MyMedi-AI

E1830 — Dynamic adjustable toe extension and flexion device, includes soft interface material

HCPCS Level II E-code · short descriptor: “Adjust toe ext & flex 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.

E1830 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $114.31 to $222.55 depending on state and rural status.

Former-CBA payment limits: ceiling $180.07 · floor $153.06

StateNon-ruralRural
AK$222.55—
AL$153.06—
AR$153.06—
AZ$179.95—
CA$180.07—
CO$153.06—
CT$180.07—
DC$180.07—
DE$166.61—
FL$153.06—
GA$153.06—
HI$197.05—
IA$180.07—
ID$180.07—
IL$180.07—
IN$180.07—
KS$180.07—
KY$153.06—
LA$153.06—
MA$180.07—
MD$180.07—
ME$180.07—
MI$180.07—
MN$180.07—
MO$180.07—
MS$153.06—
MT$174.84—
NC$153.06—
ND$174.58—
NE$180.07—
NH$177.56—
NJ$160.17—
NM$153.06—
NV$180.07—
NY$165.53—
OH$180.07—
OK$153.06—
OR$180.07—
PA$163.61—
PR$114.31—
RI$153.06—
SC$153.06—
SD$180.07—
TN$153.06—
TX$153.06—
UT$180.07—
VA$180.07—
VI$153.06—
VT$180.05—
WA$180.07—
WI$180.07—
WV$180.07—
WY$180.07—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps E1830 at 2 units per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Nature of Equipment.

Common denial codes to watch

Related E-codes

Bill E1830 with confidence

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