MyMedi-AI

E2326 — Power wheelchair accessory, breath tube kit for sip and puff interface

HCPCS Level II E-code · short descriptor: “Breath tube kit”

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
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 2026-10-25; 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.

E2326 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $42.65 to $47.42 depending on state and rural status.

StateNon-ruralRural
AK$42.65—
AL$42.65$42.65
AR$42.65$42.65
AZ$42.65$42.65
CA$42.65$42.65
CO$42.65$42.65
CT$42.65$42.65
DC$42.65$42.65
DE$42.65$42.65
FL$42.65$42.65
GA$42.65$42.65
HI$42.65—
IA$42.65$42.65
ID$42.65$42.65
IL$42.65$42.65
IN$42.65$42.65
KS$42.65$42.65
KY$42.65$42.65
LA$42.65$42.65
MA$42.65$42.65
MD$42.65$42.65
ME$42.65$42.65
MI$42.65$42.65
MN$42.65$42.65
MO$42.65$42.65
MS$42.65$42.65
MT$42.65$42.65
NC$42.65$42.65
ND$42.65$42.65
NE$42.65$42.65
NH$42.65$42.65
NJ$42.65$42.65
NM$42.65$42.65
NV$42.65$42.65
NY$42.65$42.65
OH$42.65$42.65
OK$42.65$42.65
OR$42.65$42.65
PA$42.65$42.65
PR$47.42—
RI$42.65$42.65
SC$42.65$42.65
SD$42.65$42.65
TN$42.65$42.65
TX$42.65$42.65
UT$42.65$42.65
VA$42.65$42.65
VI$42.65—
VT$42.65$42.65
WA$42.65$42.65
WI$42.65$42.65
WV$42.65$42.65
WY$42.65$42.65

RR + KE — Monthly rental Capped rental

Medicare allowable ranges from $46.02 to $51.13 depending on state and rural status.

StateNon-ruralRural
AK$46.25—
AL—$46.02
AR—$46.02
AZ—$46.02
CA—$46.02
CO—$46.02
CT—$46.02
DC—$46.02
DE—$46.02
FL—$46.02
GA—$46.02
HI$46.25—
IA—$46.02
ID—$46.02
IL—$46.02
IN—$46.02
KS—$46.02
KY—$46.02
LA—$46.02
MA—$46.02
MD—$46.02
ME—$46.02
MI—$46.02
MN—$46.02
MO—$46.02
MS—$46.02
MT—$46.02
NC—$46.02
ND—$46.02
NE—$46.02
NH—$46.02
NJ—$46.02
NM—$46.02
NV—$46.02
NY—$46.02
OH—$46.02
OK—$46.02
OR—$46.02
PA—$46.02
PR$51.13—
RI—$46.02
SC—$46.02
SD—$46.02
TN—$46.02
TX—$46.02
UT—$46.02
VA—$46.02
VI$46.25—
VT—$46.02
WA—$46.02
WI—$46.02
WV—$46.02
WY—$46.02

RR + KU — Monthly rental Capped rental

Medicare allowable ranges from $42.67 to $51.17 depending on state and rural status.

Former-CBA payment limits: ceiling $42.67 · floor $36.27

StateNon-ruralRural
AK$42.67—
AL$42.67—
AR$42.67—
AZ$42.67—
CA$42.67—
CO$42.67—
CT$42.67—
DC$42.67—
DE$42.67—
FL$42.67—
GA$42.67—
HI$42.67—
IA$42.67—
ID$42.67—
IL$42.67—
IN$42.67—
KS$42.67—
KY$42.67—
LA$42.67—
MA$42.67—
MD$42.67—
ME$42.67—
MI$42.67—
MN$42.67—
MO$42.67—
MS$42.67—
MT$42.67—
NC$42.67—
ND$42.67—
NE$42.67—
NH$42.67—
NJ$42.67—
NM$42.67—
NV$42.67—
NY$42.67—
OH$42.67—
OK$42.67—
OR$42.67—
PA$42.67—
PR$51.17—
RI$42.67—
SC$42.67—
SD$42.67—
TN$42.67—
TX$42.67—
UT$42.67—
VA$42.67—
VI$42.67—
VT$42.67—
WA$42.67—
WI$42.67—
WV$42.67—
WY$42.67—
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 E2326 at 1 unit per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Nature of Equipment.

Common denial codes to watch

CO-50 medical necessityCO-151 frequency/units

Related E-codes

E2301E2310E2311E2312E2313E2321E2322E2323E2324E2325E2327E2328

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