Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each
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 2 units per day (policy), rationale: Code Descriptor / CPT Instruction
DME supplier: max 2 units per day (policy), rationale: Code Descriptor / CPT Instruction
Medicare pricing for E0973
DMEPOS fee schedule, July 2026 (DME26-C)
NU (purchased, new), inexpensive or routinely purchased (IN): non-rural $60.18 to $70.58 in the contiguous states; $95.12 to $111.45 in AK, HI, PR and VI; rural $95.94 to $106.54
NU-KE, inexpensive or routinely purchased (IN): non-rural $102.87 to $121.56 in AK, HI, PR and VI; rural $104.65 to $116.78
NU-KU, inexpensive or routinely purchased (IN): non-rural $120.05 to $141.24 in the contiguous states; $106.82 to $139.47 in AK, HI, PR and VI; ceiling $141.24, floor $120.05
RR (rental), inexpensive or routinely purchased (IN): non-rural $6.02 to $7.06 in the contiguous states; $9.50 to $12.88 in AK, HI, PR and VI; rural $9.31 to $10.31
RR-KE, inexpensive or routinely purchased (IN): non-rural $10.27 to $14.14 in AK, HI, PR and VI; rural $10.14 to $11.29
RR-KU, inexpensive or routinely purchased (IN): non-rural $11.42 to $13.44 in the contiguous states; $10.67 to $17.43 in AK, HI, PR and VI; ceiling $13.44, floor $11.42
UE (purchased, used), inexpensive or routinely purchased (IN): non-rural $45.13 to $52.94 in the contiguous states; $70.16 to $84.24 in AK, HI, PR and VI; rural $71.96 to $79.90
UE-KE, inexpensive or routinely purchased (IN): non-rural $75.79 to $91.92 in AK, HI, PR and VI; rural $78.49 to $87.58
UE-KU, inexpensive or routinely purchased (IN): non-rural $90.02 to $105.91 in the contiguous states; $77.76 to $105.91 in AK, HI, PR and VI; ceiling $105.91, floor $90.02
Payer policies and prior authorization for E0973
2 of 2 payer prior-auth lists that name E0973 require prior authorization or set conditions: Blue Shield of California Promise Health Plan, Rocky Mountain Health Plans.
E0973 appears in 6 coverage policies from Aetna, Anthem, Blue Shield of California, Capital Blue Cross, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT).
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.