MyMedi-AI

E1298 — Special wheelchair seat depth and/or width, by construction

HCPCS Level II E-code · short descriptor: “Wheelchair spec seat depth/w”

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
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.

E1298 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $513.20 to $618.01 depending on state and rural status.

Former-CBA payment limits: ceiling $603.77 · floor $513.20

StateNon-ruralRural
AK$577.95
AL$603.77
AR$603.77
AZ$603.77
CA$572.24
CO$513.20
CT$603.77
DC$544.29
DE$544.29
FL$535.82
GA$603.77
HI$618.01
IA$603.77
ID$513.20
IL$603.77
IN$603.77
KS$603.77
KY$603.77
LA$603.77
MA$513.20
MD$513.20
ME$513.20
MI$513.20
MN$581.94
MO$603.77
MS$603.77
MT$513.20
NC$603.77
ND$513.20
NE$603.77
NH$513.20
NJ$544.29
NM$603.77
NV$603.77
NY$528.14
OH$513.20
OK$603.77
OR$585.70
PA$513.20
PR$564.97
RI$603.77
SC$593.24
SD$513.20
TN$603.77
TX$513.20
UT$603.77
VA$603.77
VI$528.14
VT$513.20
WA$603.77
WI$603.77
WV$603.77
WY$513.20

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $52.50 to $70.64 depending on state and rural status.

Former-CBA payment limits: ceiling $61.77 · floor $52.50

StateNon-ruralRural
AK$57.80
AL$61.77
AR$61.77
AZ$61.77
CA$57.22
CO$52.50
CT$61.77
DC$54.46
DE$54.47
FL$53.58
GA$61.77
HI$61.77
IA$61.77
ID$52.50
IL$61.77
IN$61.77
KS$61.77
KY$61.77
LA$61.77
MA$52.50
MD$52.50
ME$52.50
MI$52.50
MN$58.20
MO$61.77
MS$61.77
MT$61.77
NC$61.77
ND$52.50
NE$61.77
NH$52.50
NJ$54.46
NM$61.77
NV$61.77
NY$52.80
OH$52.50
OK$61.77
OR$58.55
PA$52.50
PR$70.64
RI$60.36
SC$59.35
SD$52.50
TN$61.77
TX$52.50
UT$61.77
VA$61.77
VI$52.80
VT$52.50
WA$61.77
WI$61.77
WV$61.77
WY$52.50

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $384.90 to $463.50 depending on state and rural status.

Former-CBA payment limits: ceiling $452.82 · floor $384.90

StateNon-ruralRural
AK$433.44
AL$452.82
AR$452.82
AZ$452.82
CA$429.17
CO$384.90
CT$452.82
DC$408.20
DE$408.20
FL$401.86
GA$452.82
HI$463.50
IA$452.82
ID$384.90
IL$452.82
IN$452.82
KS$452.82
KY$452.82
LA$452.82
MA$384.90
MD$384.90
ME$384.90
MI$384.90
MN$436.46
MO$452.82
MS$452.82
MT$384.90
NC$452.82
ND$384.90
NE$452.82
NH$384.90
NJ$408.20
NM$452.82
NV$452.82
NY$396.13
OH$384.90
OK$452.82
OR$439.29
PA$384.90
PR$423.77
RI$452.82
SC$444.92
SD$384.90
TN$452.82
TX$384.90
UT$452.82
VA$452.82
VI$396.13
VT$384.90
WA$452.82
WI$452.82
WV$452.82
WY$384.90
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

Bill E1298 with confidence

MyMedi-AI scrubs whole claims against NCCI pairs, MUE limits, modifier rules, and PA flags before you submit — built for DME teams, no PHI stored on our servers.

Start free trial   Run a CMS-0057-F readiness check

Prefer DIY compliance? Self-audit documentation kits for DME suppliers →