E1812 — Dynamic knee, extension/flexion device with active resistance control
HCPCS Level II E-code · short descriptor: “Knee ext/flex w act res ctrl”
- 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
- 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.
E1812 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $122.55 to $147.07 depending on state and rural status.
Former-CBA payment limits: ceiling $122.55 · floor $104.17
| State | Non-rural | Rural |
|---|---|---|
| AK | $122.55 | — |
| AL | $122.55 | — |
| AR | $122.55 | — |
| AZ | $122.55 | — |
| CA | $122.55 | — |
| CO | $122.55 | — |
| CT | $122.55 | — |
| DC | $122.55 | — |
| DE | $122.55 | — |
| FL | $122.55 | — |
| GA | $122.55 | — |
| HI | $122.55 | — |
| IA | $122.55 | — |
| ID | $122.55 | — |
| IL | $122.55 | — |
| IN | $122.55 | — |
| KS | $122.55 | — |
| KY | $122.55 | — |
| LA | $122.55 | — |
| MA | $122.55 | — |
| MD | $122.55 | — |
| ME | $122.55 | — |
| MI | $122.55 | — |
| MN | $122.55 | — |
| MO | $122.55 | — |
| MS | $122.55 | — |
| MT | $122.55 | — |
| NC | $122.55 | — |
| ND | $122.55 | — |
| NE | $122.55 | — |
| NH | $122.55 | — |
| NJ | $122.55 | — |
| NM | $122.55 | — |
| NV | $122.55 | — |
| NY | $122.55 | — |
| OH | $122.55 | — |
| OK | $122.55 | — |
| OR | $122.55 | — |
| PA | $122.55 | — |
| PR | $147.07 | — |
| RI | $122.55 | — |
| SC | $122.55 | — |
| SD | $122.55 | — |
| TN | $122.55 | — |
| TX | $122.55 | — |
| UT | $122.55 | — |
| VA | $122.55 | — |
| VI | $122.55 | — |
| VT | $122.55 | — |
| WA | $122.55 | — |
| WI | $122.55 | — |
| WV | $122.55 | — |
| WY | $122.55 | — |
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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