E1701 – Replacement cushions for jaw motion rehabilitation system, pkg. of 6

HCPCS Level II code · E codes: Durable Medical Equipment (DME)

Active code Carrier judgment

HCPCS codeE1701
Long description
Replacement cushions for jaw motion rehabilitation system, pkg. of 6
Short description
Repl cushions for jaw motion
Pricing indicator
34 DME supplies
Medicare coverage
C Carrier judgment – coverage decided by the Medicare contractor
BETOS category
D1E Other DME
Added
January 1, 1993
Last change
January 1, 1996 – No change

Frequently asked questions

What is HCPCS code E1701?

E1701 is a HCPCS Level II code for replacement cushions for jaw motion rehabilitation system, pkg. of 6.

Does Medicare cover E1701?

The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby E codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.