E0952 HCPCS code: Toe loop/holder, any type, each
E0952 is the HCPCS Level II code for toe loop/holder, any type, each. The 2026 Medicare DMEPOS fee schedule pays $19.67 to $39.29 (NU, new equipment, purchased) depending on the state. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 2 per day on DME suppliers. Its average fee ranks 2 of 30 E09 codes billed NU (family range $20.79–$817.33).
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | D1D — Wheelchairs |
| Added | 1986-01-01 |
| Last action effective | 2005-01-01 |
2026 Medicare DMEPOS fee schedule for E0952
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $19.67 | $39.29 | — | — |
| NU | new equipment, purchased | $19.67 | $50.51 | $23.14 | $19.67 |
| RR | rental (monthly) | $2.04 | $3.95 | — | — |
| RR | rental (monthly) | $2.03 | $5.08 | $2.39 | $2.03 |
| UE | used equipment, purchased | $14.76 | $37.92 | $17.37 | $14.76 |
| UE | used equipment, purchased | $14.75 | $29.49 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $49.89 | — |
| AL | NU | $19.67 | $21.22 |
| AR | NU | $23.14 | $23.62 |
| AZ | NU | $21.07 | $22.45 |
| CA | NU | $19.67 | $21.22 |
| CO | NU | $19.67 | $21.22 |
| CT | NU | $23.14 | $23.62 |
| DC | NU | $23.14 | $23.62 |
| DE | NU | $23.14 | $23.62 |
| FL | NU | $23.14 | $23.62 |
| GA | NU | $19.67 | $21.22 |
| HI | NU | $50.51 | — |
| IA | NU | $23.14 | $23.62 |
| ID | NU | $23.14 | $23.62 |
| IL | NU | $21.56 | $22.70 |
| IN | NU | $21.25 | $22.54 |
| KS | NU | $22.81 | $23.43 |
| KY | NU | $19.67 | $21.22 |
| LA | NU | $23.14 | $23.62 |
| MA | NU | $20.76 | $22.26 |
| MD | NU | $23.14 | $23.62 |
| ME | NU | $20.76 | $22.26 |
| MI | NU | $19.67 | $21.22 |
| MN | NU | $19.67 | $21.22 |
| MO | NU | $23.14 | $23.62 |
| MS | NU | $23.14 | $23.62 |
| MT | NU | $19.67 | $21.22 |
| NC | NU | $23.14 | $23.62 |
| ND | NU | $23.14 | $23.62 |
| NE | NU | $22.11 | $23.03 |
| NH | NU | $20.76 | $22.26 |
| NJ | NU | $23.14 | $23.62 |
| NM | NU | $23.14 | $23.62 |
| NV | NU | $22.31 | $23.14 |
| NY | NU | $23.14 | $23.62 |
| OH | NU | $19.67 | $21.22 |
| OK | NU | $23.14 | $23.62 |
| OR | NU | $23.14 | $23.62 |
| PA | NU | $23.14 | $23.62 |
| PR | NU | $25.65 | — |
| RI | NU | $23.14 | $23.62 |
| SC | NU | $23.14 | $23.62 |
| SD | NU | $23.14 | $23.62 |
| TN | NU | $19.67 | $21.22 |
| TX | NU | $20.71 | $22.22 |
| UT | NU | $19.67 | $21.22 |
| VA | NU | $23.14 | $23.62 |
| VI | NU | $23.62 | — |
| VT | NU | $20.76 | $22.26 |
| WA | NU | $23.14 | $23.62 |
| WI | NU | $20.27 | $21.87 |
| WV | NU | $19.67 | $21.22 |
| WY | NU | $23.14 | $23.62 |
| AK | RR | $4.99 | — |
| AL | RR | $2.04 | $2.20 |
| AR | RR | $2.39 | $2.41 |
| AZ | RR | $2.39 | $2.41 |
| CA | RR | $2.04 | $2.20 |
| CO | RR | $2.04 | $2.20 |
| CT | RR | $2.39 | $2.41 |
| DC | RR | $2.32 | $2.37 |
| DE | RR | $2.32 | $2.37 |
| FL | RR | $2.39 | $2.41 |
| GA | RR | $2.04 | $2.20 |
| HI | RR | $5.08 | — |
| IA | RR | $2.39 | $2.41 |
| ID | RR | $2.39 | $2.41 |
| IL | RR | $2.14 | $2.26 |
| IN | RR | $2.12 | $2.25 |
| KS | RR | $2.27 | $2.35 |
| KY | RR | $2.04 | $2.20 |
| LA | RR | $2.39 | $2.41 |
| MA | RR | $2.39 | $2.41 |
| MD | RR | $2.39 | $2.41 |
| ME | RR | $2.39 | $2.41 |
| MI | RR | $2.04 | $2.20 |
| MN | RR | $2.04 | $2.20 |
| MO | RR | $2.39 | $2.41 |
| MS | RR | $2.39 | $2.41 |
| MT | RR | $2.04 | $2.20 |
| NC | RR | $2.39 | $2.41 |
| ND | RR | $2.39 | $2.41 |
| NE | RR | $2.22 | $2.32 |
| NH | RR | $2.39 | $2.41 |
| NJ | RR | $2.32 | $2.37 |
| NM | RR | $2.39 | $2.41 |
| NV | RR | $2.39 | $2.41 |
| NY | RR | $2.39 | $2.41 |
| OH | RR | $2.04 | $2.20 |
| OK | RR | $2.39 | $2.41 |
| OR | RR | $2.39 | $2.41 |
| PA | RR | $2.32 | $2.37 |
| PR | RR | $3.22 | — |
| RI | RR | $2.39 | $2.41 |
| SC | RR | $2.39 | $2.41 |
| SD | RR | $2.39 | $2.41 |
| TN | RR | $2.04 | $2.20 |
| TX | RR | $2.09 | $2.23 |
| UT | RR | $2.04 | $2.20 |
| VA | RR | $2.39 | $2.41 |
| VI | RR | $2.41 | — |
| VT | RR | $2.09 | $2.23 |
| WA | RR | $2.39 | $2.41 |
| WI | RR | $2.04 | $2.20 |
| WV | RR | $2.04 | $2.20 |
| WY | RR | $2.39 | $2.41 |
| AK | UE | $37.39 | — |
| AL | UE | $14.76 | $15.92 |
| AR | UE | $17.37 | $17.72 |
| AZ | UE | $15.84 | $16.84 |
| CA | UE | $14.76 | $15.92 |
| CO | UE | $14.76 | $15.92 |
| CT | UE | $17.37 | $17.72 |
| DC | UE | $17.37 | $17.72 |
| DE | UE | $17.37 | $17.72 |
| FL | UE | $17.37 | $17.72 |
| GA | UE | $14.76 | $15.92 |
| HI | UE | $37.92 | — |
| IA | UE | $17.37 | $17.72 |
| ID | UE | $17.37 | $17.72 |
| IL | UE | $16.18 | $17.04 |
| IN | UE | $15.97 | $16.91 |
| KS | UE | $17.13 | $17.58 |
| KY | UE | $14.76 | $15.92 |
| LA | UE | $17.37 | $17.72 |
| MA | UE | $15.55 | $16.68 |
| MD | UE | $17.37 | $17.72 |
| ME | UE | $15.55 | $16.68 |
| MI | UE | $15.29 | $16.50 |
| MN | UE | $15.21 | $16.42 |
| MO | UE | $17.37 | $17.72 |
| MS | UE | $17.37 | $17.72 |
| MT | UE | $14.76 | $15.92 |
| NC | UE | $17.37 | $17.72 |
| ND | UE | $17.37 | $17.72 |
| NE | UE | $16.61 | $17.29 |
| NH | UE | $15.55 | $16.68 |
| NJ | UE | $17.37 | $17.72 |
| NM | UE | $17.37 | $17.72 |
| NV | UE | $16.74 | $17.36 |
| NY | UE | $17.37 | $17.72 |
| OH | UE | $14.76 | $15.92 |
| OK | UE | $17.37 | $17.72 |
| OR | UE | $17.37 | $17.72 |
| PA | UE | $17.37 | $17.72 |
| PR | UE | $19.24 | — |
| RI | UE | $17.37 | $17.72 |
| SC | UE | $17.37 | $17.72 |
| SD | UE | $17.37 | $17.72 |
| TN | UE | $14.76 | $15.92 |
| TX | UE | $15.52 | $16.67 |
| UT | UE | $14.76 | $15.92 |
| VA | UE | $17.37 | $17.72 |
| VI | UE | $17.72 | — |
| VT | UE | $15.55 | $16.68 |
| WA | UE | $17.37 | $17.72 |
| WI | UE | $15.21 | $16.42 |
| WV | UE | $14.76 | $15.92 |
| WY | UE | $17.37 | $17.72 |
How the E0952 fee compares
| Measure | Value |
|---|---|
| Rank among 30 E09 codes billed NU (lowest = 1) | 2 |
| Family fee range (average of state fees) | $20.79–$817.33 |
| Rural fee uplift | -2.0% |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Code Descriptor / CPT Instruction |
What changed for E0952
- 2026-01-01: Average state fee (NU) rose 2.2%: $21.93 to $22.41
- 2026-01-01: Average state fee (RR) rose 2.2%: $2.25 to $2.30
- 2026-01-01: Average state fee (UE) rose 2.2%: $16.47 to $16.83
- 1986-01-01: E0952 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 E0952?
E0952 is the HCPCS Level II code for toe loop/holder, any type, each. Short descriptor: "Toe loop/holder, each".
How much does Medicare pay for E0952?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $19.67–$39.29; NU (new equipment, purchased): $19.67–$50.51; RR (rental (monthly)): $2.04–$3.95; RR (rental (monthly)): $2.03–$5.08; UE (used equipment, purchased): $14.76–$37.92; UE (used equipment, purchased): $14.75–$29.49. Rural fees can be higher.
Does Medicare cover E0952?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E0952 change in 2026?
The average non-rural state fee for NU moved from $21.93 in 2025 to $22.41 in 2026 (+2.2%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0952 can be billed per day?
2 on DME suppliers (NCCI medically unlikely edits).
Related E09 codes
- E0900 — Traction stand, free standing, pelvic traction, (e.g., buck's) ($21.75–$233.96)
- E0910 — Trapeze bars, a/k/a patient helper, attached to bed, with grab bar ($13.20–$19.86)
- E0911 — Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar ($50.56–$65.54)
- E0912 — Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar ($94.71–$145.86)
- E0920 — Fracture frame, attached to bed, includes weights ($55.91–$90.91)
- E0930 — Fracture frame, free standing, includes weights ($55.34–$67.27)
- E0935 — Continuous passive motion exercise device for use on knee only ($27.56–$34.49)
- E0936 — Continuous passive motion exercise device for use other than knee
- E0940 — Trapeze bar, free standing, complete with grab bar ($24.33–$39.42)
- E0941 — Gravity assisted traction device, any type ($52.57–$94.48)
- E0942 — Cervical head harness/halter ($0.78–$39.21)
- E0944 — Pelvic belt/harness/boot ($4.82–$79.09)
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Next steps
- Run a reimbursement report for a device billed under E0952
- Watch E0952 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0952
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.