E1820 — Replacement soft interface material, dynamic adjustable extension/flexion device
HCPCS Level II E-code · short descriptor: “Soft interface material”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Carrier judgment — coverage decided by the DME MAC
- DMEPOS payment category
- Inexpensive or routinely purchased
- 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.
E1820 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $109.91 to $144.41 depending on state and rural status.
Former-CBA payment limits: ceiling $116.50 · floor $99.03
| State | Non-rural | Rural |
|---|---|---|
| AK | $110.98 | — |
| AL | $116.50 | — |
| AR | $116.50 | — |
| AZ | $109.91 | — |
| CA | $109.91 | — |
| CO | $116.50 | — |
| CT | $116.50 | — |
| DC | $109.91 | — |
| DE | $116.50 | — |
| FL | $116.50 | — |
| GA | $116.50 | — |
| HI | $118.69 | — |
| IA | $109.91 | — |
| ID | $109.91 | — |
| IL | $109.91 | — |
| IN | $115.42 | — |
| KS | $109.91 | — |
| KY | $116.50 | — |
| LA | $116.50 | — |
| MA | $116.50 | — |
| MD | $109.91 | — |
| ME | $116.50 | — |
| MI | $114.30 | — |
| MN | $116.50 | — |
| MO | $114.30 | — |
| MS | $116.50 | — |
| MT | $109.91 | — |
| NC | $116.50 | — |
| ND | $109.91 | — |
| NE | $109.91 | — |
| NH | $116.50 | — |
| NJ | $116.50 | — |
| NM | $116.50 | — |
| NV | $109.91 | — |
| NY | $116.50 | — |
| OH | $109.91 | — |
| OK | $116.50 | — |
| OR | $109.91 | — |
| PA | $116.50 | — |
| PR | $144.41 | — |
| RI | $116.50 | — |
| SC | $116.50 | — |
| SD | $109.91 | — |
| TN | $116.50 | — |
| TX | $116.50 | — |
| UT | $115.42 | — |
| VA | $109.91 | — |
| VI | $116.50 | — |
| VT | $116.50 | — |
| WA | $109.91 | — |
| WI | $115.42 | — |
| WV | $109.91 | — |
| WY | $109.91 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $11.01 to $14.44 depending on state and rural status.
Former-CBA payment limits: ceiling $11.63 · floor $9.89
| State | Non-rural | Rural |
|---|---|---|
| AK | $11.09 | — |
| AL | $11.63 | — |
| AR | $11.63 | — |
| AZ | $11.01 | — |
| CA | $11.01 | — |
| CO | $11.63 | — |
| CT | $11.63 | — |
| DC | $11.01 | — |
| DE | $11.63 | — |
| FL | $11.63 | — |
| GA | $11.63 | — |
| HI | $11.87 | — |
| IA | $11.01 | — |
| ID | $11.01 | — |
| IL | $11.01 | — |
| IN | $11.55 | — |
| KS | $11.01 | — |
| KY | $11.63 | — |
| LA | $11.63 | — |
| MA | $11.63 | — |
| MD | $11.01 | — |
| ME | $11.63 | — |
| MI | $11.45 | — |
| MN | $11.63 | — |
| MO | $11.45 | — |
| MS | $11.63 | — |
| MT | $11.01 | — |
| NC | $11.63 | — |
| ND | $11.01 | — |
| NE | $11.01 | — |
| NH | $11.63 | — |
| NJ | $11.63 | — |
| NM | $11.63 | — |
| NV | $11.01 | — |
| NY | $11.63 | — |
| OH | $11.01 | — |
| OK | $11.63 | — |
| OR | $11.01 | — |
| PA | $11.63 | — |
| PR | $14.44 | — |
| RI | $11.63 | — |
| SC | $11.63 | — |
| SD | $11.01 | — |
| TN | $11.63 | — |
| TX | $11.63 | — |
| UT | $11.55 | — |
| VA | $11.01 | — |
| VI | $11.63 | — |
| VT | $11.63 | — |
| WA | $11.01 | — |
| WI | $11.55 | — |
| WV | $11.01 | — |
| WY | $11.01 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $82.43 to $108.30 depending on state and rural status.
Former-CBA payment limits: ceiling $87.39 · floor $74.28
| State | Non-rural | Rural |
|---|---|---|
| AK | $83.26 | — |
| AL | $87.39 | — |
| AR | $87.39 | — |
| AZ | $82.43 | — |
| CA | $82.43 | — |
| CO | $87.39 | — |
| CT | $87.39 | — |
| DC | $82.43 | — |
| DE | $87.39 | — |
| FL | $87.39 | — |
| GA | $87.39 | — |
| HI | $89.02 | — |
| IA | $82.43 | — |
| ID | $82.43 | — |
| IL | $82.43 | — |
| IN | $86.55 | — |
| KS | $82.43 | — |
| KY | $87.39 | — |
| LA | $87.39 | — |
| MA | $87.39 | — |
| MD | $82.43 | — |
| ME | $87.39 | — |
| MI | $85.72 | — |
| MN | $87.39 | — |
| MO | $85.72 | — |
| MS | $87.39 | — |
| MT | $82.43 | — |
| NC | $87.39 | — |
| ND | $82.43 | — |
| NE | $82.43 | — |
| NH | $87.39 | — |
| NJ | $87.39 | — |
| NM | $87.39 | — |
| NV | $82.43 | — |
| NY | $87.39 | — |
| OH | $82.43 | — |
| OK | $87.39 | — |
| OR | $82.43 | — |
| PA | $87.39 | — |
| PR | $108.30 | — |
| RI | $87.39 | — |
| SC | $87.39 | — |
| SD | $82.43 | — |
| TN | $87.39 | — |
| TX | $87.39 | — |
| UT | $86.55 | — |
| VA | $82.43 | — |
| VI | $87.39 | — |
| VT | $87.39 | — |
| WA | $82.43 | — |
| WI | $86.55 | — |
| WV | $82.43 | — |
| WY | $82.43 | — |
Common denial codes to watch
Related E-codes
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