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HCPCS E0168 Fee Schedule

Last Verified: October 2025

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, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each
Key FactDetail
Service Type

Durable Medical Equipment

Commode Chair and Supplies

Common Place of Service
Common Modifiers
Complexity LevelModerate

National average reimbursement for HCPCS E0168 by major payers:

bcbs

$84.83

uhc

$98.38

aetna

$91.86

cigna

$164.40

Preview provider-level rates for...
For billing codeHCPCS E0168
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for HCPCS E0168

United
E0168$80.021740272095 - DODGE COUNTY HOSPITAL AUTHORITY, DODGE COUNTY HOSPITAL580625140 - (GA) DODGE COUNTY HOSPITAL AUTHORITYGARural Acute Care Hospital (282NR1301X)
United
E0168$120.131255401519 - THE MEDICAL CENTER INC, PIEDMONT COLUMBUS REGIONAL MIDTOWN581685139 - (GA) THE MEDICAL CENTER INCGAGeneral Acute Care Hospital (282N00000X)
United
E0168$60.021972731800 - MERIWETHER HEALTHCARE, L.L.C., WARM SPRINGS MEDICAL CENTER870764535 - (GA) MERIWETHER HEALTHCARE, LLC D/B/A WARM SPRINGS MEDICAL CENTERGACritical Access Hospital (282NC0060X)
United
E0168$9.851033191267 - STEPHENS COUNTY HOSPITAL AUTHORITY586001667 - (GA) STEPHENS COUNTY HOSPITAL AUTHORITYGARural Acute Care Hospital (282NR1301X)
United
E0168$5.341235153883 - WILDWOOD SANITARIUM, INCORPORATED, WILDWOOD LIFESTYLE CENTER AND HOSPITAL586039864 - (GA) WILDWOOD SANITARIUM INCORPORATEDGAGeneral Acute Care Hospital (282N00000X)
United
E0168$9.851497064679 - JENKINS COUNTY HOSPITAL LLC, OPTIM MEDICAL CENTER - JENKINS273100894GACritical Access Hospital (282NC0060X)
United
E0168$60.021992799050 - GRADY MEMORIAL HOSPITAL CORPORATION, GRADY HEALTH SYSTEMS262037695 - GRADY MEMORIAL HOSPITAL CORPORATIONGAGeneral Acute Care Hospital (282N00000X)
United
E0168$80.021801883780 - TANNER MEDICAL CENTER, INC, TANNER HEALTH SYSTEM581790149 - (GA) TANNER MEDICAL CENTER INCGAGeneral Acute Care Hospital (282N00000X)
United
E0168$118.831487721718 - VICTORIA LEWIS-HOLLAND586011888GAGeneral Acute Care Hospital (282N00000X)
United
E0168$23.931306136551 - UJUKA ILOABUCHI474870066 - (GA) GWINNETT OBGYN ASSOCIATES OF GEORGIA LLCGAWomen's Hospital (282NW0100X)
United
E0168$98.091255401519 - THE MEDICAL CENTER INC, PIEDMONT COLUMBUS REGIONAL MIDTOWN581685139 - (GA) THE MEDICAL CENTER INCGAGeneral Acute Care Hospital (282N00000X)
United
E0168$80.021497756019 - MERIWETHER COUNTY HOSPITAL AUTHORITY, WARM SPRINGS MEDICAL CENTER870764535 - (GA) MERIWETHER HEALTHCARE, LLC D/B/A WARM SPRINGS MEDICAL CENTERGACritical Access Hospital (282NC0060X)
United
E0168$56.181245201094 - SCREVEN COUNTY HOSPITAL273100946GACritical Access Hospital (282NC0060X)
United
E0168$238.071306136551 - UJUKA ILOABUCHI881014763GAWomen's Hospital (282NW0100X)
United
E0168$133.381528056066 - HAMILTON MEDICAL CENTER, INC.581519911 - HAMILTON MEDICAL CENTER INCGAGeneral Acute Care Hospital (282N00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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HCPCS E0168 vs. Other Commode Chair and Supplies Codes

The HCPCS E0168 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 E0168 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.

CodeComplexityDescription
E0167LowPail or pan for use with commode chair, replacement only
E0168LowCommode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each
E0170HighCommode chair with integrated seat lift mechanism, electric, any type

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0168. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the E0168 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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Medicare Reimbursement Lookup Tool

Medicare localities are geographic regions used to adjust reimbursement rates based on local costs. Rates vary by locality to reflect differences in wages, rent, and other expenses. Sign up to see commercial rates (United/BCBS/Cigna/Aetna)

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YearBilling CodeLocalityNon-Facility FeeFacility Fee