E0172 HCPCS code: Seat lift mechanism placed over or on top of toilet, any type
E0172 is the HCPCS Level II code for seat lift mechanism placed over or on top of toilet, any type. Its Medicare coverage code is S (Non-covered by Medicare statute): Medicare is barred by law from covering it.
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | S — Non-covered by Medicare statute |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | D1E — Other durable medical equipment |
| Added | 2006-01-01 |
| Last action effective | 2006-01-01 |
Related codes Medicare does pay
Medicare does not pay under E0172. These codes in the same E01 family carry a current DMEPOS fee:
- 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
Medicare policy articles for this code
- A52461: Commodes - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52518: Seat Lift Mechanisms - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
What changed for E0172
- 2006-01-01: E0172 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 E0172?
E0172 is the HCPCS Level II code for seat lift mechanism placed over or on top of toilet, any type. Short descriptor: "Seat lift mechanism toilet".
Does Medicare cover E0172?
Coverage code S — Non-covered by Medicare statute. Medicare is barred by law from covering it.
Which related codes does Medicare pay instead of E0172?
Codes in the same E01 family with a DMEPOS fee include E0100 ($6.11–$48.89), E0105 ($10.74–$86.55), E0110 ($17.71–$141.62). Check the item matches the code's descriptor before billing.
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 E0172
- Watch E0172 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0172
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; 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.