MyMedi-AI

E2365 — Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)

HCPCS Level II E-code · short descriptor: “U1 sealed leadacid battery”

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.

E2365 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $87.38 to $134.06 depending on state and rural status.

StateNon-ruralRural
AK$119.12—
AL$95.44$120.26
AR$95.44$120.26
AZ$87.38$119.12
CA$92.04$119.12
CO$93.36$120.26
CT$95.41$120.26
DC$90.48$120.26
DE$90.48$120.26
FL$95.44$120.26
GA$95.44$120.26
HI$119.12—
IA$93.09$119.12
ID$93.36$119.12
IL$96.02$120.26
IN$96.02$120.26
KS$93.09$119.12
KY$95.44$120.26
LA$95.44$120.26
MA$95.41$120.26
MD$90.48$120.26
ME$95.41$120.26
MI$96.02$120.26
MN$93.09$120.26
MO$93.09$120.26
MS$95.44$120.26
MT$93.36$119.12
NC$95.44$120.26
ND$93.09$119.12
NE$93.09$119.12
NH$95.41$120.26
NJ$90.48$120.26
NM$87.38$120.26
NV$92.04$119.12
NY$90.48$120.26
OH$96.02$120.26
OK$87.38$120.26
OR$92.04$119.12
PA$90.48$120.26
PR$134.06—
RI$95.41$120.26
SC$95.44$120.26
SD$93.09$119.12
TN$95.44$120.26
TX$87.38$120.26
UT$93.36$120.26
VA$95.44$120.26
VI$120.26—
VT$95.41$120.26
WA$92.04$120.26
WI$96.02$120.26
WV$95.44$120.26
WY$93.36$119.12

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $128.94 to $146.05 depending on state and rural status.

StateNon-ruralRural
AK$128.94—
AL—$130.25
AR—$130.25
AZ—$128.94
CA—$128.94
CO—$130.25
CT—$130.25
DC—$130.25
DE—$130.25
FL—$130.25
GA—$130.25
HI$128.94—
IA—$128.94
ID—$128.94
IL—$130.25
IN—$130.25
KS—$128.94
KY—$130.25
LA—$130.25
MA—$130.25
MD—$130.25
ME—$130.25
MI—$130.25
MN—$130.25
MO—$130.25
MS—$130.25
MT—$128.94
NC—$130.25
ND—$128.94
NE—$128.94
NH—$130.25
NJ—$130.25
NM—$130.25
NV—$128.94
NY—$130.25
OH—$130.25
OK—$130.25
OR—$128.94
PA—$130.25
PR$146.05—
RI—$130.25
SC—$130.25
SD—$128.94
TN—$130.25
TX—$130.25
UT—$130.25
VA—$130.25
VI$130.25—
VT—$130.25
WA—$130.25
WI—$130.25
WV—$130.25
WY—$128.94

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $135.50 to $165.36 depending on state and rural status.

Former-CBA payment limits: ceiling $137.77 · floor $117.10

StateNon-ruralRural
AK$135.50—
AL$137.77—
AR$137.77—
AZ$135.50—
CA$135.50—
CO$137.77—
CT$137.77—
DC$137.77—
DE$137.77—
FL$137.77—
GA$137.77—
HI$135.50—
IA$135.50—
ID$135.50—
IL$137.77—
IN$137.77—
KS$135.50—
KY$137.77—
LA$137.77—
MA$137.77—
MD$137.77—
ME$137.77—
MI$137.77—
MN$137.77—
MO$137.77—
MS$137.77—
MT$135.50—
NC$137.77—
ND$135.50—
NE$135.50—
NH$137.77—
NJ$137.77—
NM$137.77—
NV$135.50—
NY$137.77—
OH$137.77—
OK$137.77—
OR$135.50—
PA$137.77—
PR$165.36—
RI$137.77—
SC$137.77—
SD$135.50—
TN$137.77—
TX$137.77—
UT$137.77—
VA$137.77—
VI$137.77—
VT$137.77—
WA$137.77—
WI$137.77—
WV$137.77—
WY$135.50—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $8.74 to $13.41 depending on state and rural status.

StateNon-ruralRural
AK$11.91—
AL$9.55$12.02
AR$9.55$12.02
AZ$8.74$11.91
CA$9.21$11.91
CO$9.34$12.02
CT$9.54$12.02
DC$9.05$12.02
DE$9.05$12.02
FL$9.55$12.02
GA$9.55$12.02
HI$11.91—
IA$9.31$11.91
ID$9.34$11.91
IL$9.60$12.02
IN$9.60$12.02
KS$9.31$11.91
KY$9.55$12.02
LA$9.55$12.02
MA$9.54$12.02
MD$9.05$12.02
ME$9.54$12.02
MI$9.60$12.02
MN$9.31$12.02
MO$9.31$12.02
MS$9.55$12.02
MT$9.34$11.91
NC$9.55$12.02
ND$9.31$11.91
NE$9.31$11.91
NH$9.54$12.02
NJ$9.05$12.02
NM$8.74$12.02
NV$9.21$11.91
NY$9.05$12.02
OH$9.60$12.02
OK$8.74$12.02
OR$9.21$11.91
PA$9.05$12.02
PR$13.41—
RI$9.54$12.02
SC$9.55$12.02
SD$9.31$11.91
TN$9.55$12.02
TX$8.74$12.02
UT$9.34$12.02
VA$9.55$12.02
VI$12.02—
VT$9.54$12.02
WA$9.21$12.02
WI$9.60$12.02
WV$9.55$12.02
WY$9.34$11.91

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $12.89 to $14.61 depending on state and rural status.

StateNon-ruralRural
AK$12.89—
AL—$13.02
AR—$13.02
AZ—$12.89
CA—$12.89
CO—$13.02
CT—$13.02
DC—$13.02
DE—$13.02
FL—$13.02
GA—$13.02
HI$12.89—
IA—$12.89
ID—$12.89
IL—$13.02
IN—$13.02
KS—$12.89
KY—$13.02
LA—$13.02
MA—$13.02
MD—$13.02
ME—$13.02
MI—$13.02
MN—$13.02
MO—$13.02
MS—$13.02
MT—$12.89
NC—$13.02
ND—$12.89
NE—$12.89
NH—$13.02
NJ—$13.02
NM—$13.02
NV—$12.89
NY—$13.02
OH—$13.02
OK—$13.02
OR—$12.89
PA—$13.02
PR$14.61—
RI—$13.02
SC—$13.02
SD—$12.89
TN—$13.02
TX—$13.02
UT—$13.02
VA—$13.02
VI$13.02—
VT—$13.02
WA—$13.02
WI—$13.02
WV—$13.02
WY—$12.89

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $13.55 to $16.55 depending on state and rural status.

Former-CBA payment limits: ceiling $13.76 · floor $11.70

StateNon-ruralRural
AK$13.55—
AL$13.76—
AR$13.76—
AZ$13.55—
CA$13.55—
CO$13.76—
CT$13.76—
DC$13.76—
DE$13.76—
FL$13.76—
GA$13.76—
HI$13.55—
IA$13.55—
ID$13.55—
IL$13.76—
IN$13.76—
KS$13.55—
KY$13.76—
LA$13.76—
MA$13.76—
MD$13.76—
ME$13.76—
MI$13.76—
MN$13.76—
MO$13.76—
MS$13.76—
MT$13.55—
NC$13.76—
ND$13.55—
NE$13.55—
NH$13.76—
NJ$13.76—
NM$13.76—
NV$13.55—
NY$13.76—
OH$13.76—
OK$13.76—
OR$13.55—
PA$13.76—
PR$16.55—
RI$13.76—
SC$13.76—
SD$13.55—
TN$13.76—
TX$13.76—
UT$13.76—
VA$13.76—
VI$13.76—
VT$13.76—
WA$13.76—
WI$13.76—
WV$13.76—
WY$13.55—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $65.53 to $100.99 depending on state and rural status.

StateNon-ruralRural
AK$100.99—
AL$71.58$90.22
AR$71.58$90.22
AZ$65.53$89.36
CA$69.03$89.36
CO$70.02$90.22
CT$71.56$90.22
DC$67.86$90.22
DE$67.86$90.22
FL$71.58$90.22
GA$71.58$90.22
HI$89.36—
IA$69.82$89.36
ID$70.02$89.36
IL$72.02$90.22
IN$72.02$90.22
KS$69.82$89.36
KY$71.58$90.22
LA$71.58$90.22
MA$71.56$90.22
MD$67.86$90.22
ME$71.56$90.22
MI$72.02$90.22
MN$69.82$90.22
MO$69.82$90.22
MS$71.58$90.22
MT$70.02$89.36
NC$71.58$90.22
ND$69.82$89.36
NE$69.82$89.36
NH$71.56$90.22
NJ$67.86$90.22
NM$65.53$90.22
NV$69.03$89.36
NY$67.86$90.22
OH$72.02$89.89
OK$65.53$90.22
OR$69.03$89.36
PA$67.86$90.22
PR$100.55—
RI$71.56$90.22
SC$71.58$90.22
SD$69.82$89.36
TN$71.58$90.22
TX$65.53$90.22
UT$70.02$90.22
VA$71.58$90.22
VI$90.22—
VT$71.56$90.22
WA$69.03$90.22
WI$72.02$90.22
WV$71.58$90.22
WY$70.02$89.36

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $96.73 to $110.05 depending on state and rural status.

StateNon-ruralRural
AK$110.05—
AL—$97.71
AR—$97.71
AZ—$96.73
CA—$96.73
CO—$97.71
CT—$97.71
DC—$97.71
DE—$97.71
FL—$97.71
GA—$97.71
HI$96.73—
IA—$96.73
ID—$96.73
IL—$97.71
IN—$97.71
KS—$96.73
KY—$97.71
LA—$97.71
MA—$97.71
MD—$97.71
ME—$97.71
MI—$97.71
MN—$97.71
MO—$97.71
MS—$97.71
MT—$96.73
NC—$97.71
ND—$96.73
NE—$96.73
NH—$97.71
NJ—$97.71
NM—$97.71
NV—$96.73
NY—$97.71
OH—$97.34
OK—$97.71
OR—$96.73
PA—$97.71
PR$109.54—
RI—$97.71
SC—$97.71
SD—$96.73
TN—$97.71
TX—$97.71
UT—$97.71
VA—$97.71
VI$97.71—
VT—$97.71
WA—$97.71
WI—$97.71
WV—$97.71
WY—$96.73

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $101.65 to $124.92 depending on state and rural status.

Former-CBA payment limits: ceiling $103.39 · floor $87.88

StateNon-ruralRural
AK$124.92—
AL$103.39—
AR$103.39—
AZ$101.65—
CA$101.65—
CO$103.39—
CT$103.39—
DC$103.39—
DE$103.39—
FL$103.39—
GA$103.39—
HI$101.65—
IA$101.65—
ID$101.65—
IL$103.39—
IN$103.39—
KS$101.65—
KY$103.39—
LA$103.39—
MA$103.39—
MD$103.39—
ME$103.39—
MI$103.39—
MN$103.39—
MO$103.39—
MS$103.39—
MT$101.65—
NC$103.39—
ND$101.65—
NE$101.65—
NH$103.39—
NJ$103.39—
NM$103.39—
NV$101.65—
NY$103.39—
OH$102.73—
OK$103.39—
OR$101.65—
PA$103.39—
PR$124.02—
RI$103.39—
SC$103.39—
SD$101.65—
TN$103.39—
TX$103.39—
UT$103.39—
VA$103.39—
VI$103.39—
VT$103.39—
WA$103.39—
WI$103.39—
WV$103.39—
WY$101.65—
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 E2365 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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