E0243 — Toilet rail, each
E0243 is a HCPCS Level II code for toilet rail, each. 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 Medicare
Medicare does not cover the item or service this code describes.
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 E0243 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 · CMS Policy
- outpatient
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- DME supplier
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS 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 E0243
- Long descriptor
- Toilet rail, each
- Short descriptor
- Toilet rail
- Added
- January 1, 1986
- 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 E0243
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E0243 is not quite right, the correct code is very often within a few positions of it.
- E0231Non-contact wound warming device (temperature control unit, ac adapter and power cord) for use with warming card and wound cover
- E0232Warming card for use with the non contact wound warming device and non contact wound warming wound cover
- E0235Paraffin bath unit, portable (see medical supply code a4265 for paraffin)
- E0236Pump for water circulating pad
- E0239Hydrocollator unit, portable
- E0240Bath/shower chair, with or without wheels, any size
- E0241Bath tub wall rail, each
- E0242Bath tub rail, floor base
- E0244Raised toilet seat
- E0245Tub stool or bench
- E0246Transfer tub rail attachment
- E0247Transfer bench for tub or toilet with or without commode opening
- E0248Transfer bench, heavy duty, for tub or toilet with or without commode opening
- E0249Pad for water circulating heat unit, for replacement only
- E0250Hospital bed, fixed height, with any type side rails, with mattress
- E0251Hospital bed, fixed height, with any type side rails, without mattress
Questions about E0243
What is HCPCS code E0243?
E0243 is a HCPCS Level II code for toilet rail, each. It sits in the Durable Medical Equipment section.
Does Medicare cover E0243?
The CMS HCPCS file marks E0243 as "Non-covered by Medicare". Medicare does not cover the item or service this code describes.