E0172: Seat lift mechanism placed over or on top of toilet, any type
E0172 is a HCPCS Level II code for seat lift mechanism placed over or on top of toilet, any type. It belongs to the Durable Medical Equipment section. Medicare does not pay it: see the coverage note below before you bill it.
Medicare coverage: Non-covered by statute
Excluded from coverage by the Social Security Act itself, not by a policy decision. No documentation and no appeal changes this one: an ABN is the relevant conversation.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q4-Oct. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits: units per day
The most units of E0172 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0, never payable MAI 3: Date of Service Edit: Clinical · Published Contractor Policy
- outpatient
- 0, never payable MAI 3: Date of Service Edit: Clinical · Published Contractor Policy
- DME supplier
- 0, never payable MAI 3: Date of Service Edit: Clinical · Published Contractor Policy
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute, no documentation overrides it. CMS MUE 2026Q4.
The CMS record for E0172
- Long descriptor
- Seat lift mechanism placed over or on top of toilet, any type
- Short descriptor
- Seat lift mechanism toilet
- Added
- January 1, 2006
- BETOS
- D1E
- Pricing indicator
- 00: Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service: CMS's own analytic grouping.
Service not separately priced by Part B, not covered, bundled into another service, or used by Part A only.
Codes adjacent to E0172
HCPCS has no hierarchy: related items simply sit next to each other in the numbering. If E0172 is not quite right, the correct code is very often within a few positions of it.
- E0161Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s
- E0162Sitz bath chair
- E0163Commode chair, mobile or stationary, with fixed arms
- E0165Commode chair, mobile or stationary, with detachable arms
- E0167Pail or pan for use with commode chair, replacement only
- E0168Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each
- E0170Commode chair with integrated seat lift mechanism, electric, any type
- E0171Commode chair with integrated seat lift mechanism, non-electric, any type
- E0175Foot rest, for use with commode chair, each
- E0181Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty
- E0182Pump for alternating pressure pad, for replacement only
- E0183Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty
- E0184Dry pressure mattress
- E0185Gel or gel-like pressure pad for mattress, standard mattress length and width
- E0186Air pressure mattress
- E0187Water pressure mattress