E1804 – Dynamic adjustable elbow flexion only device, includes soft interface material
HCPCS Level II code · E codes: Durable Medical Equipment (DME)
HCPCS codeE1804
- Long description
- Dynamic adjustable elbow flexion only device, includes soft interface material
- Short description
- Adjust elbow flexion dev
- Pricing indicator
36DME – capped rental- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
D1EOther DME- Added
- January 1, 2025
- Last change
- January 1, 2025 – No change
Frequently asked questions
What is HCPCS code E1804?
E1804 is a HCPCS Level II code for dynamic adjustable elbow flexion only device, includes soft interface material.
Does Medicare cover E1804?
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
- E1699 – Dialysis equipment, not otherwise specified
- E1700 – Jaw motion rehabilitation system
- E1701 – Replacement cushions for jaw motion rehabilitation system, pkg. of 6
- E1702 – Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200
- E1800 – Dynamic adjustable elbow extension and flexion device, includes soft interface material
- 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
- E1802 – Dynamic adjustable forearm pronation/supination device, includes soft interface material
- E1803 – Dynamic adjustable elbow extension only device, includes soft interface material
- E1805 – Dynamic adjustable wrist extension and flexion device, includes soft interface material
- E1806 – Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories
- E1807 – Dynamic adjustable wrist extension only device, includes soft interface material
- E1808 – Dynamic adjustable wrist flexion only device, includes soft interface material
- E1810 – Dynamic adjustable knee extension and flexion device, includes soft interface material
- E1811 – Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories
- E1812 – Dynamic knee, extension/flexion device with active resistance control
- E1813 – Dynamic adjustable knee extension only device, includes soft interface material
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.