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See a sample rate comparisonHCPCS E0856 Fee Schedule
Last Verified: October 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 device, with inflatable air bladder(s)
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Traction and Other Orthopedic Devices |
| Complexity Level | Low |
| Medicaid Fee Schedule | $155.435 median of the 4 states in the free preview · View Medicaid rates for E0856 |
National average reimbursement for HCPCS E0856 by major payers:
$123.55
$106.25
$163.69
$252.86
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HCPCS E0856
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$326.91Published ratePhoebe Worth Medical Center, Inc, Phoebe Worth Medical Center, Inc
Phoebe Worth Medical Center Inc
$135.86Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$91.93Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$67.63Published rateJasper Health Services, Inc., Jasper Memorial Hospital
Jasper Health Services Inc
$10.02Published rate
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See a sample payer proposalHCPCS E0856 vs. Other Traction and Other Orthopedic Devices Codes
The HCPCS E0856 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 E0856 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 |
|---|---|---|
| E0855-HCPCS | Moderate | Cervical traction equipment not requiring additional stand or frame |
| E0856-HCPCS | Low | Cervical traction device, with inflatable air bladder(s) |
| E0860-HCPCS | Low | Traction equipment, overdoor, cervical |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0856. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0856 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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