E1815 HCPCS code: Dynamic adjustable ankle extension and flexion device, includes soft interface material

E1815 is the HCPCS Level II code for dynamic adjustable ankle extension and flexion device, includes soft interface material. The 2026 Medicare DMEPOS fee schedule pays $142.48 to $222.55 (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 18% from 2022 to 2024 (6,425 to 5,295 services). In 2024, 4 suppliers billed Medicare for E1815 (rentals), serving 772 beneficiaries; Florida, California, Virginia accounted for 34% of services. Its average fee ranks 23 of 31 E18 codes billed RR (family range $11.44–$648.01).

Code details

FieldValue
SectionE codes — Durable medical equipment
Coverage codeC — Carrier judgment
Pricing indicator36 — DMEPOS: capped rental item
BETOS categoryD1E — Other durable medical equipment
Added1996-01-01
Last action effective2025-01-01

2026 Medicare DMEPOS fee schedule for E1815

ModifierMeaningLowest state feeHighest state feeCeilingFloor
RRrental (monthly)$142.48$222.55$180.07$153.06
StateModifierFeeRural fee
AKRR$222.55—
ALRR$153.06—
ARRR$153.06—
AZRR$179.95—
CARR$180.07—
CORR$153.06—
CTRR$180.07—
DCRR$180.07—
DERR$166.61—
FLRR$153.06—
GARR$153.06—
HIRR$197.05—
IARR$180.07—
IDRR$180.07—
ILRR$180.07—
INRR$180.07—
KSRR$180.07—
KYRR$153.06—
LARR$153.06—
MARR$180.07—
MDRR$180.07—
MERR$180.07—
MIRR$180.07—
MNRR$180.07—
MORR$180.07—
MSRR$153.06—
MTRR$174.84—
NCRR$153.06—
NDRR$174.58—
NERR$180.07—
NHRR$177.56—
NJRR$160.17—
NMRR$153.06—
NVRR$180.07—
NYRR$165.53—
OHRR$180.07—
OKRR$153.06—
ORRR$180.07—
PARR$163.61—
PRRR$142.48—
RIRR$153.06—
SCRR$153.06—
SDRR$180.07—
TNRR$153.06—
TXRR$153.50—
UTRR$180.07—
VARR$180.07—
VIRR$153.06—
VTRR$180.05—
WARR$180.07—
WIRR$180.07—
WVRR$180.07—
WYRR$180.07—

How the E1815 fee compares

MeasureValue
Rank among 31 E18 codes billed RR (lowest = 1)23
Family fee range (average of state fees)$11.44–$648.01
Rural fee uplift—

Who bills E1815 (2024)

MeasureValue
Suppliers billing rentals4
Suppliers billing purchases—
Referring clinicians668
Medicare beneficiaries772
States with claims42
Share of services in top 3 states (Florida, California, Virginia)34%
YearSuppliersBeneficiaries
20227906
20235799
20244772

Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.

Medicare utilization for E1815, 2022–2024

YearServicesBeneficiariesAvg. allowedAvg. paid
20226,425906$119.11$90.59
20235,409799$131.02$98.57
20245,295772$132.96$100.30

States with the most E1815 services (2024)

StateServicesAvg. paid
Florida808$92.29
California502$106.68
Virginia465$107.75
Massachusetts328$109.01
Texas245$94.82

NCCI unit limits (MUE)

Claim typeMax units per dayRationale
DME suppliers2Anatomic Consideration

Medicare policy articles for this code

Covered diagnoses (12 ICD-10-CM codes)

The diagnoses most often listed as covered in the policy articles above:

ICD-10-CMDiagnosisArticles listing it
A52.16Charcot's arthropathy (tabetic)1
E08.610Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy1
E09.610Drug or chemical induced diabetes mellitus with diabetic neuropathic arthropathy1
E10.610Type 1 diabetes mellitus with diabetic neuropathic arthropathy1
E11.610Type 2 diabetes mellitus with diabetic neuropathic arthropathy1
M14.671Charcot's joint, right ankle and foot1
M14.672Charcot's joint, left ankle and foot1
M24.571Contracture, right ankle1
M24.572Contracture, left ankle1
M24.574Contracture, right foot1

Showing 10 of 12. The full list, non-covered diagnoses and CSV export are in Caduvo.

What changed for E1815

Frequently asked questions

What is HCPCS code E1815?

E1815 is the HCPCS Level II code for dynamic adjustable ankle extension and flexion device, includes soft interface material. Short descriptor: "Adjust ankle ext & flex dev".

How much does Medicare pay for E1815?

Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $142.48–$222.55. Rural fees can be higher.

Does Medicare cover E1815?

Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.

Which diagnoses support coverage for E1815?

Medicare policy articles that cite E1815 list 12 covered ICD-10-CM diagnosis codes across 1 article. The most cited include A52.16 (Charcot's arthropathy (tabetic)), E08.610 (Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy), E09.610 (Drug or chemical induced diabetes mellitus with diabetic neuropathic arthropathy). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.

Did the Medicare fee for E1815 change in 2026?

The average non-rural state fee for RR moved from $167.52 in 2025 to $170.87 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of E1815 can be billed per day?

2 on DME suppliers (NCCI medically unlikely edits).

Related E18 codes

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

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.

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