E0158 HCPCS code: Leg extensions for walker, per set of four (4)
E0158 is the HCPCS Level II code for leg extensions for walker, per set of four (4). The 2026 Medicare DMEPOS fee schedule pays $25.09 to $39.29 (NU, new equipment, purchased) depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 1 per day on DME suppliers. Medicare volume rose 28% from 2022 to 2024 (844 to 1,081 services). In 2024, 280 suppliers billed Medicare for E0158 (purchases), serving 1,029 beneficiaries; New York, New Jersey, Texas accounted for 37% of services. Its average fee ranks 6 of 34 E01 codes billed NU (family range $13.50–$517.31); rural fees run 22% higher.
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 32 — DMEPOS: inexpensive or routinely purchased item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 1986-01-01 |
| Last action effective | 2000-01-01 |
2026 Medicare DMEPOS fee schedule for E0158
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $25.09 | $39.29 | — | — |
| RR | rental (monthly) | $2.51 | $4.56 | — | — |
| UE | used equipment, purchased | $18.82 | $29.47 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $36.76 | — |
| AL | NU | $26.94 | $34.52 |
| AR | NU | $26.94 | $32.69 |
| AZ | NU | $25.09 | $31.55 |
| CA | NU | $26.12 | $34.52 |
| CO | NU | $27.61 | $32.69 |
| CT | NU | $27.72 | $34.52 |
| DC | NU | $26.20 | $34.52 |
| DE | NU | $26.20 | $34.52 |
| FL | NU | $26.94 | $31.55 |
| GA | NU | $26.94 | $34.52 |
| HI | NU | $38.26 | — |
| IA | NU | $26.04 | $31.55 |
| ID | NU | $27.61 | $34.52 |
| IL | NU | $28.58 | $34.52 |
| IN | NU | $28.58 | $31.55 |
| KS | NU | $26.04 | $34.52 |
| KY | NU | $26.94 | $31.55 |
| LA | NU | $26.94 | $32.69 |
| MA | NU | $27.72 | $34.52 |
| MD | NU | $26.20 | $34.52 |
| ME | NU | $27.72 | $34.52 |
| MI | NU | $28.58 | $31.55 |
| MN | NU | $26.04 | $34.37 |
| MO | NU | $26.04 | $33.24 |
| MS | NU | $26.94 | $31.55 |
| MT | NU | $27.61 | $34.52 |
| NC | NU | $26.94 | $33.43 |
| ND | NU | $26.04 | $33.75 |
| NE | NU | $26.04 | $34.52 |
| NH | NU | $27.72 | $34.52 |
| NJ | NU | $26.20 | $34.52 |
| NM | NU | $25.09 | $34.52 |
| NV | NU | $26.12 | $31.55 |
| NY | NU | $26.20 | $31.55 |
| OH | NU | $28.58 | $31.55 |
| OK | NU | $25.09 | $34.52 |
| OR | NU | $26.12 | $33.88 |
| PA | NU | $26.20 | $34.52 |
| PR | NU | $39.29 | — |
| RI | NU | $27.72 | $34.52 |
| SC | NU | $26.94 | $34.52 |
| SD | NU | $26.04 | $33.75 |
| TN | NU | $26.94 | $31.55 |
| TX | NU | $25.09 | $33.80 |
| UT | NU | $27.61 | $34.52 |
| VA | NU | $26.94 | $31.55 |
| VI | NU | $31.55 | — |
| VT | NU | $27.72 | $34.52 |
| WA | NU | $26.12 | $34.52 |
| WI | NU | $28.58 | $33.43 |
| WV | NU | $26.94 | $34.52 |
| WY | NU | $27.61 | $34.52 |
| AK | RR | $3.68 | — |
| AL | RR | $2.69 | $3.50 |
| AR | RR | $2.69 | $3.33 |
| AZ | RR | $2.51 | $3.66 |
| CA | RR | $2.61 | $3.66 |
| CO | RR | $2.76 | $3.33 |
| CT | RR | $2.77 | $3.66 |
| DC | RR | $2.62 | $3.66 |
| DE | RR | $2.62 | $3.66 |
| FL | RR | $2.69 | $3.33 |
| GA | RR | $2.69 | $3.66 |
| HI | RR | $3.83 | — |
| IA | RR | $2.60 | $3.33 |
| ID | RR | $2.76 | $3.66 |
| IL | RR | $2.86 | $3.47 |
| IN | RR | $2.86 | $3.33 |
| KS | RR | $2.60 | $3.56 |
| KY | RR | $2.69 | $3.33 |
| LA | RR | $2.69 | $3.33 |
| MA | RR | $2.77 | $3.66 |
| MD | RR | $2.62 | $3.66 |
| ME | RR | $2.77 | $3.66 |
| MI | RR | $2.86 | $3.33 |
| MN | RR | $2.60 | $3.43 |
| MO | RR | $2.60 | $3.33 |
| MS | RR | $2.69 | $3.66 |
| MT | RR | $2.76 | $3.66 |
| NC | RR | $2.69 | $3.35 |
| ND | RR | $2.60 | $3.38 |
| NE | RR | $2.60 | $3.54 |
| NH | RR | $2.77 | $3.66 |
| NJ | RR | $2.62 | $3.66 |
| NM | RR | $2.51 | $3.63 |
| NV | RR | $2.61 | $3.66 |
| NY | RR | $2.62 | $3.33 |
| OH | RR | $2.86 | $3.33 |
| OK | RR | $2.51 | $3.66 |
| OR | RR | $2.61 | $3.38 |
| PA | RR | $2.62 | $3.66 |
| PR | RR | $4.56 | — |
| RI | RR | $2.77 | $3.66 |
| SC | RR | $2.69 | $3.50 |
| SD | RR | $2.60 | $3.38 |
| TN | RR | $2.69 | $3.33 |
| TX | RR | $2.51 | $3.66 |
| UT | RR | $2.76 | $3.52 |
| VA | RR | $2.69 | $3.66 |
| VI | RR | $3.33 | — |
| VT | RR | $2.77 | $3.66 |
| WA | RR | $2.61 | $3.66 |
| WI | RR | $2.86 | $3.66 |
| WV | RR | $2.69 | $3.66 |
| WY | RR | $2.76 | $3.66 |
| AK | UE | $27.56 | — |
| AL | UE | $20.21 | $25.99 |
| AR | UE | $20.21 | $24.51 |
| AZ | UE | $18.82 | $23.75 |
| CA | UE | $19.59 | $25.99 |
| CO | UE | $20.71 | $24.51 |
| CT | UE | $20.79 | $25.99 |
| DC | UE | $19.65 | $25.99 |
| DE | UE | $19.65 | $25.99 |
| FL | UE | $20.21 | $23.75 |
| GA | UE | $20.21 | $25.99 |
| HI | UE | $28.71 | — |
| IA | UE | $19.53 | $23.75 |
| ID | UE | $20.71 | $25.99 |
| IL | UE | $21.44 | $25.99 |
| IN | UE | $21.44 | $23.75 |
| KS | UE | $19.53 | $25.99 |
| KY | UE | $20.21 | $23.75 |
| LA | UE | $20.21 | $24.51 |
| MA | UE | $20.79 | $25.89 |
| MD | UE | $19.65 | $25.99 |
| ME | UE | $20.79 | $25.89 |
| MI | UE | $21.44 | $23.75 |
| MN | UE | $19.53 | $25.78 |
| MO | UE | $19.53 | $24.95 |
| MS | UE | $20.21 | $23.75 |
| MT | UE | $20.71 | $25.99 |
| NC | UE | $20.21 | $25.06 |
| ND | UE | $19.53 | $25.31 |
| NE | UE | $19.53 | $25.99 |
| NH | UE | $20.79 | $25.99 |
| NJ | UE | $19.65 | $25.99 |
| NM | UE | $18.82 | $25.99 |
| NV | UE | $19.59 | $23.75 |
| NY | UE | $19.65 | $23.75 |
| OH | UE | $21.44 | $23.75 |
| OK | UE | $18.82 | $25.99 |
| OR | UE | $19.59 | $25.39 |
| PA | UE | $19.65 | $25.99 |
| PR | UE | $29.47 | — |
| RI | UE | $20.79 | $25.99 |
| SC | UE | $20.21 | $25.99 |
| SD | UE | $19.53 | $25.31 |
| TN | UE | $20.21 | $23.75 |
| TX | UE | $18.82 | $25.35 |
| UT | UE | $20.71 | $25.99 |
| VA | UE | $20.21 | $23.75 |
| VI | UE | $23.75 | — |
| VT | UE | $20.79 | $25.99 |
| WA | UE | $19.59 | $25.99 |
| WI | UE | $21.44 | $25.99 |
| WV | UE | $20.21 | $25.99 |
| WY | UE | $20.71 | $25.99 |
How the E0158 fee compares
| Measure | Value |
|---|---|
| Rank among 34 E01 codes billed NU (lowest = 1) | 6 |
| Family fee range (average of state fees) | $13.50–$517.31 |
| Rural fee uplift | 21.7% |
Who bills E0158 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 6 |
| Suppliers billing purchases | 280 |
| Referring clinicians | 853 |
| Medicare beneficiaries | 1,029 |
| States with claims | 20 |
| Share of services in top 3 states (New York, New Jersey, Texas) | 37% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 217 | 813 |
| 2023 | 249 | 950 |
| 2024 | 280 | 1,029 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0158, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 844 | 813 | $22.26 | $17.28 |
| 2023 | 983 | 950 | $23.74 | $18.23 |
| 2024 | 1,081 | 1,029 | $23.85 | $18.48 |
States with the most E0158 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 155 | $14.97 |
| New Jersey | 108 | $17.98 |
| Texas | 88 | $18.89 |
| Virginia | 72 | $21.56 |
| Florida | 67 | $17.85 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
Medicare policy articles for this code
- A52503: Walkers - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
What changed for E0158
- 2026-01-01: Average state fee (NU) rose 2.7%: $26.85 to $27.56
- 2026-01-01: Average state fee (RR) rose 2.6%: $2.70 to $2.77
- 2026-01-01: Average state fee (UE) rose 2.7%: $20.14 to $20.67
- 1986-01-01: E0158 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code E0158?
E0158 is the HCPCS Level II code for leg extensions for walker, per set of four (4). Short descriptor: "Walker leg extenders set of4".
How much does Medicare pay for E0158?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $25.09–$39.29; RR (rental (monthly)): $2.51–$4.56; UE (used equipment, purchased): $18.82–$29.47. Rural fees can be higher.
Does Medicare cover E0158?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E0158 change in 2026?
The average non-rural state fee for NU moved from $26.85 in 2025 to $27.56 in 2026 (+2.7%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0158 can be billed per day?
1 on DME suppliers (NCCI medically unlikely edits).
Related E01 codes
- E0100 — Cane, includes canes of all materials, adjustable or fixed, with tip ($6.11–$48.89)
- E0105 — Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips ($10.74–$86.55)
- E0110 — Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips ($17.71–$141.62)
- E0111 — Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips ($8.81–$80.49)
- E0112 — Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips ($7.97–$63.92)
- E0113 — Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip ($4.00–$55.77)
- E0114 — Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips ($10.38–$88.73)
- E0116 — Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each ($5.58–$44.38)
- E0117 — Crutch, underarm, articulating, spring assisted, each ($27.45–$32.96)
- E0118 — Crutch substitute, lower leg platform, with or without wheels, each
- E0130 — Walker, rigid (pickup), adjustable or fixed height ($5.35–$86.89)
- E0135 — Walker, folding (pickup), adjustable or fixed height ($5.35–$105.44)
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under E0158
- Watch E0158 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0158
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.