E1840 HCPCS code: Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material
E1840 is the HCPCS Level II code for dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material. The 2026 Medicare DMEPOS fee schedule pays $463.61 to $639.47 (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 36% from 2022 to 2024 (1,123 to 718 services). In 2024, 4 suppliers billed Medicare for E1840 (rentals), serving 184 beneficiaries; Florida, California, New Jersey accounted for 52% of services. Its average fee ranks 30 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 | 2002-01-01 |
2026 Medicare DMEPOS fee schedule for E1840
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $463.61 | $639.47 | $545.42 | $463.61 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $639.47 | — |
| AL | RR | $518.96 | — |
| AR | RR | $541.67 | — |
| AZ | RR | $522.11 | — |
| CA | RR | $535.85 | — |
| CO | RR | $545.42 | — |
| CT | RR | $545.42 | — |
| DC | RR | $545.42 | — |
| DE | RR | $545.42 | — |
| FL | RR | $517.60 | — |
| GA | RR | $527.38 | — |
| HI | RR | $530.05 | — |
| IA | RR | $545.42 | — |
| ID | RR | $545.42 | — |
| IL | RR | $545.42 | — |
| IN | RR | $545.42 | — |
| KS | RR | $545.42 | — |
| KY | RR | $545.42 | — |
| LA | RR | $509.59 | — |
| MA | RR | $545.42 | — |
| MD | RR | $530.59 | — |
| ME | RR | $545.42 | — |
| MI | RR | $517.60 | — |
| MN | RR | $533.85 | — |
| MO | RR | $545.42 | — |
| MS | RR | $478.01 | — |
| MT | RR | $507.22 | — |
| NC | RR | $545.42 | — |
| ND | RR | $506.49 | — |
| NE | RR | $545.42 | — |
| NH | RR | $545.42 | — |
| NJ | RR | $529.91 | — |
| NM | RR | $473.77 | — |
| NV | RR | $534.66 | — |
| NY | RR | $545.42 | — |
| OH | RR | $545.42 | — |
| OK | RR | $541.01 | — |
| OR | RR | $545.42 | — |
| PA | RR | $541.11 | — |
| PR | RR | $552.62 | — |
| RI | RR | $463.61 | — |
| SC | RR | $518.57 | — |
| SD | RR | $545.42 | — |
| TN | RR | $491.98 | — |
| TX | RR | $545.42 | — |
| UT | RR | $545.42 | — |
| VA | RR | $531.03 | — |
| VI | RR | $545.42 | — |
| VT | RR | $545.42 | — |
| WA | RR | $545.42 | — |
| WI | RR | $544.66 | — |
| WV | RR | $543.51 | — |
| WY | RR | $545.42 | — |
How the E1840 fee compares
| Measure | Value |
|---|---|
| Rank among 31 E18 codes billed RR (lowest = 1) | 30 |
| Family fee range (average of state fees) | $11.44–$648.01 |
| Rural fee uplift | — |
Who bills E1840 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 4 |
| Suppliers billing purchases | — |
| Referring clinicians | 158 |
| Medicare beneficiaries | 184 |
| States with claims | 18 |
| Share of services in top 3 states (Florida, California, New Jersey) | 52% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 7 | 273 |
| 2023 | 6 | 209 |
| 2024 | 4 | 184 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E1840, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 1,123 | 273 | $390.74 | $299.91 |
| 2023 | 854 | 209 | $434.11 | $333.41 |
| 2024 | 718 | 184 | $444.19 | $339.16 |
States with the most E1840 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 113 | $341.68 |
| California | 106 | $328.80 |
| New Jersey | 105 | $360.61 |
| Virginia | 68 | $312.67 |
| South Carolina | 23 | $319.30 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Anatomic Consideration |
What changed for E1840
- 2026-01-01: Average state fee (RR) rose 2.0%: $524.67 to $535.17
- 2002-01-01: E1840 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 E1840?
E1840 is the HCPCS Level II code for dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material. Short descriptor: "Adj shoulder ext/flex device".
How much does Medicare pay for E1840?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $463.61–$639.47. Rural fees can be higher.
Does Medicare cover E1840?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E1840 change in 2026?
The average non-rural state fee for RR moved from $524.67 in 2025 to $535.17 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E1840 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)
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 E1840
- Watch E1840 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E1840
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.