E1224 — Wheelchair with detachable arms, elevating legrests
HCPCS Level II E-code · short descriptor: “Wheelchair spec size w/ leg”
- 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.
E1224 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $98.31 to $139.00 depending on state and rural status.
Former-CBA payment limits: ceiling $115.66 · floor $98.31
| State | Non-rural | Rural |
|---|---|---|
| AK | $106.36 | — |
| AL | $115.66 | — |
| AR | $115.66 | — |
| AZ | $115.66 | — |
| CA | $105.35 | — |
| CO | $110.89 | — |
| CT | $115.66 | — |
| DC | $115.66 | — |
| DE | $115.66 | — |
| FL | $98.31 | — |
| GA | $115.66 | — |
| HI | $113.78 | — |
| IA | $111.11 | — |
| ID | $98.98 | — |
| IL | $115.66 | — |
| IN | $115.66 | — |
| KS | $100.14 | — |
| KY | $98.31 | — |
| LA | $115.66 | — |
| MA | $115.66 | — |
| MD | $115.42 | — |
| ME | $115.66 | — |
| MI | $101.10 | — |
| MN | $98.31 | — |
| MO | $98.31 | — |
| MS | $115.66 | — |
| MT | $114.29 | — |
| NC | $98.31 | — |
| ND | $114.57 | — |
| NE | $98.31 | — |
| NH | $115.66 | — |
| NJ | $115.66 | — |
| NM | $105.38 | — |
| NV | $115.66 | — |
| NY | $98.31 | — |
| OH | $115.66 | — |
| OK | $100.93 | — |
| OR | $98.31 | — |
| PA | $115.66 | — |
| PR | $139.00 | — |
| RI | $98.31 | — |
| SC | $115.66 | — |
| SD | $115.66 | — |
| TN | $98.31 | — |
| TX | $115.66 | — |
| UT | $98.31 | — |
| VA | $115.66 | — |
| VI | $98.31 | — |
| VT | $115.66 | — |
| WA | $115.66 | — |
| WI | $98.31 | — |
| WV | $100.57 | — |
| WY | $115.66 | — |
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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