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E2209 — Accessory, arm trough, with or without hand support, each

HCPCS Level II E-code · short descriptor: “Arm trough each”

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.

E2209 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $95.35 to $143.01 depending on state and rural status.

StateNon-ruralRural
AK$128.75
AL$100.76$121.64
AR$100.76$121.64
AZ$99.08$120.55
CA$95.35$120.55
CO$100.05$121.64
CT$107.15$121.64
DC$100.73$121.64
DE$100.73$121.64
FL$100.76$121.64
GA$100.76$121.64
HI$128.75
IA$101.30$120.55
ID$100.05$120.55
IL$106.05$121.64
IN$106.05$121.64
KS$101.30$120.55
KY$100.76$121.64
LA$100.76$121.64
MA$107.15$121.64
MD$100.73$121.64
ME$107.15$121.64
MI$106.05$121.64
MN$101.30$121.64
MO$101.30$121.64
MS$100.76$121.64
MT$100.05$120.55
NC$100.76$121.64
ND$101.30$120.55
NE$101.30$120.55
NH$107.15$121.64
NJ$100.73$121.64
NM$99.08$121.64
NV$95.35$120.55
NY$100.73$121.64
OH$106.05$121.64
OK$99.08$121.64
OR$95.35$120.55
PA$100.73$121.64
PR$143.01
RI$107.15$121.64
SC$100.76$121.64
SD$101.30$120.55
TN$100.76$121.64
TX$99.08$121.64
UT$100.05$121.64
VA$100.76$121.64
VI$129.84
VT$107.15$121.64
WA$95.35$121.64
WI$106.05$121.64
WV$100.76$121.64
WY$100.05$120.55

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $129.94 to $154.46 depending on state and rural status.

StateNon-ruralRural
AK$138.14
AL$131.19
AR$131.19
AZ$129.94
CA$129.94
CO$131.19
CT$131.19
DC$131.19
DE$131.19
FL$131.19
GA$131.19
HI$138.14
IA$129.94
ID$129.94
IL$131.19
IN$131.19
KS$129.94
KY$131.19
LA$131.19
MA$131.19
MD$131.19
ME$131.19
MI$131.19
MN$131.19
MO$131.19
MS$131.19
MT$129.94
NC$131.19
ND$129.94
NE$129.94
NH$131.19
NJ$131.19
NM$131.19
NV$129.94
NY$131.19
OH$131.19
OK$131.19
OR$129.94
PA$131.19
PR$154.46
RI$131.19
SC$131.19
SD$129.94
TN$131.19
TX$131.19
UT$131.19
VA$131.19
VI$139.39
VT$131.19
WA$131.19
WI$131.19
WV$131.19
WY$129.94

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $129.44 to $157.98 depending on state and rural status.

Former-CBA payment limits: ceiling $131.61 · floor $111.87

StateNon-ruralRural
AK$129.44
AL$131.61
AR$131.61
AZ$129.44
CA$129.44
CO$131.61
CT$131.61
DC$131.61
DE$131.61
FL$131.61
GA$131.61
HI$129.44
IA$129.44
ID$129.44
IL$131.61
IN$131.61
KS$129.44
KY$131.61
LA$131.61
MA$131.61
MD$131.61
ME$131.61
MI$131.61
MN$131.61
MO$131.61
MS$131.61
MT$129.44
NC$131.61
ND$129.44
NE$129.44
NH$131.61
NJ$131.61
NM$131.61
NV$129.44
NY$131.61
OH$131.61
OK$131.61
OR$129.44
PA$131.61
PR$157.98
RI$131.61
SC$131.61
SD$129.44
TN$131.61
TX$131.61
UT$131.61
VA$131.61
VI$131.61
VT$131.61
WA$131.61
WI$131.61
WV$131.61
WY$129.44

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $9.54 to $14.31 depending on state and rural status.

StateNon-ruralRural
AK$12.87
AL$10.08$12.18
AR$10.08$12.18
AZ$9.91$12.05
CA$9.54$12.05
CO$10.01$12.18
CT$10.72$12.18
DC$10.07$12.18
DE$10.07$12.18
FL$10.08$12.18
GA$10.08$12.18
HI$12.87
IA$10.13$12.05
ID$10.01$12.05
IL$10.61$12.18
IN$10.61$12.18
KS$10.13$12.05
KY$10.08$12.18
LA$10.08$12.18
MA$10.72$12.18
MD$10.07$12.18
ME$10.72$12.18
MI$10.61$12.18
MN$10.13$12.18
MO$10.13$12.18
MS$10.08$12.18
MT$10.01$12.05
NC$10.08$12.18
ND$10.13$12.05
NE$10.13$12.05
NH$10.72$12.18
NJ$10.07$12.18
NM$9.91$12.18
NV$9.54$12.05
NY$10.07$12.18
OH$10.61$12.18
OK$9.91$12.18
OR$9.54$12.05
PA$10.07$12.18
PR$14.31
RI$10.72$12.18
SC$10.08$12.18
SD$10.13$12.05
TN$10.08$12.18
TX$9.91$12.18
UT$10.01$12.18
VA$10.08$12.18
VI$13.00
VT$10.72$12.18
WA$9.54$12.18
WI$10.61$12.18
WV$10.08$12.18
WY$10.01$12.05

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $12.99 to $15.45 depending on state and rural status.

StateNon-ruralRural
AK$13.80
AL$13.13
AR$13.13
AZ$12.99
CA$12.99
CO$13.13
CT$13.13
DC$13.13
DE$13.13
FL$13.13
GA$13.13
HI$13.80
IA$12.99
ID$12.99
IL$13.13
IN$13.13
KS$12.99
KY$13.13
LA$13.13
MA$13.13
MD$13.13
ME$13.13
MI$13.13
MN$13.13
MO$13.13
MS$13.13
MT$12.99
NC$13.13
ND$12.99
NE$12.99
NH$13.13
NJ$13.13
NM$13.13
NV$12.99
NY$13.13
OH$13.13
OK$13.13
OR$12.99
PA$13.13
PR$15.45
RI$13.13
SC$13.13
SD$12.99
TN$13.13
TX$13.13
UT$13.13
VA$13.13
VI$13.95
VT$13.13
WA$13.13
WI$13.13
WV$13.13
WY$12.99

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $12.91 to $15.82 depending on state and rural status.

Former-CBA payment limits: ceiling $13.18 · floor $11.20

StateNon-ruralRural
AK$12.91
AL$13.18
AR$13.18
AZ$12.91
CA$12.91
CO$13.18
CT$13.18
DC$13.18
DE$13.18
FL$13.18
GA$13.18
HI$12.91
IA$12.91
ID$12.91
IL$13.18
IN$13.18
KS$12.91
KY$13.18
LA$13.18
MA$13.18
MD$13.18
ME$13.18
MI$13.18
MN$13.18
MO$13.18
MS$13.18
MT$12.91
NC$13.18
ND$12.91
NE$12.91
NH$13.18
NJ$13.18
NM$13.18
NV$12.91
NY$13.18
OH$13.18
OK$13.18
OR$12.91
PA$13.18
PR$15.82
RI$13.18
SC$13.18
SD$12.91
TN$13.18
TX$13.18
UT$13.18
VA$13.18
VI$13.18
VT$13.18
WA$13.18
WI$13.18
WV$13.18
WY$12.91

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $71.52 to $107.26 depending on state and rural status.

StateNon-ruralRural
AK$96.57
AL$75.57$91.24
AR$75.57$91.24
AZ$74.31$90.42
CA$71.52$90.42
CO$75.04$91.24
CT$80.36$91.24
DC$75.55$91.24
DE$75.55$91.24
FL$75.57$91.24
GA$75.57$91.24
HI$96.57
IA$75.98$90.42
ID$75.04$90.42
IL$79.54$91.24
IN$79.54$91.24
KS$75.98$90.42
KY$75.57$91.24
LA$75.57$91.24
MA$80.36$91.24
MD$75.55$91.24
ME$80.36$91.24
MI$79.54$91.24
MN$75.98$91.24
MO$75.98$91.24
MS$75.57$91.24
MT$75.04$90.42
NC$75.57$91.24
ND$75.98$90.42
NE$75.98$90.42
NH$80.36$91.24
NJ$75.55$91.24
NM$74.31$91.24
NV$71.52$90.42
NY$75.55$91.24
OH$79.54$91.24
OK$74.31$91.24
OR$71.52$90.42
PA$75.55$91.24
PR$107.26
RI$80.36$91.24
SC$75.57$91.24
SD$75.98$90.42
TN$75.57$91.24
TX$74.31$91.24
UT$75.04$91.24
VA$75.57$91.24
VI$97.39
VT$80.36$91.24
WA$71.52$91.24
WI$79.54$91.24
WV$75.57$91.24
WY$75.04$90.42

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $97.46 to $115.85 depending on state and rural status.

StateNon-ruralRural
AK$103.61
AL$98.40
AR$98.40
AZ$97.46
CA$97.46
CO$98.40
CT$98.40
DC$98.40
DE$98.40
FL$98.40
GA$98.40
HI$103.61
IA$97.46
ID$97.46
IL$98.40
IN$98.40
KS$97.46
KY$98.40
LA$98.40
MA$98.40
MD$98.40
ME$98.40
MI$98.40
MN$98.40
MO$98.40
MS$98.40
MT$97.46
NC$98.40
ND$97.46
NE$97.46
NH$98.40
NJ$98.40
NM$98.40
NV$97.46
NY$98.40
OH$98.40
OK$98.40
OR$97.46
PA$98.40
PR$115.85
RI$98.40
SC$98.40
SD$97.46
TN$98.40
TX$98.40
UT$98.40
VA$98.40
VI$104.55
VT$98.40
WA$98.40
WI$98.40
WV$98.40
WY$97.46

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $97.11 to $118.45 depending on state and rural status.

Former-CBA payment limits: ceiling $98.74 · floor $83.93

StateNon-ruralRural
AK$97.11
AL$98.74
AR$98.74
AZ$97.11
CA$97.11
CO$98.74
CT$98.74
DC$98.74
DE$98.74
FL$98.74
GA$98.74
HI$97.11
IA$97.11
ID$97.11
IL$98.74
IN$98.74
KS$97.11
KY$98.74
LA$98.74
MA$98.74
MD$98.74
ME$98.74
MI$98.74
MN$98.74
MO$98.74
MS$98.74
MT$97.11
NC$98.74
ND$97.11
NE$97.11
NH$98.74
NJ$98.74
NM$98.74
NV$97.11
NY$98.74
OH$98.74
OK$98.74
OR$97.11
PA$98.74
PR$118.45
RI$98.74
SC$98.74
SD$97.11
TN$98.74
TX$98.74
UT$98.74
VA$98.74
VI$98.74
VT$98.74
WA$98.74
WI$98.74
WV$98.74
WY$97.11
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.

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