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.
| State | Non-rural | Rural |
|---|---|---|
| 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.
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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.
| State | Non-rural | Rural |
|---|---|---|
| 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.
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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.
| State | Non-rural | Rural |
|---|---|---|
| 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.
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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 | — |
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