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See a sample rate comparisonHCPCS E0163 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Commode chair, mobile or stationary, with fixed arms
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Commode Chair and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for E0163 |
National average reimbursement for HCPCS E0163 by major payers:
$35.65
$61.05
$53.82
$79.76
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HCPCS E0163
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$208.60Published rateNavicent Health Oconee, LLC, Navicent Health Baldwin
Navicent Health Oconee LLC
$71.69Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$43.58Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$25.34Published rateEvans Memorial Hospital, Inc.
Evans Memorial Hospital Inc
$3.38Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0163 vs. Other Commode Chair and Supplies Codes
The HCPCS E0163 code is part of the Durable Medical Equipment services used for Commode Chair and Supplies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS E0163 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| E0162-HCPCS | Low | Sitz bath chair |
| E0163-HCPCS | Low | Commode chair, mobile or stationary, with fixed arms |
| E0165-HCPCS | Low | Commode chair, mobile or stationary, with detachable arms |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0163. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0163 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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