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E2201 — Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches

HCPCS Level II E-code · short descriptor: “Man w/ch acc seat w>=20"<24"”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
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.

E2201 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $329.55 to $525.06 depending on state and rural status.

StateNon-ruralRural
AK$471.88
AL$393.10$471.88
AR$393.10$471.88
AZ$372.07$471.88
CA$371.68$471.88
CO$399.55$471.88
CT$352.11$471.88
DC$329.55$471.88
DE$329.55$471.88
FL$393.10$471.88
GA$393.10$471.88
HI$471.88
IA$382.19$471.88
ID$399.55$471.88
IL$379.85$471.88
IN$379.85$471.88
KS$382.19$471.88
KY$393.10$471.88
LA$393.10$471.88
MA$352.11$471.88
MD$329.55$471.88
ME$352.11$471.88
MI$379.85$471.88
MN$382.19$471.88
MO$382.19$471.88
MS$393.10$471.88
MT$399.55$471.88
NC$393.10$471.88
ND$382.19$471.88
NE$382.19$471.88
NH$352.11$471.88
NJ$329.55$471.88
NM$372.07$471.88
NV$371.68$471.88
NY$329.55$471.88
OH$379.85$471.88
OK$372.07$471.88
OR$371.68$471.88
PA$329.55$471.88
PR$525.06
RI$352.11$471.88
SC$393.10$471.88
SD$382.19$471.88
TN$393.10$471.88
TX$372.07$471.88
UT$399.55$471.88
VA$393.10$471.88
VI$471.88
VT$352.11$471.88
WA$371.68$471.88
WI$379.85$471.88
WV$393.10$471.88
WY$399.55$471.88

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $531.74 to $638.07 depending on state and rural status.

Former-CBA payment limits: ceiling $531.74 · floor $451.98

StateNon-ruralRural
AK$531.74
AL$531.74
AR$531.74
AZ$531.74
CA$531.74
CO$531.74
CT$531.74
DC$531.74
DE$531.74
FL$531.74
GA$531.74
HI$531.74
IA$531.74
ID$531.74
IL$531.74
IN$531.74
KS$531.74
KY$531.74
LA$531.74
MA$531.74
MD$531.74
ME$531.74
MI$531.74
MN$531.74
MO$531.74
MS$531.74
MT$531.74
NC$531.74
ND$531.74
NE$531.74
NH$531.74
NJ$531.74
NM$531.74
NV$531.74
NY$531.74
OH$531.74
OK$531.74
OR$531.74
PA$531.74
PR$638.07
RI$531.74
SC$531.74
SD$531.74
TN$531.74
TX$531.74
UT$531.74
VA$531.74
VI$531.74
VT$531.74
WA$531.74
WI$531.74
WV$531.74
WY$531.74

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $32.96 to $52.49 depending on state and rural status.

StateNon-ruralRural
AK$47.19
AL$39.31$47.19
AR$39.31$47.19
AZ$37.21$47.19
CA$37.17$47.19
CO$39.96$47.19
CT$35.21$47.19
DC$32.96$47.19
DE$32.96$47.19
FL$39.31$47.19
GA$39.31$47.19
HI$47.19
IA$38.22$47.19
ID$39.96$47.19
IL$37.99$47.19
IN$37.99$47.19
KS$38.22$47.19
KY$39.31$47.19
LA$39.31$47.19
MA$35.21$47.19
MD$32.96$47.19
ME$35.21$47.19
MI$37.99$47.19
MN$38.22$47.19
MO$38.22$47.19
MS$39.31$47.19
MT$39.96$47.19
NC$39.31$47.19
ND$38.22$47.19
NE$38.22$47.19
NH$35.21$47.19
NJ$32.96$47.19
NM$37.21$47.19
NV$37.17$47.19
NY$32.96$47.19
OH$37.99$47.19
OK$37.21$47.19
OR$37.17$47.19
PA$32.96$47.19
PR$52.49
RI$35.21$47.19
SC$39.31$47.19
SD$38.22$47.19
TN$39.31$47.19
TX$37.21$47.19
UT$39.96$47.19
VA$39.31$47.19
VI$47.19
VT$35.21$47.19
WA$37.17$47.19
WI$37.99$47.19
WV$39.31$47.19
WY$39.96$47.19

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $53.18 to $63.78 depending on state and rural status.

Former-CBA payment limits: ceiling $53.18 · floor $45.20

StateNon-ruralRural
AK$53.18
AL$53.18
AR$53.18
AZ$53.18
CA$53.18
CO$53.18
CT$53.18
DC$53.18
DE$53.18
FL$53.18
GA$53.18
HI$53.18
IA$53.18
ID$53.18
IL$53.18
IN$53.18
KS$53.18
KY$53.18
LA$53.18
MA$53.18
MD$53.18
ME$53.18
MI$53.18
MN$53.18
MO$53.18
MS$53.18
MT$53.18
NC$53.18
ND$53.18
NE$53.18
NH$53.18
NJ$53.18
NM$53.18
NV$53.18
NY$53.18
OH$53.18
OK$53.18
OR$53.18
PA$53.18
PR$63.78
RI$53.18
SC$53.18
SD$53.18
TN$53.18
TX$53.18
UT$53.18
VA$53.18
VI$53.18
VT$53.18
WA$53.18
WI$53.18
WV$53.18
WY$53.18

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $247.16 to $393.81 depending on state and rural status.

StateNon-ruralRural
AK$353.91
AL$294.82$353.91
AR$294.82$353.91
AZ$279.05$353.91
CA$278.76$353.91
CO$299.66$353.91
CT$264.09$353.91
DC$247.16$353.91
DE$247.16$353.91
FL$294.82$353.91
GA$294.82$353.91
HI$353.91
IA$286.65$353.91
ID$299.66$353.91
IL$284.89$353.91
IN$284.89$353.91
KS$286.65$353.91
KY$294.82$353.91
LA$294.82$353.91
MA$264.09$353.91
MD$247.16$353.91
ME$264.09$353.91
MI$284.89$353.91
MN$286.65$353.91
MO$286.65$353.91
MS$294.82$353.91
MT$299.66$353.91
NC$294.82$353.91
ND$286.65$353.91
NE$286.65$353.91
NH$264.09$353.91
NJ$247.16$353.91
NM$279.05$353.91
NV$278.76$353.91
NY$247.16$353.91
OH$284.89$353.91
OK$279.05$353.91
OR$278.76$353.91
PA$247.16$353.91
PR$393.81
RI$264.09$353.91
SC$294.82$353.91
SD$286.65$353.91
TN$294.82$353.91
TX$279.05$353.91
UT$299.66$353.91
VA$294.82$353.91
VI$353.91
VT$264.09$353.91
WA$278.76$353.91
WI$284.89$353.91
WV$294.82$353.91
WY$299.66$353.91

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $398.79 to $478.58 depending on state and rural status.

Former-CBA payment limits: ceiling $398.79 · floor $338.97

StateNon-ruralRural
AK$398.79
AL$398.79
AR$398.79
AZ$398.79
CA$398.79
CO$398.79
CT$398.79
DC$398.79
DE$398.79
FL$398.79
GA$398.79
HI$398.79
IA$398.79
ID$398.79
IL$398.79
IN$398.79
KS$398.79
KY$398.79
LA$398.79
MA$398.79
MD$398.79
ME$398.79
MI$398.79
MN$398.79
MO$398.79
MS$398.79
MT$398.79
NC$398.79
ND$398.79
NE$398.79
NH$398.79
NJ$398.79
NM$398.79
NV$398.79
NY$398.79
OH$398.79
OK$398.79
OR$398.79
PA$398.79
PR$478.58
RI$398.79
SC$398.79
SD$398.79
TN$398.79
TX$398.79
UT$398.79
VA$398.79
VI$398.79
VT$398.79
WA$398.79
WI$398.79
WV$398.79
WY$398.79
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.

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Related E-codes

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