E1821 — Replacement soft interface material/cuffs for bi-directional static progressive stretch device
HCPCS Level II E-code · short descriptor: “Replacement interface spsd”
- 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
- 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 2026-10-26; 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 2026-10-26; 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.
E1821 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $149.98 to $180.04 depending on state and rural status.
Former-CBA payment limits: ceiling $149.98 · floor $127.48
| State | Non-rural | Rural |
|---|---|---|
| AK | $149.98 | — |
| AL | $149.98 | — |
| AR | $149.98 | — |
| AZ | $149.98 | — |
| CA | $149.98 | — |
| CO | $149.98 | — |
| CT | $149.98 | — |
| DC | $149.98 | — |
| DE | $149.98 | — |
| FL | $149.98 | — |
| GA | $149.98 | — |
| HI | $149.98 | — |
| IA | $149.98 | — |
| ID | $149.98 | — |
| IL | $149.98 | — |
| IN | $149.98 | — |
| KS | $149.98 | — |
| KY | $149.98 | — |
| LA | $149.98 | — |
| MA | $149.98 | — |
| MD | $149.98 | — |
| ME | $149.98 | — |
| MI | $149.98 | — |
| MN | $149.98 | — |
| MO | $149.98 | — |
| MS | $149.98 | — |
| MT | $149.98 | — |
| NC | $149.98 | — |
| ND | $149.98 | — |
| NE | $149.98 | — |
| NH | $149.98 | — |
| NJ | $149.98 | — |
| NM | $149.98 | — |
| NV | $149.98 | — |
| NY | $149.98 | — |
| OH | $149.98 | — |
| OK | $149.98 | — |
| OR | $149.98 | — |
| PA | $149.98 | — |
| PR | $180.04 | — |
| RI | $149.98 | — |
| SC | $149.98 | — |
| SD | $149.98 | — |
| TN | $149.98 | — |
| TX | $149.98 | — |
| UT | $149.98 | — |
| VA | $149.98 | — |
| VI | $149.98 | — |
| VT | $149.98 | — |
| WA | $149.98 | — |
| WI | $149.98 | — |
| WV | $149.98 | — |
| WY | $149.98 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $14.95 to $18.01 depending on state and rural status.
Former-CBA payment limits: ceiling $14.95 · floor $12.71
| State | Non-rural | Rural |
|---|---|---|
| AK | $14.95 | — |
| AL | $14.95 | — |
| AR | $14.95 | — |
| AZ | $14.95 | — |
| CA | $14.95 | — |
| CO | $14.95 | — |
| CT | $14.95 | — |
| DC | $14.95 | — |
| DE | $14.95 | — |
| FL | $14.95 | — |
| GA | $14.95 | — |
| HI | $14.95 | — |
| IA | $14.95 | — |
| ID | $14.95 | — |
| IL | $14.95 | — |
| IN | $14.95 | — |
| KS | $14.95 | — |
| KY | $14.95 | — |
| LA | $14.95 | — |
| MA | $14.95 | — |
| MD | $14.95 | — |
| ME | $14.95 | — |
| MI | $14.95 | — |
| MN | $14.95 | — |
| MO | $14.95 | — |
| MS | $14.95 | — |
| MT | $14.95 | — |
| NC | $14.95 | — |
| ND | $14.95 | — |
| NE | $14.95 | — |
| NH | $14.95 | — |
| NJ | $14.95 | — |
| NM | $14.95 | — |
| NV | $14.95 | — |
| NY | $14.95 | — |
| OH | $14.95 | — |
| OK | $14.95 | — |
| OR | $14.95 | — |
| PA | $14.95 | — |
| PR | $18.01 | — |
| RI | $14.95 | — |
| SC | $14.95 | — |
| SD | $14.95 | — |
| TN | $14.95 | — |
| TX | $14.95 | — |
| UT | $14.95 | — |
| VA | $14.95 | — |
| VI | $14.95 | — |
| VT | $14.95 | — |
| WA | $14.95 | — |
| WI | $14.95 | — |
| WV | $14.95 | — |
| WY | $14.95 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $112.53 to $135.01 depending on state and rural status.
Former-CBA payment limits: ceiling $112.53 · floor $95.65
| State | Non-rural | Rural |
|---|---|---|
| AK | $112.53 | — |
| AL | $112.53 | — |
| AR | $112.53 | — |
| AZ | $112.53 | — |
| CA | $112.53 | — |
| CO | $112.53 | — |
| CT | $112.53 | — |
| DC | $112.53 | — |
| DE | $112.53 | — |
| FL | $112.53 | — |
| GA | $112.53 | — |
| HI | $112.53 | — |
| IA | $112.53 | — |
| ID | $112.53 | — |
| IL | $112.53 | — |
| IN | $112.53 | — |
| KS | $112.53 | — |
| KY | $112.53 | — |
| LA | $112.53 | — |
| MA | $112.53 | — |
| MD | $112.53 | — |
| ME | $112.53 | — |
| MI | $112.53 | — |
| MN | $112.53 | — |
| MO | $112.53 | — |
| MS | $112.53 | — |
| MT | $112.53 | — |
| NC | $112.53 | — |
| ND | $112.53 | — |
| NE | $112.53 | — |
| NH | $112.53 | — |
| NJ | $112.53 | — |
| NM | $112.53 | — |
| NV | $112.53 | — |
| NY | $112.53 | — |
| OH | $112.53 | — |
| OK | $112.53 | — |
| OR | $112.53 | — |
| PA | $112.53 | — |
| PR | $135.01 | — |
| RI | $112.53 | — |
| SC | $112.53 | — |
| SD | $112.53 | — |
| TN | $112.53 | — |
| TX | $112.53 | — |
| UT | $112.53 | — |
| VA | $112.53 | — |
| VI | $112.53 | — |
| VT | $112.53 | — |
| WA | $112.53 | — |
| WI | $112.53 | — |
| WV | $112.53 | — |
| WY | $112.53 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E1821 at 1 unit per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Clinical: Data.
Common denial codes to watch
Related E-codes
Bill E1821 with confidence
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