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HCPCS E1810 · Level II · DME code

E1810: Dynamic adjustable knee extension and flexion device, includes soft interface material, HCPCS Level II DME code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); DMEPOS fee schedule: DME26-D (October 2026) (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026). Next CMS release: January 1, 2027 (quarterly update).

Key facts for E1810

Medicare payment
$150.93 to $177.56
DMEPOS non-rural state fees (RR)
Coverage code
C
carrier judgment, so the Medicare contractor decides coverage
DME supplier MUE
2
MAI 3
OPPS status
SI Y
Non-implantable DME
NCCI PTP pairs
0
practitioner file
LCDs and articles
0 / 0

TL;DR

HCPCS Level II E1810 reads "Dynamic adjustable knee extension and flexion device, includes soft interface material" in the October 2026 file; it dates from 1996. DMEPOS fees for E1810, a CR (capped rental items) item, run RR (rental) $150.93 in AL, AR, CO and 14 more to $177.56 in AZ, CA, DC and 22 more (floor $150.93, ceiling $177.56) in the October 2026 file. Its 2026 Q4 MUEs per date of service: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy); DME supplier 2 (MAI 3, Anatomic Consideration). E1810 appears in no active LCD or billing and coding article, so coverage follows HCPCS coverage code C (carrier judgment, so the Medicare contractor decides coverage) and any NCD. OPPS status indicator Y: Non-implantable DME. HCPCS record: BETOS D1E (other DME); pricing indicator 36; type of service P (lump-sum purchase of DME, prosthetics or orthotics), R (rental of DME). Nearby codes: E1905, E2001, E2103, E2104.

E1810 descriptor and code status

The October 2026 HCPCS Level II file describes E1810 as “Dynamic adjustable knee extension and flexion device, includes soft interface material”. It sits in the E section (durable medical equipment), listed with the other E codes. Although searches often call it the "E1810 CPT code", E1810 is a HCPCS Level II code maintained by CMS, not an AMA CPT code; both go in the same procedure-code field on the claim.

HCPCS file attributes of E1810
FieldValue
Short descriptorAdjust knee ext & flex dev
Added to HCPCS1996-01-01
Last actionN (no maintenance), effective 2025-01-01
Coverage codeC: carrier judgment, so the Medicare contractor decides coverage
Pricing indicator36: DMEPOS capped rental DME (floors and ceilings)
BETOS categoryD1E: other DME
Type of serviceP: lump-sum purchase of DME, prosthetics or orthotics; R: rental of DME

Medicare payment for E1810

DMEPOS fees for E1810, a CR (capped rental items) item, run RR (rental) $150.93 in AL, AR, CO and 14 more to $177.56 in AZ, CA, DC and 22 more (floor $150.93, ceiling $177.56) in the October 2026 file. The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

DMEPOS fee schedule (DME26-D)

Jurisdiction D (DME MAC), payment category CR (capped rental items). Fees are set per state; AK, HI, PR and VI are not subject to the national ceiling and floor and are listed separately. A rural fee applies only in ZIP codes on the CMS rural ZIP list.

DMEPOS fees for E1810 by modifier
ModifierFloor / ceilingNon-rural state rangeRural rangeAK / HI / PR / VI
RR (rental)$150.93 / $177.56$150.93 (AL, AR, CO…) to $177.56 (AZ, CA, DC…)—AK $222.55, HI $197.05, PR $142.48, VI $150.93

Hospital outpatient (OPPS Addendum B)

Status indicator Y (Non-implantable DME), with no separate OPPS payment rate.

Medically Unlikely Edits for E1810

Its 2026 Q4 MUEs per date of service: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy); DME supplier 2 (MAI 3, Anatomic Consideration). The DME supplier MUE is a date-of-service clinical edit: units above the limit deny but can be paid on appeal with documentation.

MUE values for E1810 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services03 Date of Service Edit: ClinicalCMS Policy
Facility outpatient hospital03 Date of Service Edit: ClinicalCMS Policy
DME supplier23 Date of Service Edit: ClinicalAnatomic Consideration

The MUE lookup for E1810 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists E1810 in v323r0.

E1810 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check E1810 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for E1810

No current LCD or billing and coding article lists E1810. The HCPCS coverage code C means carrier judgment, so the Medicare contractor decides coverage, and any National Coverage Determination for the service still applies.

Denials to expect on E1810

CARC 50 · N115

the service is not reasonable and necessary for the diagnosis on the claim

CARC 151 · N362

units of E1810 exceed the DME supplier MUE of 2 per date of service

CARC 4

the RR payment modifier is missing or does not match the item

CARC 16

the claim lacks information needed to adjudicate the line, such as an order, NPI or required modifier

Where QuickIntell fits for E1810 claims

QuickAuth coordinates the requirement checks and documentation that DME claims for E1810 depend on, with human review of each case, and QuickRCM carries claim readiness and the CARC 50, 151 and modifier denials these items draw.

See QuickAuth for requirement checksSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS E1810

What does HCPCS code E1810 describe?

"Dynamic adjustable knee extension and flexion device, includes soft interface material" (short descriptor "Adjust knee ext & flex dev"), in the E section (durable medical equipment). Added 1996-01-01; last action N (no maintenance) effective 2025-01-01.

Is E1810 a CPT code?

No. E1810 is a CMS HCPCS Level II code; CPT codes are the AMA's five-character set. Searches for "E1810 CPT code" mean this Level II code.

What does Medicare pay for E1810?

DMEPOS fees for E1810, a CR (capped rental items) item, run RR (rental) $150.93 in AL, AR, CO and 14 more to $177.56 in AZ, CA, DC and 22 more (floor $150.93, ceiling $177.56) in the October 2026 file.

How many units of E1810 can be billed per day?

Its 2026 Q4 MUEs per date of service: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy); DME supplier 2 (MAI 3, Anatomic Consideration). For the DME supplier MUE (MAI 3), units above 2 deny for the day but can be paid on appeal with documentation; denials arrive as CARC 151.

Does Medicare cover E1810?

E1810 appears in no active LCD or billing and coding article, so coverage follows HCPCS coverage code C (carrier judgment, so the Medicare contractor decides coverage) and any NCD.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.