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
- Face-to-face & WOPD
- Not on the required list
- MUE unit limit
- 1
- 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.
E2201 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $329.55 to $525.06 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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.
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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.
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E2201 at 1 unit per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.
Common denial codes to watch
Related E-codes
Bill E2201 with confidence
Track prior-authorization requests with AI pre-fill and deadline tracking, and draft PA appeal letters — built for DME teams, PHI-free: no patient data is collected or stored.
Start free trial Run a CMS-0057-F readiness checkPrefer DIY compliance? Self-audit documentation kits for DME suppliers →
Building an AI agent? Try the agent API in the playground — free PA-required lookups, E2201 included, and starter credits via POST /bot-marketplace/register.