E1221 — Wheelchair with fixed arm, footrests
HCPCS Level II E-code · short descriptor: “Wheelchair spec size w foot”
- 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.
E1221 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $57.56 to $87.75 depending on state and rural status.
Former-CBA payment limits: ceiling $67.72 · floor $57.56
| State | Non-rural | Rural |
|---|---|---|
| AK | $68.41 | — |
| AL | $67.72 | — |
| AR | $61.61 | — |
| AZ | $67.72 | — |
| CA | $67.72 | — |
| CO | $67.72 | — |
| CT | $57.56 | — |
| DC | $67.72 | — |
| DE | $67.72 | — |
| FL | $57.56 | — |
| GA | $67.72 | — |
| HI | $73.16 | — |
| IA | $67.72 | — |
| ID | $57.56 | — |
| IL | $67.72 | — |
| IN | $57.56 | — |
| KS | $58.94 | — |
| KY | $57.56 | — |
| LA | $57.56 | — |
| MA | $67.72 | — |
| MD | $67.72 | — |
| ME | $67.71 | — |
| MI | $60.74 | — |
| MN | $57.56 | — |
| MO | $57.56 | — |
| MS | $67.72 | — |
| MT | $67.72 | — |
| NC | $57.56 | — |
| ND | $67.72 | — |
| NE | $61.02 | — |
| NH | $65.22 | — |
| NJ | $59.74 | — |
| NM | $57.56 | — |
| NV | $67.72 | — |
| NY | $67.72 | — |
| OH | $67.72 | — |
| OK | $57.56 | — |
| OR | $67.72 | — |
| PA | $57.56 | — |
| PR | $87.75 | — |
| RI | $57.56 | — |
| SC | $67.72 | — |
| SD | $67.72 | — |
| TN | $59.67 | — |
| TX | $67.72 | — |
| UT | $61.49 | — |
| VA | $67.72 | — |
| VI | $67.72 | — |
| VT | $67.72 | — |
| WA | $58.92 | — |
| WI | $67.72 | — |
| WV | $67.37 | — |
| WY | $67.72 | — |
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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