E1801 — Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories
HCPCS Level II E-code · short descriptor: “Sps/pass elbow device”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Carrier judgment — coverage decided by the DME MAC
- DMEPOS payment category
- Capped rental
- Prior authorization
- Not on Medicare required-PA list
- Face-to-face & WOPD
- Not on the required list
- MUE unit limit
- 2
- 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.
E1801 Medicare fee schedule (October 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $156.28 to $215.62 depending on state and rural status.
Former-CBA payment limits: ceiling $183.86 · floor $156.28
| State | Non-rural | Rural |
|---|---|---|
| AK | $208.99 | — |
| AL | $180.06 | — |
| AR | $183.86 | — |
| AZ | $170.67 | — |
| CA | $175.17 | — |
| CO | $183.86 | — |
| CT | $183.86 | — |
| DC | $183.86 | — |
| DE | $179.45 | — |
| FL | $168.29 | — |
| GA | $178.36 | — |
| HI | $173.04 | — |
| IA | $183.86 | — |
| ID | $183.86 | — |
| IL | $183.86 | — |
| IN | $183.86 | — |
| KS | $183.86 | — |
| KY | $183.86 | — |
| LA | $180.59 | — |
| MA | $183.86 | — |
| MD | $173.41 | — |
| ME | $183.86 | — |
| MI | $175.83 | — |
| MN | $183.86 | — |
| MO | $183.86 | — |
| MS | $164.77 | — |
| MT | $165.80 | — |
| NC | $183.86 | — |
| ND | $165.57 | — |
| NE | $183.86 | — |
| NH | $183.86 | — |
| NJ | $172.56 | — |
| NM | $162.52 | — |
| NV | $174.76 | — |
| NY | $178.26 | — |
| OH | $183.86 | — |
| OK | $183.86 | — |
| OR | $183.86 | — |
| PA | $176.22 | — |
| PR | $215.62 | — |
| RI | $156.28 | — |
| SC | $177.11 | — |
| SD | $180.37 | — |
| TN | $172.35 | — |
| TX | $183.86 | — |
| UT | $183.86 | — |
| VA | $173.60 | — |
| VI | $183.86 | — |
| VT | $183.86 | — |
| WA | $183.86 | — |
| WI | $183.86 | — |
| WV | $177.66 | — |
| WY | $179.78 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E1801 at 2 units per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Anatomic Consideration.
Common denial codes to watch
Related E-codes
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