E1227 — Special height arms for wheelchair
HCPCS Level II E-code · short descriptor: “Wheelchair spec sz spec ht a”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Special coverage instructions apply
- DMEPOS payment category
- Inexpensive or routinely purchased
- Prior authorization
- Not on Medicare required-PA list
- Face-to-face & WOPD
- Not on the required list
- Status
- Active (HCPCS Level II October 2026)
Prior authorization
Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). 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 (CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.
Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.
E1227 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $177.95 to $474.54 depending on state and rural status.
Former-CBA payment limits: ceiling $395.48 · floor $336.16
| State | Non-rural | Rural |
|---|---|---|
| AK | $177.95 | — |
| AL | $395.48 | — |
| AR | $336.16 | — |
| AZ | $336.16 | — |
| CA | $336.16 | — |
| CO | $336.16 | — |
| CT | $395.48 | — |
| DC | $395.48 | — |
| DE | $395.12 | — |
| FL | $395.48 | — |
| GA | $395.48 | — |
| HI | $190.30 | — |
| IA | $395.48 | — |
| ID | $380.74 | — |
| IL | $395.48 | — |
| IN | $395.48 | — |
| KS | $354.05 | — |
| KY | $364.64 | — |
| LA | $336.16 | — |
| MA | $336.16 | — |
| MD | $395.48 | — |
| ME | $336.16 | — |
| MI | $395.48 | — |
| MN | $336.16 | — |
| MO | $395.48 | — |
| MS | $395.48 | — |
| MT | $336.16 | — |
| NC | $395.48 | — |
| ND | $336.16 | — |
| NE | $367.24 | — |
| NH | $336.16 | — |
| NJ | $395.48 | — |
| NM | $395.48 | — |
| NV | $336.16 | — |
| NY | $395.48 | — |
| OH | $336.16 | — |
| OK | $395.48 | — |
| OR | $395.48 | — |
| PA | $395.48 | — |
| PR | $474.54 | — |
| RI | $336.16 | — |
| SC | $395.48 | — |
| SD | $336.16 | — |
| TN | $395.48 | — |
| TX | $336.16 | — |
| UT | $395.48 | — |
| VA | $395.48 | — |
| VI | $395.48 | — |
| VT | $336.16 | — |
| WA | $395.48 | — |
| WI | $395.48 | — |
| WV | $395.48 | — |
| WY | $336.16 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $17.79 to $59.33 depending on state and rural status.
Former-CBA payment limits: ceiling $39.56 · floor $33.63
| State | Non-rural | Rural |
|---|---|---|
| AK | $17.79 | — |
| AL | $39.56 | — |
| AR | $33.63 | — |
| AZ | $39.56 | — |
| CA | $33.63 | — |
| CO | $33.63 | — |
| CT | $39.56 | — |
| DC | $39.56 | — |
| DE | $39.56 | — |
| FL | $39.56 | — |
| GA | $39.56 | — |
| HI | $19.01 | — |
| IA | $39.56 | — |
| ID | $38.07 | — |
| IL | $39.56 | — |
| IN | $39.56 | — |
| KS | $36.73 | — |
| KY | $36.49 | — |
| LA | $33.63 | — |
| MA | $33.63 | — |
| MD | $39.56 | — |
| ME | $33.63 | — |
| MI | $39.56 | — |
| MN | $33.63 | — |
| MO | $33.63 | — |
| MS | $39.56 | — |
| MT | $33.63 | — |
| NC | $39.56 | — |
| ND | $33.63 | — |
| NE | $36.73 | — |
| NH | $33.63 | — |
| NJ | $38.90 | — |
| NM | $39.56 | — |
| NV | $33.63 | — |
| NY | $39.56 | — |
| OH | $33.63 | — |
| OK | $39.56 | — |
| OR | $39.56 | — |
| PA | $39.56 | — |
| PR | $59.33 | — |
| RI | $33.63 | — |
| SC | $39.56 | — |
| SD | $33.63 | — |
| TN | $39.56 | — |
| TX | $33.63 | — |
| UT | $39.56 | — |
| VA | $39.56 | — |
| VI | $39.56 | — |
| VT | $33.63 | — |
| WA | $39.56 | — |
| WI | $39.56 | — |
| WV | $39.56 | — |
| WY | $33.63 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $133.47 to $365.18 depending on state and rural status.
Former-CBA payment limits: ceiling $296.66 · floor $252.16
| State | Non-rural | Rural |
|---|---|---|
| AK | $133.47 | — |
| AL | $296.66 | — |
| AR | $252.16 | — |
| AZ | $252.16 | — |
| CA | $252.16 | — |
| CO | $252.16 | — |
| CT | $296.66 | — |
| DC | $296.66 | — |
| DE | $296.66 | — |
| FL | $296.66 | — |
| GA | $296.66 | — |
| HI | $142.70 | — |
| IA | $296.66 | — |
| ID | $285.56 | — |
| IL | $296.66 | — |
| IN | $296.66 | — |
| KS | $275.37 | — |
| KY | $273.53 | — |
| LA | $252.16 | — |
| MA | $252.16 | — |
| MD | $296.66 | — |
| ME | $252.16 | — |
| MI | $296.66 | — |
| MN | $252.16 | — |
| MO | $296.66 | — |
| MS | $296.66 | — |
| MT | $252.16 | — |
| NC | $296.66 | — |
| ND | $252.16 | — |
| NE | $275.43 | — |
| NH | $252.16 | — |
| NJ | $296.66 | — |
| NM | $296.66 | — |
| NV | $252.16 | — |
| NY | $296.66 | — |
| OH | $252.16 | — |
| OK | $296.66 | — |
| OR | $296.66 | — |
| PA | $296.66 | — |
| PR | $365.18 | — |
| RI | $252.16 | — |
| SC | $296.66 | — |
| SD | $252.16 | — |
| TN | $296.66 | — |
| TX | $252.16 | — |
| UT | $296.66 | — |
| VA | $296.66 | — |
| VI | $296.66 | — |
| VT | $252.16 | — |
| WA | $296.66 | — |
| WI | $296.66 | — |
| WV | $296.66 | — |
| WY | $252.16 | — |
Common denial codes to watch
Related E-codes
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