E1806 HCPCS code: Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories
E1806 is the HCPCS Level II code for static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories. The 2026 Medicare DMEPOS fee schedule pays $128.32 to $177.02 (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 2 per day on DME suppliers. Medicare volume fell 6% from 2022 to 2024 (1,057 to 993 services). In 2024, 4 suppliers billed Medicare for E1806 (rentals), serving 214 beneficiaries; California, Florida, Massachusetts accounted for 42% of services. Its average fee ranks 6 of 31 E18 codes billed RR (family range $11.44–$648.01).
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 | 2002-01-01 |
| Last action effective | 2008-01-01 |
2026 Medicare DMEPOS fee schedule for E1806
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $128.32 | $177.02 | $150.97 | $128.32 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $171.52 | — |
| AL | RR | $147.73 | — |
| AR | RR | $150.97 | — |
| AZ | RR | $140.05 | — |
| CA | RR | $143.77 | — |
| CO | RR | $150.97 | — |
| CT | RR | $150.97 | — |
| DC | RR | $150.97 | — |
| DE | RR | $147.33 | — |
| FL | RR | $138.14 | — |
| GA | RR | $146.39 | — |
| HI | RR | $142.04 | — |
| IA | RR | $150.97 | — |
| ID | RR | $150.97 | — |
| IL | RR | $150.97 | — |
| IN | RR | $150.97 | — |
| KS | RR | $150.97 | — |
| KY | RR | $150.97 | — |
| LA | RR | $148.26 | — |
| MA | RR | $150.97 | — |
| MD | RR | $142.38 | — |
| ME | RR | $150.97 | — |
| MI | RR | $144.32 | — |
| MN | RR | $150.97 | — |
| MO | RR | $150.97 | — |
| MS | RR | $135.21 | — |
| MT | RR | $136.08 | — |
| NC | RR | $150.97 | — |
| ND | RR | $135.93 | — |
| NE | RR | $150.97 | — |
| NH | RR | $150.97 | — |
| NJ | RR | $141.63 | — |
| NM | RR | $133.42 | — |
| NV | RR | $143.44 | — |
| NY | RR | $146.33 | — |
| OH | RR | $150.97 | — |
| OK | RR | $150.97 | — |
| OR | RR | $150.97 | — |
| PA | RR | $144.62 | — |
| PR | RR | $177.02 | — |
| RI | RR | $128.32 | — |
| SC | RR | $145.34 | — |
| SD | RR | $148.00 | — |
| TN | RR | $141.47 | — |
| TX | RR | $150.97 | — |
| UT | RR | $150.97 | — |
| VA | RR | $142.51 | — |
| VI | RR | $150.97 | — |
| VT | RR | $150.97 | — |
| WA | RR | $150.97 | — |
| WI | RR | $150.97 | — |
| WV | RR | $145.85 | — |
| WY | RR | $147.57 | — |
How the E1806 fee compares
| Measure | Value |
|---|---|
| Rank among 31 E18 codes billed RR (lowest = 1) | 6 |
| Family fee range (average of state fees) | $11.44–$648.01 |
| Rural fee uplift | — |
Who bills E1806 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 4 |
| Suppliers billing purchases | — |
| Referring clinicians | 184 |
| Medicare beneficiaries | 214 |
| States with claims | 23 |
| Share of services in top 3 states (California, Florida, Massachusetts) | 42% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 4 | 278 |
| 2023 | 4 | 268 |
| 2024 | 4 | 214 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E1806, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 1,057 | 278 | $110.42 | $81.92 |
| 2023 | 985 | 268 | $122.07 | $89.90 |
| 2024 | 993 | 214 | $119.68 | $90.00 |
States with the most E1806 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 154 | $91.00 |
| Florida | 144 | $87.69 |
| Massachusetts | 69 | $98.05 |
| Texas | 67 | $90.52 |
| Virginia | 57 | $89.91 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Anatomic Consideration |
What changed for E1806
- 2026-01-01: Average state fee (RR) rose 2.0%: $144.84 to $147.73
- 2002-01-01: E1806 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 E1806?
E1806 is the HCPCS Level II code for static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories. Short descriptor: "Sps wrist device".
How much does Medicare pay for E1806?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $128.32–$177.02. Rural fees can be higher.
Does Medicare cover E1806?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E1806 change in 2026?
The average non-rural state fee for RR moved from $144.84 in 2025 to $147.73 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E1806 can be billed per day?
2 on DME suppliers (NCCI medically unlikely edits).
Related E18 codes
- E1800 — Dynamic adjustable elbow extension and flexion device, includes soft interface material ($140.52–$222.55)
- E1801 — Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ($156.28–$215.62)
- E1802 — Dynamic adjustable forearm pronation/supination device, includes soft interface material ($465.75–$558.88)
- E1803 — Dynamic adjustable elbow extension only device, includes soft interface material ($140.52–$222.55)
- E1804 — Dynamic adjustable elbow flexion only device, includes soft interface material ($140.52–$222.55)
- E1805 — Dynamic adjustable wrist extension and flexion device, includes soft interface material ($114.31–$222.55)
- E1807 — Dynamic adjustable wrist extension only device, includes soft interface material ($114.31–$222.55)
- E1808 — Dynamic adjustable wrist flexion only device, includes soft interface material ($114.31–$222.55)
- E1810 — Dynamic adjustable knee extension and flexion device, includes soft interface material ($142.48–$222.55)
- E1811 — Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ($162.46–$224.19)
- E1812 — Dynamic knee, extension/flexion device with active resistance control ($122.55–$147.07)
- E1813 — Dynamic adjustable knee extension only device, includes soft interface material ($142.48–$222.55)
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 E1806
- Watch E1806 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E1806
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.