E1087 — High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests
HCPCS Level II E-code · short descriptor: “Wheelchair lightwt fixed arm”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Special coverage instructions apply
- DMEPOS payment category
- Capped rental
- Prior authorization
- Not on Medicare required-PA list
- Status
- Active (April 2026 HCPCS)
Prior authorization
Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
E1087 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $153.28 to $246.65 depending on state and rural status.
Former-CBA payment limits: ceiling $180.33 · floor $153.28
| State | Non-rural | Rural |
|---|---|---|
| AK | $220.64 | — |
| AL | $153.28 | — |
| AR | $160.38 | — |
| AZ | $153.28 | — |
| CA | $180.33 | — |
| CO | $156.69 | — |
| CT | $153.28 | — |
| DC | $180.33 | — |
| DE | $180.33 | — |
| FL | $153.28 | — |
| GA | $153.28 | — |
| HI | $235.95 | — |
| IA | $180.33 | — |
| ID | $180.33 | — |
| IL | $170.80 | — |
| IN | $180.33 | — |
| KS | $180.33 | — |
| KY | $153.28 | — |
| LA | $155.14 | — |
| MA | $180.33 | — |
| MD | $180.33 | — |
| ME | $180.33 | — |
| MI | $180.33 | — |
| MN | $180.33 | — |
| MO | $153.28 | — |
| MS | $153.28 | — |
| MT | $180.33 | — |
| NC | $178.44 | — |
| ND | $180.33 | — |
| NE | $180.33 | — |
| NH | $153.28 | — |
| NJ | $165.32 | — |
| NM | $180.33 | — |
| NV | $153.28 | — |
| NY | $180.33 | — |
| OH | $175.39 | — |
| OK | $180.33 | — |
| OR | $180.33 | — |
| PA | $155.49 | — |
| PR | $246.65 | — |
| RI | $180.33 | — |
| SC | $168.85 | — |
| SD | $180.33 | — |
| TN | $180.33 | — |
| TX | $180.33 | — |
| UT | $180.33 | — |
| VA | $179.84 | — |
| VI | $180.33 | — |
| VT | $153.28 | — |
| WA | $174.85 | — |
| WI | $179.82 | — |
| WV | $167.37 | — |
| WY | $180.33 | — |
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026.
Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%.
A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area
adjustments and non-continental rates can differ — verify with your DME MAC.
Common denial codes to watch
Related E-codes
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