E0172 — Seat lift mechanism placed over or on top of toilet, any type
E0172 is a HCPCS Level II code for seat lift mechanism placed over or on top of toilet, any type. It belongs to the Durable Medical Equipment section. Medicare does not pay it — see the coverage note below before you bill it.
Medicare coverage: Non-covered by statute
Excluded from coverage by the Social Security Act itself, not by a policy decision. No documentation and no appeal changes this one — an ABN is the relevant conversation.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits — units per day
The most units of E0172 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · Published Contractor Policy
- outpatient
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · Published Contractor Policy
- DME supplier
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · Published Contractor Policy
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for E0172
- Long descriptor
- Seat lift mechanism placed over or on top of toilet, any type
- Short descriptor
- Seat lift mechanism toilet
- Added
- January 1, 2006
- BETOS
- D1E
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to E0172
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E0172 is not quite right, the correct code is very often within a few positions of it.
- E0161Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s
- E0162Sitz bath chair
- E0163Commode chair, mobile or stationary, with fixed arms
- E0165Commode chair, mobile or stationary, with detachable arms
- E0167Pail or pan for use with commode chair, replacement only
- E0168Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each
- E0170Commode chair with integrated seat lift mechanism, electric, any type
- E0171Commode chair with integrated seat lift mechanism, non-electric, any type
- E0175Foot rest, for use with commode chair, each
- E0181Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty
- E0182Pump for alternating pressure pad, for replacement only
- E0183Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty
- E0184Dry pressure mattress
- E0185Gel or gel-like pressure pad for mattress, standard mattress length and width
- E0186Air pressure mattress
- E0187Water pressure mattress
Questions about E0172
What is HCPCS code E0172?
E0172 is a HCPCS Level II code for seat lift mechanism placed over or on top of toilet, any type. It sits in the Durable Medical Equipment section.
Does Medicare cover E0172?
The CMS HCPCS file marks E0172 as "Non-covered by statute". Excluded from coverage by the Social Security Act itself, not by a policy decision. No documentation and no appeal changes this one — an ABN is the relevant conversation.