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E1092 — Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests

HCPCS Level II E-code · short descriptor: “Wheelchair wide w/ leg rests”

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
Face-to-face & WOPD
Not on the required 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.

Order readiness — what the written order must contain

Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):

  • Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
  • General description of the item (42 CFR 410.38(d)(1)(i)(B))
  • Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
  • Order date (42 CFR 410.38(d)(1)(i)(D))
  • Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
  • Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))

Not on the F2F/WOPD list (April 13, 2026 update — 83 items). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

E1092 Medicare fee schedule (April 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $155.68 to $243.20 depending on state and rural status.

Former-CBA payment limits: ceiling $183.15 · floor $155.68

StateNon-ruralRural
AK$163.17
AL$155.68
AR$155.68
AZ$183.15
CA$161.55
CO$155.68
CT$183.15
DC$183.15
DE$183.15
FL$155.68
GA$183.15
HI$174.48
IA$180.59
ID$183.15
IL$183.15
IN$183.15
KS$183.15
KY$164.78
LA$164.86
MA$155.68
MD$155.68
ME$155.68
MI$155.68
MN$183.15
MO$155.68
MS$179.25
MT$183.15
NC$183.15
ND$161.65
NE$183.15
NH$155.68
NJ$183.15
NM$183.15
NV$183.15
NY$183.15
OH$159.45
OK$183.15
OR$183.15
PA$183.15
PR$243.20
RI$155.68
SC$183.15
SD$176.07
TN$183.15
TX$183.15
UT$155.68
VA$163.43
VI$183.15
VT$155.68
WA$183.15
WI$183.15
WV$155.68
WY$175.54
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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