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See a sample rate comparisonHCPCS E1816 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Extension/Flexion Rehabilitation Devices |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for E1816 |
National average reimbursement for HCPCS E1816 by major payers:
$1,140.54
$112.50
$905.17
$2,162.46
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HCPCS E1816
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$348.22Published rateTattnall Hospital Company, LLC, Optim Medical Center - Tattnall
$86.69Published rateHouston Hospitals Inc, Houston Medical Center
Houston Hospitals Inc
$85.87Published rateJeremy Kelley
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$80.72Published rateAlicia Encinas
Miguel A Arenas Md PC
$53.81Published rate
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See a sample payer proposalHCPCS E1816 vs. Other Extension/Flexion Rehabilitation Devices Codes
The HCPCS E1816 code is part of the Durable Medical Equipment services used for Extension/Flexion Rehabilitation 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 E1816 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 |
|---|---|---|
| E1815-HCPCS | High | Dynamic adjustable ankle extension and flexion device, includes soft interface material |
| E1816-HCPCS | High | Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories |
| E1818-HCPCS | High | Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1816. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1816 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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