E1818 HCPCS code: Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories
E1818 is the HCPCS Level II code for static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories. The 2026 Medicare DMEPOS fee schedule pays $168.48 to $232.47 (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 20% from 2022 to 2024 (470 to 374 services). In 2024, 2 suppliers billed Medicare for E1818 (rentals), serving 92 beneficiaries; California, Florida, New York accounted for 52% of services. Its average fee ranks 28 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 E1818
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $168.48 | $232.47 | $198.21 | $168.48 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $225.31 | — |
| AL | RR | $194.11 | — |
| AR | RR | $198.21 | — |
| AZ | RR | $183.96 | — |
| CA | RR | $188.81 | — |
| CO | RR | $198.21 | — |
| CT | RR | $198.21 | — |
| DC | RR | $198.21 | — |
| DE | RR | $193.50 | — |
| FL | RR | $181.48 | — |
| GA | RR | $192.23 | — |
| HI | RR | $186.56 | — |
| IA | RR | $198.21 | — |
| ID | RR | $198.21 | — |
| IL | RR | $198.21 | — |
| IN | RR | $198.21 | — |
| KS | RR | $198.21 | — |
| KY | RR | $198.21 | — |
| LA | RR | $194.71 | — |
| MA | RR | $198.21 | — |
| MD | RR | $187.01 | — |
| ME | RR | $198.21 | — |
| MI | RR | $189.58 | — |
| MN | RR | $198.21 | — |
| MO | RR | $198.21 | — |
| MS | RR | $177.63 | — |
| MT | RR | $178.77 | — |
| NC | RR | $198.21 | — |
| ND | RR | $178.46 | — |
| NE | RR | $198.21 | — |
| NH | RR | $198.21 | — |
| NJ | RR | $186.00 | — |
| NM | RR | $175.23 | — |
| NV | RR | $188.37 | — |
| NY | RR | $192.19 | — |
| OH | RR | $198.21 | — |
| OK | RR | $198.21 | — |
| OR | RR | $198.21 | — |
| PA | RR | $189.95 | — |
| PR | RR | $232.47 | — |
| RI | RR | $168.48 | — |
| SC | RR | $190.89 | — |
| SD | RR | $194.39 | — |
| TN | RR | $185.79 | — |
| TX | RR | $198.21 | — |
| UT | RR | $198.21 | — |
| VA | RR | $187.17 | — |
| VI | RR | $198.21 | — |
| VT | RR | $198.21 | — |
| WA | RR | $198.21 | — |
| WI | RR | $198.21 | — |
| WV | RR | $191.49 | — |
| WY | RR | $193.81 | — |
How the E1818 fee compares
| Measure | Value |
|---|---|
| Rank among 31 E18 codes billed RR (lowest = 1) | 28 |
| Family fee range (average of state fees) | $11.44–$648.01 |
| Rural fee uplift | — |
Who bills E1818 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 2 |
| Suppliers billing purchases | — |
| Referring clinicians | 90 |
| Medicare beneficiaries | 92 |
| States with claims | 12 |
| Share of services in top 3 states (California, Florida, New York) | 52% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 2 | 122 |
| 2023 | 2 | 108 |
| 2024 | 2 | 92 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E1818, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 470 | 122 | $143.39 | $105.22 |
| 2023 | 398 | 108 | $159.81 | $119.48 |
| 2024 | 374 | 92 | $158.16 | $117.48 |
States with the most E1818 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 62 | $117.37 |
| Florida | 49 | $116.07 |
| New York | 39 | $105.39 |
| Massachusetts | 25 | $117.87 |
| Arizona | 19 | $104.80 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Anatomic Consideration |
What changed for E1818
- April 2025: Descriptor revised (Was: Static progressive stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories)
- 2026-01-01: Average state fee (RR) rose 2.0%: $190.19 to $194.00
- 2002-01-01: E1818 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 E1818?
E1818 is the HCPCS Level II code for static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories. Short descriptor: "Sps/pass forearm device".
How much does Medicare pay for E1818?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $168.48–$232.47. Rural fees can be higher.
Does Medicare cover E1818?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E1818 change in 2026?
The average non-rural state fee for RR moved from $190.19 in 2025 to $194.00 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E1818 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 E1818
- Watch E1818 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E1818
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.