E1816 HCPCS code: Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories
E1816 is the HCPCS Level II code for static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories. The 2026 Medicare DMEPOS fee schedule pays $165.04 to $227.73 (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 21% from 2022 to 2024 (261 to 205 services). In 2024, 1 suppliers billed Medicare for E1816 (rentals), serving 31 beneficiaries; Florida, Colorado, California accounted for 80% of services. Its average fee ranks 27 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 | 2025-04-01 |
2026 Medicare DMEPOS fee schedule for E1816
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $165.04 | $227.73 | $194.17 | $165.04 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $220.65 | — |
| AL | RR | $190.12 | — |
| AR | RR | $194.17 | — |
| AZ | RR | $180.19 | — |
| CA | RR | $184.95 | — |
| CO | RR | $194.17 | — |
| CT | RR | $194.17 | — |
| DC | RR | $194.17 | — |
| DE | RR | $189.50 | — |
| FL | RR | $177.72 | — |
| GA | RR | $188.31 | — |
| HI | RR | $182.74 | — |
| IA | RR | $194.17 | — |
| ID | RR | $194.17 | — |
| IL | RR | $194.17 | — |
| IN | RR | $194.17 | — |
| KS | RR | $194.17 | — |
| KY | RR | $194.17 | — |
| LA | RR | $190.76 | — |
| MA | RR | $194.17 | — |
| MD | RR | $183.15 | — |
| ME | RR | $194.17 | — |
| MI | RR | $185.67 | — |
| MN | RR | $194.17 | — |
| MO | RR | $194.17 | — |
| MS | RR | $173.94 | — |
| MT | RR | $175.07 | — |
| NC | RR | $194.17 | — |
| ND | RR | $174.84 | — |
| NE | RR | $194.17 | — |
| NH | RR | $194.17 | — |
| NJ | RR | $182.21 | — |
| NM | RR | $171.64 | — |
| NV | RR | $184.53 | — |
| NY | RR | $188.28 | — |
| OH | RR | $194.17 | — |
| OK | RR | $194.17 | — |
| OR | RR | $194.17 | — |
| PA | RR | $186.07 | — |
| PR | RR | $227.73 | — |
| RI | RR | $165.04 | — |
| SC | RR | $187.01 | — |
| SD | RR | $190.38 | — |
| TN | RR | $182.05 | — |
| TX | RR | $194.17 | — |
| UT | RR | $194.17 | — |
| VA | RR | $183.32 | — |
| VI | RR | $194.17 | — |
| VT | RR | $194.17 | — |
| WA | RR | $194.17 | — |
| WI | RR | $194.17 | — |
| WV | RR | $187.61 | — |
| WY | RR | $189.81 | — |
How the E1816 fee compares
| Measure | Value |
|---|---|
| Rank among 31 E18 codes billed RR (lowest = 1) | 27 |
| Family fee range (average of state fees) | $11.44–$648.01 |
| Rural fee uplift | — |
Who bills E1816 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 1 |
| Suppliers billing purchases | — |
| Referring clinicians | 28 |
| Medicare beneficiaries | 31 |
| States with claims | 5 |
| Share of services in top 3 states (Florida, Colorado, California) | 80% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 1 | 45 |
| 2023 | 1 | 47 |
| 2024 | 1 | 31 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E1816, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 261 | 45 | $137.80 | $99.81 |
| 2023 | 257 | 47 | $149.25 | $111.85 |
| 2024 | 205 | 31 | $151.80 | $114.41 |
States with the most E1816 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 56 | $107.47 |
| Colorado | 42 | $114.56 |
| California | 38 | $115.08 |
| Idaho | 18 | $109.31 |
| Missouri | 15 | $109.31 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Anatomic Consideration |
What changed for E1816
- April 2025: Descriptor revised (Was: Static progressive stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories)
- 2026-01-01: Average state fee (RR) rose 2.0%: $186.30 to $190.03
- 2002-01-01: E1816 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 E1816?
E1816 is the HCPCS Level II code for static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories. Short descriptor: "Sps/pass ankle device".
How much does Medicare pay for E1816?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $165.04–$227.73. Rural fees can be higher.
Does Medicare cover E1816?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E1816 change in 2026?
The average non-rural state fee for RR moved from $186.30 in 2025 to $190.03 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E1816 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)
- E1806 — Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ($128.32–$177.02)
- 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)
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Next steps
- Run a reimbursement report for a device billed under E1816
- Watch E1816 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E1816
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.