E0968: Commode seat, wheelchair
E0968 is a HCPCS Level II code for commode seat, wheelchair. It belongs to the Durable Medical Equipment section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
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 E0968 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 · CMS Policy
- outpatient
- 0, never payable MAI 3: Date of Service Edit: Clinical · CMS Policy
- DME supplier
- 1 unit MAI 2: Date of Service Edit: Policy · Code Descriptor / CPT Instruction
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 E0968
- Long descriptor
- Commode seat, wheelchair
- Short descriptor
- Wheelchair commode seat
- Added
- January 1, 1986
- BETOS
- D1D
- Pricing indicator
- 36: DMEPOS
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.
Capped rental DME. Price subject to floors and ceilings.
Codes adjacent to E0968
HCPCS has no hierarchy: related items simply sit next to each other in the numbering. If E0968 is not quite right, the correct code is very often within a few positions of it.
- E0956Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each
- E0957Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each
- E0958Manual wheelchair accessory, one-arm drive attachment, each
- E0959Manual wheelchair accessory, adapter for amputee, each
- E0960Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware
- E0961Manual wheelchair accessory, wheel lock brake extension (handle), each
- E0966Manual wheelchair accessory, headrest extension, each
- E0967Manual wheelchair accessory, hand rim with projections, any type, replacement only, each
- E0969Narrowing device, wheelchair
- E0970No. 2 footplates, except for elevating leg rest
- E0971Manual wheelchair accessory, anti-tipping device, each
- E0973Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each
- E0974Manual wheelchair accessory, anti-rollback device, each
- E0978Wheelchair accessory, positioning belt/safety belt/pelvic strap, each
- E0980Safety vest, wheelchair
- E0981Wheelchair accessory, seat upholstery, replacement only, each