| VA | $29.00 | — |
| VI | $32.15 | — |
| VT | $32.15 | — |
| WA | $32.15 | — |
| WI | $27.33 | — |
| WV | $32.15 | — |
| WY | $32.15 | — |
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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