E0968 HCPCS code: Commode seat, wheelchair
E0968 is the HCPCS Level II code for commode seat, wheelchair. The 2026 Medicare DMEPOS fee schedule pays $21.71 to $31.39 (RR, rental (monthly)) 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 1 per day on DME suppliers. Its average fee ranks 30 of 47 E09 codes billed RR (family range $2.12–$695.86).
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 36 — DMEPOS: capped rental item |
| BETOS category | D1D — Wheelchairs |
| Added | 1986-01-01 |
| Last action effective | 1989-01-01 |
2026 Medicare DMEPOS fee schedule for E0968
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $21.71 | $31.39 | $25.54 | $21.71 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $23.32 | — |
| AL | RR | $22.12 | — |
| AR | RR | $21.71 | — |
| AZ | RR | $25.52 | — |
| CA | RR | $23.11 | — |
| CO | RR | $25.54 | — |
| CT | RR | $25.54 | — |
| DC | RR | $25.54 | — |
| DE | RR | $25.54 | — |
| FL | RR | $25.54 | — |
| GA | RR | $24.55 | — |
| HI | RR | $24.91 | — |
| IA | RR | $25.54 | — |
| ID | RR | $21.71 | — |
| IL | RR | $25.54 | — |
| IN | RR | $25.54 | — |
| KS | RR | $25.54 | — |
| KY | RR | $21.71 | — |
| LA | RR | $21.71 | — |
| MA | RR | $24.16 | — |
| MD | RR | $23.56 | — |
| ME | RR | $24.88 | — |
| MI | RR | $25.45 | — |
| MN | RR | $25.30 | — |
| MO | RR | $25.54 | — |
| MS | RR | $25.54 | — |
| MT | RR | $25.54 | — |
| NC | RR | $25.54 | — |
| ND | RR | $25.54 | — |
| NE | RR | $25.54 | — |
| NH | RR | $22.81 | — |
| NJ | RR | $25.54 | — |
| NM | RR | $25.18 | — |
| NV | RR | $25.52 | — |
| NY | RR | $25.52 | — |
| OH | RR | $25.54 | — |
| OK | RR | $25.54 | — |
| OR | RR | $21.71 | — |
| PA | RR | $25.54 | — |
| PR | RR | $31.39 | — |
| RI | RR | $21.71 | — |
| SC | RR | $25.30 | — |
| SD | RR | $25.54 | — |
| TN | RR | $23.31 | — |
| TX | RR | $25.54 | — |
| UT | RR | $21.71 | — |
| VA | RR | $25.54 | — |
| VI | RR | $25.52 | — |
| VT | RR | $23.86 | — |
| WA | RR | $24.89 | — |
| WI | RR | $25.54 | — |
| WV | RR | $25.54 | — |
| WY | RR | $25.54 | — |
How the E0968 fee compares
| Measure | Value |
|---|---|
| Rank among 47 E09 codes billed RR (lowest = 1) | 30 |
| Family fee range (average of state fees) | $2.12–$695.86 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
Medicare policy articles for this code
- A52504: Wheelchair Options/Accessories - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
What changed for E0968
- 2026-01-01: Average state fee (RR) rose 2.0%: $24.24 to $24.73
- 1986-01-01: E0968 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 E0968?
E0968 is the HCPCS Level II code for commode seat, wheelchair. Short descriptor: "Wheelchair commode seat".
How much does Medicare pay for E0968?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $21.71–$31.39. Rural fees can be higher.
Does Medicare cover E0968?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E0968 change in 2026?
The average non-rural state fee for RR moved from $24.24 in 2025 to $24.73 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0968 can be billed per day?
1 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)
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 E0968
- Watch E0968 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0968
Sources: CMS HCPCS Level II release October 2026; 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.