E0855 HCPCS code: Cervical traction equipment not requiring additional stand or frame
E0855 is the HCPCS Level II code for cervical traction equipment not requiring additional stand or frame. The 2026 Medicare DMEPOS fee schedule pays $70.44 to $84.52 (RR, rental (monthly)) 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. Its average fee ranks 8 of 9 E08 codes billed RR (family range $9.96–$73.73).
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 36 — DMEPOS: capped rental item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 1998-01-01 |
| Last action effective | 2014-04-01 |
2026 Medicare DMEPOS fee schedule for E0855
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $70.44 | $84.52 | $71.63 | $60.89 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $71.17 | — |
| AL | RR | $71.63 | — |
| AR | RR | $71.63 | — |
| AZ | RR | $70.44 | — |
| CA | RR | $70.44 | — |
| CO | RR | $71.63 | — |
| CT | RR | $71.63 | — |
| DC | RR | $70.44 | — |
| DE | RR | $71.63 | — |
| FL | RR | $70.44 | — |
| GA | RR | $71.63 | — |
| HI | RR | $76.06 | — |
| IA | RR | $70.44 | — |
| ID | RR | $70.44 | — |
| IL | RR | $70.44 | — |
| IN | RR | $71.63 | — |
| KS | RR | $70.44 | — |
| KY | RR | $71.63 | — |
| LA | RR | $71.63 | — |
| MA | RR | $71.63 | — |
| MD | RR | $70.44 | — |
| ME | RR | $71.63 | — |
| MI | RR | $71.63 | — |
| MN | RR | $71.63 | — |
| MO | RR | $71.63 | — |
| MS | RR | $71.63 | — |
| MT | RR | $70.44 | — |
| NC | RR | $71.63 | — |
| ND | RR | $70.44 | — |
| NE | RR | $70.44 | — |
| NH | RR | $71.63 | — |
| NJ | RR | $71.63 | — |
| NM | RR | $71.63 | — |
| NV | RR | $70.44 | — |
| NY | RR | $71.63 | — |
| OH | RR | $70.44 | — |
| OK | RR | $71.63 | — |
| OR | RR | $70.44 | — |
| PA | RR | $71.63 | — |
| PR | RR | $84.52 | — |
| RI | RR | $71.63 | — |
| SC | RR | $71.63 | — |
| SD | RR | $70.44 | — |
| TN | RR | $71.63 | — |
| TX | RR | $70.44 | — |
| UT | RR | $71.63 | — |
| VA | RR | $70.44 | — |
| VI | RR | $71.63 | — |
| VT | RR | $71.63 | — |
| WA | RR | $71.63 | — |
| WI | RR | $71.63 | — |
| WV | RR | $70.44 | — |
| WY | RR | $70.44 | — |
How the E0855 fee compares
| Measure | Value |
|---|---|
| Rank among 9 E08 codes billed RR (lowest = 1) | 8 |
| Family fee range (average of state fees) | $9.96–$73.73 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
What changed for E0855
- 2026-01-01: Average state fee (RR) rose 2.0%: $70.10 to $71.50
- 1998-01-01: E0855 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 E0855?
E0855 is the HCPCS Level II code for cervical traction equipment not requiring additional stand or frame. Short descriptor: "Cervical traction equipment".
How much does Medicare pay for E0855?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $70.44–$84.52. Rural fees can be higher.
Does Medicare cover E0855?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E0855 change in 2026?
The average non-rural state fee for RR moved from $70.10 in 2025 to $71.50 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0855 can be billed per day?
1 on DME suppliers (NCCI medically unlikely edits).
Related E08 codes
- E0830 — Ambulatory traction device, all types, each
- E0840 — Traction frame, attached to headboard, cervical traction ($19.78–$166.65)
- E0849 — Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible ($73.45–$88.14)
- E0850 — Traction stand, free standing, cervical traction ($17.48–$163.63)
- E0856 — Cervical traction device, with inflatable air bladder(s) ($21.93–$26.36)
- E0860 — Traction equipment, overdoor, cervical ($4.93–$66.86)
- E0870 — Traction frame, attached to footboard, extremity traction, (e.g., buck's) ($16.24–$216.18)
- E0880 — Traction stand, free standing, extremity traction ($23.88–$199.33)
- E0890 — Traction frame, attached to footboard, pelvic traction ($19.68–$171.58)
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Next steps
- Run a reimbursement report for a device billed under E0855
- Watch E0855 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0855
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.