E1821 HCPCS code: Replacement soft interface material/cuffs for bi-directional static progressive stretch device
E1821 is the HCPCS Level II code for replacement soft interface material/cuffs for bi-directional static progressive stretch device. The 2026 Medicare DMEPOS fee schedule pays $149.98 to $180.04 (NU, new equipment, purchased) 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 1 per day on DME suppliers.
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 32 — DMEPOS: inexpensive or routinely purchased item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 2002-01-01 |
| Last action effective | 2002-01-01 |
2026 Medicare DMEPOS fee schedule for E1821
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $149.98 | $180.04 | $149.98 | $127.48 |
| RR | rental (monthly) | $14.95 | $18.01 | $14.95 | $12.71 |
| UE | used equipment, purchased | $112.53 | $135.01 | $112.53 | $95.65 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $149.98 | — |
| AL | NU | $149.98 | — |
| AR | NU | $149.98 | — |
| AZ | NU | $149.98 | — |
| CA | NU | $149.98 | — |
| CO | NU | $149.98 | — |
| CT | NU | $149.98 | — |
| DC | NU | $149.98 | — |
| DE | NU | $149.98 | — |
| FL | NU | $149.98 | — |
| GA | NU | $149.98 | — |
| HI | NU | $149.98 | — |
| IA | NU | $149.98 | — |
| ID | NU | $149.98 | — |
| IL | NU | $149.98 | — |
| IN | NU | $149.98 | — |
| KS | NU | $149.98 | — |
| KY | NU | $149.98 | — |
| LA | NU | $149.98 | — |
| MA | NU | $149.98 | — |
| MD | NU | $149.98 | — |
| ME | NU | $149.98 | — |
| MI | NU | $149.98 | — |
| MN | NU | $149.98 | — |
| MO | NU | $149.98 | — |
| MS | NU | $149.98 | — |
| MT | NU | $149.98 | — |
| NC | NU | $149.98 | — |
| ND | NU | $149.98 | — |
| NE | NU | $149.98 | — |
| NH | NU | $149.98 | — |
| NJ | NU | $149.98 | — |
| NM | NU | $149.98 | — |
| NV | NU | $149.98 | — |
| NY | NU | $149.98 | — |
| OH | NU | $149.98 | — |
| OK | NU | $149.98 | — |
| OR | NU | $149.98 | — |
| PA | NU | $149.98 | — |
| PR | NU | $180.04 | — |
| RI | NU | $149.98 | — |
| SC | NU | $149.98 | — |
| SD | NU | $149.98 | — |
| TN | NU | $149.98 | — |
| TX | NU | $149.98 | — |
| UT | NU | $149.98 | — |
| VA | NU | $149.98 | — |
| VI | NU | $149.98 | — |
| VT | NU | $149.98 | — |
| WA | NU | $149.98 | — |
| WI | NU | $149.98 | — |
| WV | NU | $149.98 | — |
| WY | NU | $149.98 | — |
| AK | RR | $14.95 | — |
| AL | RR | $14.95 | — |
| AR | RR | $14.95 | — |
| AZ | RR | $14.95 | — |
| CA | RR | $14.95 | — |
| CO | RR | $14.95 | — |
| CT | RR | $14.95 | — |
| DC | RR | $14.95 | — |
| DE | RR | $14.95 | — |
| FL | RR | $14.95 | — |
| GA | RR | $14.95 | — |
| HI | RR | $14.95 | — |
| IA | RR | $14.95 | — |
| ID | RR | $14.95 | — |
| IL | RR | $14.95 | — |
| IN | RR | $14.95 | — |
| KS | RR | $14.95 | — |
| KY | RR | $14.95 | — |
| LA | RR | $14.95 | — |
| MA | RR | $14.95 | — |
| MD | RR | $14.95 | — |
| ME | RR | $14.95 | — |
| MI | RR | $14.95 | — |
| MN | RR | $14.95 | — |
| MO | RR | $14.95 | — |
| MS | RR | $14.95 | — |
| MT | RR | $14.95 | — |
| NC | RR | $14.95 | — |
| ND | RR | $14.95 | — |
| NE | RR | $14.95 | — |
| NH | RR | $14.95 | — |
| NJ | RR | $14.95 | — |
| NM | RR | $14.95 | — |
| NV | RR | $14.95 | — |
| NY | RR | $14.95 | — |
| OH | RR | $14.95 | — |
| OK | RR | $14.95 | — |
| OR | RR | $14.95 | — |
| PA | RR | $14.95 | — |
| PR | RR | $18.01 | — |
| RI | RR | $14.95 | — |
| SC | RR | $14.95 | — |
| SD | RR | $14.95 | — |
| TN | RR | $14.95 | — |
| TX | RR | $14.95 | — |
| UT | RR | $14.95 | — |
| VA | RR | $14.95 | — |
| VI | RR | $14.95 | — |
| VT | RR | $14.95 | — |
| WA | RR | $14.95 | — |
| WI | RR | $14.95 | — |
| WV | RR | $14.95 | — |
| WY | RR | $14.95 | — |
| AK | UE | $112.53 | — |
| AL | UE | $112.53 | — |
| AR | UE | $112.53 | — |
| AZ | UE | $112.53 | — |
| CA | UE | $112.53 | — |
| CO | UE | $112.53 | — |
| CT | UE | $112.53 | — |
| DC | UE | $112.53 | — |
| DE | UE | $112.53 | — |
| FL | UE | $112.53 | — |
| GA | UE | $112.53 | — |
| HI | UE | $112.53 | — |
| IA | UE | $112.53 | — |
| ID | UE | $112.53 | — |
| IL | UE | $112.53 | — |
| IN | UE | $112.53 | — |
| KS | UE | $112.53 | — |
| KY | UE | $112.53 | — |
| LA | UE | $112.53 | — |
| MA | UE | $112.53 | — |
| MD | UE | $112.53 | — |
| ME | UE | $112.53 | — |
| MI | UE | $112.53 | — |
| MN | UE | $112.53 | — |
| MO | UE | $112.53 | — |
| MS | UE | $112.53 | — |
| MT | UE | $112.53 | — |
| NC | UE | $112.53 | — |
| ND | UE | $112.53 | — |
| NE | UE | $112.53 | — |
| NH | UE | $112.53 | — |
| NJ | UE | $112.53 | — |
| NM | UE | $112.53 | — |
| NV | UE | $112.53 | — |
| NY | UE | $112.53 | — |
| OH | UE | $112.53 | — |
| OK | UE | $112.53 | — |
| OR | UE | $112.53 | — |
| PA | UE | $112.53 | — |
| PR | UE | $135.01 | — |
| RI | UE | $112.53 | — |
| SC | UE | $112.53 | — |
| SD | UE | $112.53 | — |
| TN | UE | $112.53 | — |
| TX | UE | $112.53 | — |
| UT | UE | $112.53 | — |
| VA | UE | $112.53 | — |
| VI | UE | $112.53 | — |
| VT | UE | $112.53 | — |
| WA | UE | $112.53 | — |
| WI | UE | $112.53 | — |
| WV | UE | $112.53 | — |
| WY | UE | $112.53 | — |
How the E1821 fee compares
| Measure | Value |
|---|---|
| Rank among 2 E18 codes billed NU (lowest = 1) | 2 |
| Family fee range (average of state fees) | $114.46–$150.55 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Clinical: Data |
What changed for E1821
- 2026-01-01: Average state fee (NU) rose 2.0%: $147.60 to $150.55
- 2026-01-01: Average state fee (RR) rose 2.0%: $14.72 to $15.01
- 2026-01-01: Average state fee (UE) rose 2.0%: $110.74 to $112.95
- 2002-01-01: E1821 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 E1821?
E1821 is the HCPCS Level II code for replacement soft interface material/cuffs for bi-directional static progressive stretch device. Short descriptor: "Replacement interface spsd".
How much does Medicare pay for E1821?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $149.98–$180.04; RR (rental (monthly)): $14.95–$18.01; UE (used equipment, purchased): $112.53–$135.01. Rural fees can be higher.
Does Medicare cover E1821?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E1821 change in 2026?
The average non-rural state fee for NU moved from $147.60 in 2025 to $150.55 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E1821 can be billed per day?
1 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 E1821
- Watch E1821 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E1821
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.