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See a sample rate comparisonHCPCS E0855 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.
Cervical traction equipment not requiring additional stand or frame
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Traction and Other Orthopedic Devices |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for E0855 |
National average reimbursement for HCPCS E0855 by major payers:
$398.63
$346.17
$320.94
$822.92
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HCPCS E0855
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$969.15Published rateTift Regional Health System, Inc., Southwell Medical
Tift Regional Health System Inc
$474.98Published rateJacob Holloway
$294.98Published rateJasper Health Services, Inc., Jasper Memorial Hospital
Jasper Health Services Inc
$245.02Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
$32.66Published rate
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See a sample payer proposalHCPCS E0855 vs. Other Traction and Other Orthopedic Devices Codes
The HCPCS E0855 code is part of the Durable Medical Equipment services used for Traction and Other Orthopedic Devices. 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 E0855 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 |
|---|---|---|
| E0850-HCPCS | Low | Traction stand, free standing, cervical traction |
| E0855-HCPCS | Moderate | Cervical traction equipment not requiring additional stand or frame |
| E0856-HCPCS | Low | Cervical traction device, with inflatable air bladder(s) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0855. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0855 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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