MyMedi-AI

E2377 — Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue

HCPCS Level II E-code · short descriptor: “Expandable controller, initl”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Special coverage instructions apply
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.

E2377 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $57.55 to $61.59 depending on state and rural status.

StateNon-ruralRural
AK$58.60—
AL$57.55$58.60
AR$57.55$58.60
AZ$57.55$58.60
CA$57.55$58.60
CO$57.55$58.60
CT$57.55$58.60
DC$57.55$58.60
DE$57.55$58.60
FL$57.55$58.60
GA$57.55$58.60
HI$58.60—
IA$57.55$58.60
ID$57.55$58.60
IL$57.55$58.60
IN$57.55$58.60
KS$57.55$58.60
KY$57.55$58.60
LA$57.55$58.60
MA$57.55$58.60
MD$57.55$58.60
ME$57.55$58.60
MI$57.55$58.60
MN$57.55$58.60
MO$57.55$58.60
MS$57.55$58.60
MT$57.55$58.60
NC$57.55$58.60
ND$57.55$58.60
NE$57.55$58.60
NH$57.55$58.60
NJ$57.55$58.60
NM$57.55$58.60
NV$57.55$58.60
NY$57.55$58.60
OH$57.55$58.60
OK$57.55$58.60
OR$57.55$58.60
PA$57.55$58.60
PR$61.59—
RI$57.55$58.60
SC$57.55$58.60
SD$57.55$58.60
TN$57.55$58.60
TX$57.55$58.60
UT$57.55$58.60
VA$57.55$58.60
VI$58.60—
VT$57.55$58.60
WA$57.55$58.60
WI$57.55$58.60
WV$57.55$58.60
WY$57.55$58.60

RR + KE — Monthly rental Capped rental

Medicare allowable ranges from $62.93 to $66.35 depending on state and rural status.

StateNon-ruralRural
AK$62.93—
AL—$62.93
AR—$62.93
AZ—$62.93
CA—$62.93
CO—$62.93
CT—$62.93
DC—$62.93
DE—$62.93
FL—$62.93
GA—$62.93
HI$62.93—
IA—$62.93
ID—$62.93
IL—$62.93
IN—$62.93
KS—$62.93
KY—$62.93
LA—$62.93
MA—$62.93
MD—$62.93
ME—$62.93
MI—$62.93
MN—$62.93
MO—$62.93
MS—$62.93
MT—$62.93
NC—$62.93
ND—$62.93
NE—$62.93
NH—$62.93
NJ—$62.93
NM—$62.93
NV—$62.93
NY—$62.93
OH—$62.93
OK—$62.93
OR—$62.93
PA—$62.93
PR$66.35—
RI—$62.93
SC—$62.93
SD—$62.93
TN—$62.93
TX—$62.93
UT—$62.93
VA—$62.93
VI$62.93—
VT—$62.93
WA—$62.93
WI—$62.93
WV—$62.93
WY—$62.93

RR + KU — Monthly rental Capped rental

Medicare allowable ranges from $59.63 to $65.64 depending on state and rural status.

Former-CBA payment limits: ceiling $59.63 · floor $50.69

StateNon-ruralRural
AK$59.63—
AL$59.63—
AR$59.63—
AZ$59.63—
CA$59.63—
CO$59.63—
CT$59.63—
DC$59.63—
DE$59.63—
FL$59.63—
GA$59.63—
HI$59.63—
IA$59.63—
ID$59.63—
IL$59.63—
IN$59.63—
KS$59.63—
KY$59.63—
LA$59.63—
MA$59.63—
MD$59.63—
ME$59.63—
MI$59.63—
MN$59.63—
MO$59.63—
MS$59.63—
MT$59.63—
NC$59.63—
ND$59.63—
NE$59.63—
NH$59.63—
NJ$59.63—
NM$59.63—
NV$59.63—
NY$59.63—
OH$59.63—
OK$59.63—
OR$59.63—
PA$59.63—
PR$65.64—
RI$59.63—
SC$59.63—
SD$59.63—
TN$59.63—
TX$59.63—
UT$59.63—
VA$59.63—
VI$59.63—
VT$59.63—
WA$59.63—
WI$59.63—
WV$59.63—
WY$59.63—
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 E2377 at 1 unit per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.

Common denial codes to watch

CO-50 medical necessityCO-151 frequency/units

Related E-codes

E2301E2310E2311E2312E2313E2321E2322E2323E2324E2325E2326E2327

Bill E2377 with confidence

Track prior-authorization requests with AI pre-fill and deadline tracking, and draft PA appeal letters — built for DME teams, PHI-free: no patient data is collected or stored.

Start free trial   Run a CMS-0057-F readiness check

Prefer DIY compliance? Self-audit documentation kits for DME suppliers →

Building an AI agent? Try the agent API in the playground — free PA-required lookups, E2377 included, and starter credits via POST /bot-marketplace/register.