E2601 — General use wheelchair seat cushion, width less than 22 inches, any depth
HCPCS Level II E-code · short descriptor: “Gen w/c cushion wdth < 22 in”
- 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
- 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.
E2601 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $44.60 to $71.13 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $63.63 | — |
| AL | $49.24 | $63.63 |
| AR | $49.24 | $63.63 |
| AZ | $45.42 | $63.63 |
| CA | $45.35 | $63.63 |
| CO | $45.43 | $63.63 |
| CT | $49.89 | $63.63 |
| DC | $44.60 | $63.63 |
| DE | $44.60 | $63.63 |
| FL | $49.24 | $63.63 |
| GA | $49.24 | $63.63 |
| HI | $63.63 | — |
| IA | $47.91 | $63.63 |
| ID | $45.43 | $63.63 |
| IL | $47.83 | $63.63 |
| IN | $47.83 | $63.63 |
| KS | $47.91 | $63.63 |
| KY | $49.24 | $63.63 |
| LA | $49.24 | $63.63 |
| MA | $49.89 | $63.63 |
| MD | $44.60 | $63.63 |
| ME | $49.89 | $63.63 |
| MI | $47.83 | $63.63 |
| MN | $47.91 | $63.63 |
| MO | $47.91 | $63.63 |
| MS | $49.24 | $63.63 |
| MT | $45.43 | $63.63 |
| NC | $49.24 | $63.63 |
| ND | $47.91 | $63.63 |
| NE | $47.91 | $63.63 |
| NH | $49.89 | $63.63 |
| NJ | $44.60 | $63.63 |
| NM | $45.42 | $63.63 |
| NV | $45.35 | $63.63 |
| NY | $44.60 | $63.63 |
| OH | $47.83 | $63.63 |
| OK | $45.42 | $63.63 |
| OR | $45.35 | $63.63 |
| PA | $44.60 | $63.63 |
| PR | $71.13 | — |
| RI | $49.89 | $63.63 |
| SC | $49.24 | $63.63 |
| SD | $47.91 | $63.63 |
| TN | $49.24 | $63.63 |
| TX | $45.42 | $63.63 |
| UT | $45.43 | $63.63 |
| VA | $49.24 | $63.63 |
| VI | $63.63 | — |
| VT | $49.89 | $63.63 |
| WA | $45.35 | $63.63 |
| WI | $47.83 | $63.63 |
| WV | $49.24 | $63.63 |
| WY | $45.43 | $63.63 |
NU + KE — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $69.07 to $77.66 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $69.07 | — |
| AL | — | $69.07 |
| AR | — | $69.07 |
| AZ | — | $69.07 |
| CA | — | $69.07 |
| CO | — | $69.07 |
| CT | — | $69.07 |
| DC | — | $69.07 |
| DE | — | $69.07 |
| FL | — | $69.07 |
| GA | — | $69.07 |
| HI | $69.07 | — |
| IA | — | $69.07 |
| ID | — | $69.07 |
| IL | — | $69.07 |
| IN | — | $69.07 |
| KS | — | $69.07 |
| KY | — | $69.07 |
| LA | — | $69.07 |
| MA | — | $69.07 |
| MD | — | $69.07 |
| ME | — | $69.07 |
| MI | — | $69.07 |
| MN | — | $69.07 |
| MO | — | $69.07 |
| MS | — | $69.07 |
| MT | — | $69.07 |
| NC | — | $69.07 |
| ND | — | $69.07 |
| NE | — | $69.07 |
| NH | — | $69.07 |
| NJ | — | $69.07 |
| NM | — | $69.07 |
| NV | — | $69.07 |
| NY | — | $69.07 |
| OH | — | $69.07 |
| OK | — | $69.07 |
| OR | — | $69.07 |
| PA | — | $69.07 |
| PR | $77.66 | — |
| RI | — | $69.07 |
| SC | — | $69.07 |
| SD | — | $69.07 |
| TN | — | $69.07 |
| TX | — | $69.07 |
| UT | — | $69.07 |
| VA | — | $69.07 |
| VI | $69.07 | — |
| VT | — | $69.07 |
| WA | — | $69.07 |
| WI | — | $69.07 |
| WV | — | $69.07 |
| WY | — | $69.07 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $75.12 to $90.13 depending on state and rural status.
Former-CBA payment limits: ceiling $75.12 · floor $63.85
| State | Non-rural | Rural |
|---|---|---|
| AK | $75.12 | — |
| AL | $75.12 | — |
| AR | $75.12 | — |
| AZ | $75.12 | — |
| CA | $75.12 | — |
| CO | $75.12 | — |
| CT | $75.12 | — |
| DC | $75.12 | — |
| DE | $75.12 | — |
| FL | $75.12 | — |
| GA | $75.12 | — |
| HI | $75.12 | — |
| IA | $75.12 | — |
| ID | $75.12 | — |
| IL | $75.12 | — |
| IN | $75.12 | — |
| KS | $75.12 | — |
| KY | $75.12 | — |
| LA | $75.12 | — |
| MA | $75.12 | — |
| MD | $75.12 | — |
| ME | $75.12 | — |
| MI | $75.12 | — |
| MN | $75.12 | — |
| MO | $75.12 | — |
| MS | $75.12 | — |
| MT | $75.12 | — |
| NC | $75.12 | — |
| ND | $75.12 | — |
| NE | $75.12 | — |
| NH | $75.12 | — |
| NJ | $75.12 | — |
| NM | $75.12 | — |
| NV | $75.12 | — |
| NY | $75.12 | — |
| OH | $75.12 | — |
| OK | $75.12 | — |
| OR | $75.12 | — |
| PA | $75.12 | — |
| PR | $90.13 | — |
| RI | $75.12 | — |
| SC | $75.12 | — |
| SD | $75.12 | — |
| TN | $75.12 | — |
| TX | $75.12 | — |
| UT | $75.12 | — |
| VA | $75.12 | — |
| VI | $75.12 | — |
| VT | $75.12 | — |
| WA | $75.12 | — |
| WI | $75.12 | — |
| WV | $75.12 | — |
| WY | $75.12 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $4.46 to $7.11 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $6.38 | — |
| AL | $4.93 | $6.38 |
| AR | $4.93 | $6.38 |
| AZ | $4.54 | $6.38 |
| CA | $4.53 | $6.38 |
| CO | $4.55 | $6.38 |
| CT | $4.99 | $6.38 |
| DC | $4.46 | $6.38 |
| DE | $4.46 | $6.38 |
| FL | $4.93 | $6.38 |
| GA | $4.93 | $6.38 |
| HI | $6.38 | — |
| IA | $4.79 | $6.38 |
| ID | $4.55 | $6.38 |
| IL | $4.78 | $6.38 |
| IN | $4.78 | $6.38 |
| KS | $4.79 | $6.38 |
| KY | $4.93 | $6.38 |
| LA | $4.93 | $6.38 |
| MA | $4.99 | $6.38 |
| MD | $4.46 | $6.38 |
| ME | $4.99 | $6.38 |
| MI | $4.78 | $6.38 |
| MN | $4.79 | $6.38 |
| MO | $4.79 | $6.38 |
| MS | $4.93 | $6.38 |
| MT | $4.55 | $6.38 |
| NC | $4.93 | $6.38 |
| ND | $4.79 | $6.38 |
| NE | $4.79 | $6.38 |
| NH | $4.99 | $6.38 |
| NJ | $4.46 | $6.38 |
| NM | $4.54 | $6.38 |
| NV | $4.53 | $6.38 |
| NY | $4.46 | $6.38 |
| OH | $4.78 | $6.38 |
| OK | $4.54 | $6.38 |
| OR | $4.53 | $6.38 |
| PA | $4.46 | $6.38 |
| PR | $7.11 | — |
| RI | $4.99 | $6.38 |
| SC | $4.93 | $6.38 |
| SD | $4.79 | $6.38 |
| TN | $4.93 | $6.38 |
| TX | $4.54 | $6.38 |
| UT | $4.55 | $6.38 |
| VA | $4.93 | $6.38 |
| VI | $6.38 | — |
| VT | $4.99 | $6.38 |
| WA | $4.53 | $6.38 |
| WI | $4.78 | $6.38 |
| WV | $4.93 | $6.38 |
| WY | $4.55 | $6.38 |
RR + KE — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $6.92 to $7.77 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $6.92 | — |
| AL | — | $6.92 |
| AR | — | $6.92 |
| AZ | — | $6.92 |
| CA | — | $6.92 |
| CO | — | $6.92 |
| CT | — | $6.92 |
| DC | — | $6.92 |
| DE | — | $6.92 |
| FL | — | $6.92 |
| GA | — | $6.92 |
| HI | $6.92 | — |
| IA | — | $6.92 |
| ID | — | $6.92 |
| IL | — | $6.92 |
| IN | — | $6.92 |
| KS | — | $6.92 |
| KY | — | $6.92 |
| LA | — | $6.92 |
| MA | — | $6.92 |
| MD | — | $6.92 |
| ME | — | $6.92 |
| MI | — | $6.92 |
| MN | — | $6.92 |
| MO | — | $6.92 |
| MS | — | $6.92 |
| MT | — | $6.92 |
| NC | — | $6.92 |
| ND | — | $6.92 |
| NE | — | $6.92 |
| NH | — | $6.92 |
| NJ | — | $6.92 |
| NM | — | $6.92 |
| NV | — | $6.92 |
| NY | — | $6.92 |
| OH | — | $6.92 |
| OK | — | $6.92 |
| OR | — | $6.92 |
| PA | — | $6.92 |
| PR | $7.77 | — |
| RI | — | $6.92 |
| SC | — | $6.92 |
| SD | — | $6.92 |
| TN | — | $6.92 |
| TX | — | $6.92 |
| UT | — | $6.92 |
| VA | — | $6.92 |
| VI | $6.92 | — |
| VT | — | $6.92 |
| WA | — | $6.92 |
| WI | — | $6.92 |
| WV | — | $6.92 |
| WY | — | $6.92 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $7.52 to $9.02 depending on state and rural status.
Former-CBA payment limits: ceiling $7.52 · floor $6.39
| State | Non-rural | Rural |
|---|---|---|
| AK | $7.52 | — |
| AL | $7.52 | — |
| AR | $7.52 | — |
| AZ | $7.52 | — |
| CA | $7.52 | — |
| CO | $7.52 | — |
| CT | $7.52 | — |
| DC | $7.52 | — |
| DE | $7.52 | — |
| FL | $7.52 | — |
| GA | $7.52 | — |
| HI | $7.52 | — |
| IA | $7.52 | — |
| ID | $7.52 | — |
| IL | $7.52 | — |
| IN | $7.52 | — |
| KS | $7.52 | — |
| KY | $7.52 | — |
| LA | $7.52 | — |
| MA | $7.52 | — |
| MD | $7.52 | — |
| ME | $7.52 | — |
| MI | $7.52 | — |
| MN | $7.52 | — |
| MO | $7.52 | — |
| MS | $7.52 | — |
| MT | $7.52 | — |
| NC | $7.52 | — |
| ND | $7.52 | — |
| NE | $7.52 | — |
| NH | $7.52 | — |
| NJ | $7.52 | — |
| NM | $7.52 | — |
| NV | $7.52 | — |
| NY | $7.52 | — |
| OH | $7.52 | — |
| OK | $7.52 | — |
| OR | $7.52 | — |
| PA | $7.52 | — |
| PR | $9.02 | — |
| RI | $7.52 | — |
| SC | $7.52 | — |
| SD | $7.52 | — |
| TN | $7.52 | — |
| TX | $7.52 | — |
| UT | $7.52 | — |
| VA | $7.52 | — |
| VI | $7.52 | — |
| VT | $7.52 | — |
| WA | $7.52 | — |
| WI | $7.52 | — |
| WV | $7.52 | — |
| WY | $7.52 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $33.45 to $53.36 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $47.73 | — |
| AL | $36.93 | $47.73 |
| AR | $36.93 | $47.73 |
| AZ | $34.07 | $47.73 |
| CA | $34.01 | $47.73 |
| CO | $34.07 | $47.73 |
| CT | $37.42 | $47.73 |
| DC | $33.45 | $47.73 |
| DE | $33.45 | $47.73 |
| FL | $36.93 | $47.73 |
| GA | $36.93 | $47.73 |
| HI | $47.73 | — |
| IA | $35.94 | $47.73 |
| ID | $34.07 | $47.73 |
| IL | $35.88 | $47.73 |
| IN | $35.88 | $47.73 |
| KS | $35.94 | $47.73 |
| KY | $36.93 | $47.73 |
| LA | $36.93 | $47.73 |
| MA | $37.42 | $47.73 |
| MD | $33.45 | $47.73 |
| ME | $37.42 | $47.73 |
| MI | $35.88 | $47.73 |
| MN | $35.94 | $47.73 |
| MO | $35.94 | $47.73 |
| MS | $36.93 | $47.73 |
| MT | $34.07 | $47.73 |
| NC | $36.93 | $47.73 |
| ND | $35.94 | $47.73 |
| NE | $35.94 | $47.73 |
| NH | $37.42 | $47.73 |
| NJ | $33.45 | $47.73 |
| NM | $34.07 | $47.73 |
| NV | $34.01 | $47.73 |
| NY | $33.45 | $47.73 |
| OH | $35.88 | $47.73 |
| OK | $34.07 | $47.73 |
| OR | $34.01 | $47.73 |
| PA | $33.45 | $47.73 |
| PR | $53.36 | — |
| RI | $37.42 | $47.73 |
| SC | $36.93 | $47.73 |
| SD | $35.94 | $47.73 |
| TN | $36.93 | $47.73 |
| TX | $34.07 | $47.73 |
| UT | $34.07 | $47.73 |
| VA | $36.93 | $47.73 |
| VI | $47.73 | — |
| VT | $37.42 | $47.73 |
| WA | $34.01 | $47.73 |
| WI | $35.88 | $47.73 |
| WV | $36.93 | $47.73 |
| WY | $34.07 | $47.73 |
UE + KE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $51.82 to $58.26 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $51.82 | — |
| AL | — | $51.82 |
| AR | — | $51.82 |
| AZ | — | $51.82 |
| CA | — | $51.82 |
| CO | — | $51.82 |
| CT | — | $51.82 |
| DC | — | $51.82 |
| DE | — | $51.82 |
| FL | — | $51.82 |
| GA | — | $51.82 |
| HI | $51.82 | — |
| IA | — | $51.82 |
| ID | — | $51.82 |
| IL | — | $51.82 |
| IN | — | $51.82 |
| KS | — | $51.82 |
| KY | — | $51.82 |
| LA | — | $51.82 |
| MA | — | $51.82 |
| MD | — | $51.82 |
| ME | — | $51.82 |
| MI | — | $51.82 |
| MN | — | $51.82 |
| MO | — | $51.82 |
| MS | — | $51.82 |
| MT | — | $51.82 |
| NC | — | $51.82 |
| ND | — | $51.82 |
| NE | — | $51.82 |
| NH | — | $51.82 |
| NJ | — | $51.82 |
| NM | — | $51.82 |
| NV | — | $51.82 |
| NY | — | $51.82 |
| OH | — | $51.82 |
| OK | — | $51.82 |
| OR | — | $51.82 |
| PA | — | $51.82 |
| PR | $58.26 | — |
| RI | — | $51.82 |
| SC | — | $51.82 |
| SD | — | $51.82 |
| TN | — | $51.82 |
| TX | — | $51.82 |
| UT | — | $51.82 |
| VA | — | $51.82 |
| VI | $51.82 | — |
| VT | — | $51.82 |
| WA | — | $51.82 |
| WI | — | $51.82 |
| WV | — | $51.82 |
| WY | — | $51.82 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $56.34 to $67.62 depending on state and rural status.
Former-CBA payment limits: ceiling $56.34 · floor $47.89
| State | Non-rural | Rural |
|---|---|---|
| AK | $56.34 | — |
| AL | $56.34 | — |
| AR | $56.34 | — |
| AZ | $56.34 | — |
| CA | $56.34 | — |
| CO | $56.34 | — |
| CT | $56.34 | — |
| DC | $56.34 | — |
| DE | $56.34 | — |
| FL | $56.34 | — |
| GA | $56.34 | — |
| HI | $56.34 | — |
| IA | $56.34 | — |
| ID | $56.34 | — |
| IL | $56.34 | — |
| IN | $56.34 | — |
| KS | $56.34 | — |
| KY | $56.34 | — |
| LA | $56.34 | — |
| MA | $56.34 | — |
| MD | $56.34 | — |
| ME | $56.34 | — |
| MI | $56.34 | — |
| MN | $56.34 | — |
| MO | $56.34 | — |
| MS | $56.34 | — |
| MT | $56.34 | — |
| NC | $56.34 | — |
| ND | $56.34 | — |
| NE | $56.34 | — |
| NH | $56.34 | — |
| NJ | $56.34 | — |
| NM | $56.34 | — |
| NV | $56.34 | — |
| NY | $56.34 | — |
| OH | $56.34 | — |
| OK | $56.34 | — |
| OR | $56.34 | — |
| PA | $56.34 | — |
| PR | $67.62 | — |
| RI | $56.34 | — |
| SC | $56.34 | — |
| SD | $56.34 | — |
| TN | $56.34 | — |
| TX | $56.34 | — |
| UT | $56.34 | — |
| VA | $56.34 | — |
| VI | $56.34 | — |
| VT | $56.34 | — |
| WA | $56.34 | — |
| WI | $56.34 | — |
| WV | $56.34 | — |
| WY | $56.34 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E2601 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
Related E-codes
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