MyMedi-AI

E2207 — Wheelchair accessory, crutch and cane holder, each

HCPCS Level II E-code · short descriptor: “Crutch and cane holder”

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
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.

E2207 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $52.29 to $67.55 depending on state and rural status.

StateNon-ruralRural
AK$60.74—
AL$54.21$61.36
AR$54.21$61.36
AZ$54.85$60.74
CA$52.29$60.74
CO$55.35$61.36
CT$59.02$61.36
DC$54.45$61.36
DE$54.45$61.36
FL$54.21$61.36
GA$54.21$61.36
HI$60.74—
IA$55.70$60.74
ID$55.35$60.74
IL$57.76$61.36
IN$57.76$61.36
KS$55.70$60.74
KY$54.21$61.36
LA$54.21$61.36
MA$59.02$61.36
MD$54.45$61.36
ME$59.02$61.36
MI$57.76$61.36
MN$55.70$61.36
MO$55.70$61.36
MS$54.21$61.36
MT$55.35$60.74
NC$54.21$61.36
ND$55.70$60.74
NE$55.70$60.74
NH$59.02$61.36
NJ$54.45$61.36
NM$54.85$61.36
NV$52.29$60.74
NY$54.45$61.36
OH$57.76$61.36
OK$54.85$61.36
OR$52.29$60.74
PA$54.45$61.36
PR$67.55—
RI$59.02$61.36
SC$54.21$61.36
SD$55.70$60.74
TN$54.21$61.36
TX$54.85$61.36
UT$55.35$61.36
VA$54.21$61.36
VI$61.36—
VT$59.02$61.36
WA$52.29$61.36
WI$57.76$61.36
WV$54.21$61.36
WY$55.35$60.74

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $60.74 to $74.15 depending on state and rural status.

Former-CBA payment limits: ceiling $61.77 · floor $52.50

StateNon-ruralRural
AK$60.74—
AL$61.77—
AR$61.77—
AZ$60.74—
CA$60.74—
CO$61.77—
CT$61.77—
DC$61.77—
DE$61.77—
FL$61.77—
GA$61.77—
HI$60.74—
IA$60.74—
ID$60.74—
IL$61.77—
IN$61.77—
KS$60.74—
KY$61.77—
LA$61.77—
MA$61.77—
MD$61.77—
ME$61.77—
MI$61.77—
MN$61.77—
MO$61.77—
MS$61.77—
MT$60.74—
NC$61.77—
ND$60.74—
NE$60.74—
NH$61.77—
NJ$61.77—
NM$61.77—
NV$60.74—
NY$61.77—
OH$61.77—
OK$61.77—
OR$60.74—
PA$61.77—
PR$74.15—
RI$61.77—
SC$61.77—
SD$60.74—
TN$61.77—
TX$61.77—
UT$61.77—
VA$61.77—
VI$61.77—
VT$61.77—
WA$61.77—
WI$61.77—
WV$61.77—
WY$60.74—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $5.23 to $6.73 depending on state and rural status.

StateNon-ruralRural
AK$6.10—
AL$5.42$6.15
AR$5.42$6.15
AZ$5.49$6.10
CA$5.23$6.10
CO$5.54$6.15
CT$5.90$6.15
DC$5.44$6.15
DE$5.44$6.15
FL$5.42$6.15
GA$5.42$6.15
HI$6.10—
IA$5.57$6.10
ID$5.54$6.10
IL$5.78$6.15
IN$5.78$6.15
KS$5.57$6.10
KY$5.42$6.15
LA$5.42$6.15
MA$5.90$6.15
MD$5.44$6.15
ME$5.90$6.15
MI$5.78$6.15
MN$5.57$6.15
MO$5.57$6.15
MS$5.42$6.15
MT$5.54$6.10
NC$5.42$6.15
ND$5.57$6.10
NE$5.57$6.10
NH$5.90$6.15
NJ$5.44$6.15
NM$5.49$6.15
NV$5.23$6.10
NY$5.44$6.15
OH$5.78$6.15
OK$5.49$6.15
OR$5.23$6.10
PA$5.44$6.15
PR$6.73—
RI$5.90$6.15
SC$5.42$6.15
SD$5.57$6.10
TN$5.42$6.15
TX$5.49$6.15
UT$5.54$6.15
VA$5.42$6.15
VI$6.15—
VT$5.90$6.15
WA$5.23$6.15
WI$5.78$6.15
WV$5.42$6.15
WY$5.54$6.10

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $6.08 to $7.36 depending on state and rural status.

Former-CBA payment limits: ceiling $6.19 · floor $5.26

StateNon-ruralRural
AK$6.08—
AL$6.19—
AR$6.19—
AZ$6.08—
CA$6.08—
CO$6.19—
CT$6.19—
DC$6.19—
DE$6.19—
FL$6.19—
GA$6.19—
HI$6.08—
IA$6.08—
ID$6.08—
IL$6.19—
IN$6.19—
KS$6.08—
KY$6.19—
LA$6.19—
MA$6.19—
MD$6.19—
ME$6.19—
MI$6.19—
MN$6.19—
MO$6.19—
MS$6.19—
MT$6.08—
NC$6.19—
ND$6.08—
NE$6.08—
NH$6.19—
NJ$6.19—
NM$6.19—
NV$6.08—
NY$6.19—
OH$6.19—
OK$6.19—
OR$6.08—
PA$6.19—
PR$7.36—
RI$6.19—
SC$6.19—
SD$6.08—
TN$6.19—
TX$6.19—
UT$6.19—
VA$6.19—
VI$6.19—
VT$6.19—
WA$6.19—
WI$6.19—
WV$6.19—
WY$6.08—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $39.22 to $50.66 depending on state and rural status.

StateNon-ruralRural
AK$45.55—
AL$40.66$46.03
AR$40.66$46.03
AZ$41.14$45.55
CA$39.22$45.55
CO$41.52$46.03
CT$44.27$46.03
DC$40.84$46.03
DE$40.84$46.03
FL$40.66$46.03
GA$40.66$46.03
HI$45.55—
IA$41.77$45.55
ID$41.52$45.55
IL$43.32$46.03
IN$43.32$46.03
KS$41.77$45.55
KY$40.66$46.03
LA$40.66$46.03
MA$44.27$46.03
MD$40.84$46.03
ME$44.27$46.03
MI$43.32$46.03
MN$41.77$46.03
MO$41.77$46.03
MS$40.66$46.03
MT$41.52$45.55
NC$40.66$46.03
ND$41.77$45.55
NE$41.77$45.55
NH$44.27$46.03
NJ$40.84$46.03
NM$41.14$46.03
NV$39.22$45.55
NY$40.84$46.03
OH$43.32$46.03
OK$41.14$46.03
OR$39.22$45.55
PA$40.84$46.03
PR$50.66—
RI$44.27$46.03
SC$40.66$46.03
SD$41.77$45.55
TN$40.66$46.03
TX$41.14$46.03
UT$41.52$46.03
VA$40.66$46.03
VI$46.03—
VT$44.27$46.03
WA$39.22$46.03
WI$43.32$46.03
WV$40.66$46.03
WY$41.52$45.55

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $45.56 to $55.60 depending on state and rural status.

Former-CBA payment limits: ceiling $46.34 · floor $39.39

StateNon-ruralRural
AK$45.56—
AL$46.34—
AR$46.34—
AZ$45.56—
CA$45.56—
CO$46.34—
CT$46.34—
DC$46.34—
DE$46.34—
FL$46.34—
GA$46.34—
HI$45.56—
IA$45.56—
ID$45.56—
IL$46.34—
IN$46.34—
KS$45.56—
KY$46.34—
LA$46.34—
MA$46.34—
MD$46.34—
ME$46.34—
MI$46.34—
MN$46.34—
MO$46.34—
MS$46.34—
MT$45.56—
NC$46.34—
ND$45.56—
NE$45.56—
NH$46.34—
NJ$46.34—
NM$46.34—
NV$45.56—
NY$46.34—
OH$46.34—
OK$46.34—
OR$45.56—
PA$46.34—
PR$55.60—
RI$46.34—
SC$46.34—
SD$45.56—
TN$46.34—
TX$46.34—
UT$46.34—
VA$46.34—
VI$46.34—
VT$46.34—
WA$46.34—
WI$46.34—
WV$46.34—
WY$45.56—
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 E2207 at 2 units per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.

Common denial codes to watch

Related E-codes

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