E1223 — Wheelchair with detachable arms, 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.
E1223 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $89.66 to $122.59 depending on state and rural status.
Former-CBA payment limits: ceiling $105.48 · floor $89.66
| State | Non-rural | Rural |
|---|---|---|
| AK | $94.23 | — |
| AL | $105.48 | — |
| AR | $105.48 | — |
| AZ | $105.48 | — |
| CA | $93.28 | — |
| CO | $105.48 | — |
| CT | $105.48 | — |
| DC | $105.48 | — |
| DE | $105.48 | — |
| FL | $89.66 | — |
| GA | $105.48 | — |
| HI | $100.77 | — |
| IA | $99.61 | — |
| ID | $105.48 | — |
| IL | $105.48 | — |
| IN | $100.12 | — |
| KS | $105.48 | — |
| KY | $89.66 | — |
| LA | $96.35 | — |
| MA | $105.48 | — |
| MD | $97.85 | — |
| ME | $105.48 | — |
| MI | $89.66 | — |
| MN | $93.23 | — |
| MO | $92.59 | — |
| MS | $105.48 | — |
| MT | $100.44 | — |
| NC | $89.66 | — |
| ND | $99.29 | — |
| NE | $105.48 | — |
| NH | $103.14 | — |
| NJ | $105.48 | — |
| NM | $89.66 | — |
| NV | $105.48 | — |
| NY | $103.38 | — |
| OH | $105.48 | — |
| OK | $90.65 | — |
| OR | $98.40 | — |
| PA | $103.47 | — |
| PR | $122.59 | — |
| RI | $89.66 | — |
| SC | $105.48 | — |
| SD | $105.48 | — |
| TN | $91.19 | — |
| TX | $105.48 | — |
| UT | $90.93 | — |
| VA | $90.83 | — |
| VI | $103.39 | — |
| VT | $105.48 | — |
| WA | $105.48 | — |
| WI | $93.23 | — |
| WV | $105.48 | — |
| WY | $105.48 | — |
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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