Fracture frame, attachments for complex pelvic traction
Medicare coverage: Special coverage instructions apply
Status: active (October 2026 file)
Medically Unlikely Edits (effective October 1, 2026)
Practitioner: max 0 units per day (clinical), rationale: CMS Policy
Outpatient hospital: max 0 units per day (clinical), rationale: CMS Policy
DME supplier: max 1 units per day (policy), rationale: Code Descriptor / CPT Instruction
Medicare pricing for E0947
DMEPOS fee schedule, July 2026 (DME26-C)
NU (purchased, new), inexpensive or routinely purchased (IN): non-rural $734.65 to $864.29 in the contiguous states; $864.29 to $1,116.69 in AK, HI, PR and VI; ceiling $864.29, floor $734.65
RR (rental), inexpensive or routinely purchased (IN): non-rural $76.17 to $89.61 in the contiguous states; $89.61 to $139.64 in AK, HI, PR and VI; ceiling $89.61, floor $76.17
UE (purchased, used), inexpensive or routinely purchased (IN): non-rural $550.96 to $648.19 in the contiguous states; $648.19 to $837.49 in AK, HI, PR and VI; ceiling $648.19, floor $550.96
Payer policies and prior authorization for E0947
3 of 3 payer prior-auth lists that name E0947 require prior authorization or set conditions: Humana, Rocky Mountain Health Plans, UnitedHealthcare Community Plan.
From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.