What Medicare actually pays for after gallbladder surgery

Most gallbladder recoveries need none of the bathroom-safety gear this page covers — our checklist limits it to a smaller group. But if you're in that subset, or you're just trying to figure out whether Medicare pays for any of it, here's the whole picture: one code Medicare's own policy article names directly, three that rest on a quieter kind of evidence, and one bathroom item that actually is covered.

The fact

A raised toilet seat (E0244) is explicitly labeled noncovered in Medicare's own Commodes policy article — but a bedside commode (E0163) is covered, with a doctor's order, for $60.15-$139.61.

Both codes are governed by the same policy article (A52461) — the difference is what the equipment is being used for, not which article applies.

Source: CMS Medicare Coverage Database, Policy Article A52461, checked word for word on Aug 5, 2026

The one code Medicare's own policy article actually names

Policy Article A52461 (part of LCD L33736, "Commodes") is direct about this one code, by number:

“A raised toilet seat (E0244) is noncovered; therefore, a commode chair that is used as a raised toilet seat by positioning it over the toilet is also noncovered. When a commode chair is provided for use in this manner, the GY modifier must be added to the code for the commode chair and the KX modifier must not be used.”

— CMS Medicare Coverage Database, Policy Article A52461, "Commodes"

That's the clearest single fact here: not "bathroom equipment generally isn't covered," but a named code, explicitly excluded, in the article's own text.

The other bath-safety codes tell a different story

Three more codes come up in the optional bathroom-safety section of our gallbladder guide — a shower chair, a tub stool or bench, and two transfer-bench variants. None of them appear anywhere in A52461's text. This isn't a guess: we searched the article text for each code and found no matches.

Bath-safety HCPCS codes and the evidence behind their noncoverage
ItemHCPCSNamed in A52461?2024 claims
Raised toilet seat E0244 Yes — by name 0
Bath/shower chair E0240 No 0
Tub stool or bench E0245 No 0
Transfer bench, tub or toilet E0247 No 0
Transfer bench, heavy duty E0248 No 0

What's true for all five: zero 2024 national Medicare claims, no purchase price in the CMS DMEPOS fee schedule. What's different: E0244's exclusion is a specific sentence in a specific policy article; E0240/E0245/E0247/E0248's exclusion is the absence itself — they're missing from the fee schedule entirely, which is real primary-source evidence, just a different kind than a quoted policy sentence. See the bathroom-safety picks these codes attach to →

The one item that IS covered

A bedside commode (HCPCS E0163) is covered by Medicare with a doctor's order — a different outcome from every code above, even though it's billed under the same "Commodes" policy article.

Bedside commode — Medicare coverage detail
HCPCSDescriptionMedicare fee2024 claims
E0163 Commode chair, mobile or stationary, with fixed arms $60.15–$139.61 139,220

A52461 sets the modifier rule for this code directly: “For commodes (E0163, E0165, E0168, E0170, and E0171) not used as a raised toilet seat, the KX modifier must be added to the code only if all of the coverage criteria as described in the Coverage Indication, Limitations and/or Medical Necessity section of the related LCD have been met.” In plain terms: a bedside commode used as a bedside commode is billable with a doctor's order; the same physical chair pushed over the toilet as a raised-seat substitute is not.

What about the abdominal binder?

No HCPCS code exists for an abdominal binder at all — it isn't a DME-billed category under Medicare, covered or not. We checked two ways: Medicare's product classification list (Palmetto GBA DMECS) has no match for "binder" or "abdominal," and none of the 68 equipment codes this site tracks is for a binder. The coverage question this page answers for the toilet seat, shower chair, and commode simply doesn't apply here.

This page explains what Policy Article A52461 says and what CMS's own fee schedule and claims data show — it isn't a coverage determination for your specific claim. Confirm your own situation with your DME supplier or plan before you buy; a Medicare Advantage plan can set different rules than the Original Medicare figures cited here.

Go deeper

Sources

  1. CMS Medicare Coverage Database, Policy Article "Commodes" (A52461), LCD L33736 — checked word for word on Aug 5, 2026 — source of the E0244 and E0163 quotes above; we searched the text and it does NOT name E0240, E0245, E0247, or E0248
  2. Medicare's equipment fee schedule (CMS DMEPOS, July 2026) and 2024 utilization data — source of the fee-schedule-absence/zero-claims evidence for E0240/E0245/E0247/E0248, and the E0163 fee range and claims count
  3. CMS DMEPOS Fee Schedule, July 2026 release + CMS HCPCS Level II quarterly file — code descriptions and fee ranges
  4. CPSC and FDA recall records; Medicare's product classification list (Palmetto GBA DMECS) — source of the finding that abdominal binders have no Medicare billing code; no matches in either
  5. Our free dataset (CC BY 4.0) — every coverage fact above in one downloadable file