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

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

Active code Carrier judgment

HCPCS codeE1801
Long description
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
Short description
Sps/pass elbow device
Pricing indicator
36 DME – capped rental
Medicare coverage
C Carrier judgment – coverage decided by the Medicare contractor
BETOS category
D1E Other DME
Added
January 1, 2002
Last change
April 1, 2025 – No change

Frequently asked questions

What is HCPCS code E1801?

E1801 is a HCPCS Level II code for 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.

Does Medicare cover E1801?

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.