E1172 — Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest
HCPCS Level II E-code · short descriptor: “Wheelchair amputee detach ar”
- 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.
E1172 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $118.69 to $180.66 depending on state and rural status.
Former-CBA payment limits: ceiling $139.64 · floor $118.69
| State | Non-rural | Rural |
|---|---|---|
| AK | $168.94 | — |
| AL | $118.69 | — |
| AR | $139.64 | — |
| AZ | $139.64 | — |
| CA | $139.64 | — |
| CO | $134.51 | — |
| CT | $139.64 | — |
| DC | $139.64 | — |
| DE | $130.88 | — |
| FL | $118.69 | — |
| GA | $139.64 | — |
| HI | $180.66 | — |
| IA | $120.79 | — |
| ID | $139.64 | — |
| IL | $139.64 | — |
| IN | $139.64 | — |
| KS | $118.69 | — |
| KY | $118.69 | — |
| LA | $139.64 | — |
| MA | $139.64 | — |
| MD | $139.64 | — |
| ME | $139.64 | — |
| MI | $139.64 | — |
| MN | $139.64 | — |
| MO | $118.69 | — |
| MS | $118.69 | — |
| MT | $139.64 | — |
| NC | $120.17 | — |
| ND | $118.69 | — |
| NE | $118.69 | — |
| NH | $138.64 | — |
| NJ | $125.86 | — |
| NM | $139.64 | — |
| NV | $136.34 | — |
| NY | $139.64 | — |
| OH | $118.69 | — |
| OK | $139.64 | — |
| OR | $139.64 | — |
| PA | $126.78 | — |
| PR | $158.00 | — |
| RI | $118.69 | — |
| SC | $119.58 | — |
| SD | $118.69 | — |
| TN | $139.64 | — |
| TX | $139.64 | — |
| UT | $118.69 | — |
| VA | $118.69 | — |
| VI | $139.64 | — |
| VT | $139.64 | — |
| WA | $139.64 | — |
| WI | $139.64 | — |
| WV | $118.69 | — |
| WY | $118.69 | — |
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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