MyMedi-AI

E2203 — Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches

HCPCS Level II E-code · short descriptor: “Frame depth less than 22 in”

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 2026-10-26; 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 2026-10-26; 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.

E2203 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $476.30 to $750.05 depending on state and rural status.

StateNon-ruralRural
AK$681.81—
AL$533.68$622.12
AR$533.68$622.12
AZ$507.51$622.12
CA$489.08$622.12
CO$513.49$622.12
CT$493.61$622.12
DC$476.30$622.12
DE$476.30$622.12
FL$533.68$622.12
GA$533.68$622.12
HI$681.81—
IA$515.14$622.12
ID$513.49$622.12
IL$526.05$622.12
IN$526.05$622.12
KS$515.14$622.12
KY$533.68$622.12
LA$533.68$622.12
MA$493.61$622.12
MD$476.30$622.12
ME$493.61$622.12
MI$526.05$622.12
MN$515.14$622.12
MO$515.14$622.12
MS$533.68$622.12
MT$513.49$622.12
NC$533.68$622.12
ND$515.14$622.12
NE$515.14$622.12
NH$493.61$622.12
NJ$476.30$622.12
NM$507.51$622.12
NV$489.08$622.12
NY$476.30$622.12
OH$526.05$622.12
OK$507.51$622.12
OR$489.08$622.12
PA$476.30$622.12
PR$750.05—
RI$493.61$622.12
SC$533.68$622.12
SD$515.14$622.12
TN$533.68$622.12
TX$507.51$622.12
UT$513.49$622.12
VA$533.68$622.12
VI$681.81—
VT$493.61$622.12
WA$489.08$622.12
WI$526.05$622.12
WV$533.68$622.12
WY$513.49$622.12

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $682.72 to $819.21 depending on state and rural status.

Former-CBA payment limits: ceiling $682.72 · floor $580.31

StateNon-ruralRural
AK$682.72—
AL$682.72—
AR$682.72—
AZ$682.72—
CA$682.72—
CO$682.72—
CT$682.72—
DC$682.72—
DE$682.72—
FL$682.72—
GA$682.72—
HI$682.72—
IA$682.72—
ID$682.72—
IL$682.72—
IN$682.72—
KS$682.72—
KY$682.72—
LA$682.72—
MA$682.72—
MD$682.72—
ME$682.72—
MI$682.72—
MN$682.72—
MO$682.72—
MS$682.72—
MT$682.72—
NC$682.72—
ND$682.72—
NE$682.72—
NH$682.72—
NJ$682.72—
NM$682.72—
NV$682.72—
NY$682.72—
OH$682.72—
OK$682.72—
OR$682.72—
PA$682.72—
PR$819.21—
RI$682.72—
SC$682.72—
SD$682.72—
TN$682.72—
TX$682.72—
UT$682.72—
VA$682.72—
VI$682.72—
VT$682.72—
WA$682.72—
WI$682.72—
WV$682.72—
WY$682.72—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $47.63 to $75.00 depending on state and rural status.

StateNon-ruralRural
AK$68.17—
AL$53.37$62.20
AR$53.37$62.20
AZ$50.75$62.20
CA$48.91$62.20
CO$51.35$62.20
CT$49.36$62.20
DC$47.63$62.20
DE$47.63$62.20
FL$53.37$62.20
GA$53.37$62.20
HI$68.17—
IA$51.51$62.20
ID$51.35$62.20
IL$52.61$62.20
IN$52.61$62.20
KS$51.51$62.20
KY$53.37$62.20
LA$53.37$62.20
MA$49.36$62.20
MD$47.63$62.20
ME$49.36$62.20
MI$52.61$62.20
MN$51.51$62.20
MO$51.51$62.20
MS$53.37$62.20
MT$51.35$62.20
NC$53.37$62.20
ND$51.51$62.20
NE$51.51$62.20
NH$49.36$62.20
NJ$47.63$62.20
NM$50.75$62.20
NV$48.91$62.20
NY$47.63$62.20
OH$52.61$62.20
OK$50.75$62.20
OR$48.91$62.20
PA$47.63$62.20
PR$75.00—
RI$49.36$62.20
SC$53.37$62.20
SD$51.51$62.20
TN$53.37$62.20
TX$50.75$62.20
UT$51.35$62.20
VA$53.37$62.20
VI$68.17—
VT$49.36$62.20
WA$48.91$62.20
WI$52.61$62.20
WV$53.37$62.20
WY$51.35$62.20

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $68.27 to $81.90 depending on state and rural status.

Former-CBA payment limits: ceiling $68.27 · floor $58.03

StateNon-ruralRural
AK$68.27—
AL$68.27—
AR$68.27—
AZ$68.27—
CA$68.27—
CO$68.27—
CT$68.27—
DC$68.27—
DE$68.27—
FL$68.27—
GA$68.27—
HI$68.27—
IA$68.27—
ID$68.27—
IL$68.27—
IN$68.27—
KS$68.27—
KY$68.27—
LA$68.27—
MA$68.27—
MD$68.27—
ME$68.27—
MI$68.27—
MN$68.27—
MO$68.27—
MS$68.27—
MT$68.27—
NC$68.27—
ND$68.27—
NE$68.27—
NH$68.27—
NJ$68.27—
NM$68.27—
NV$68.27—
NY$68.27—
OH$68.27—
OK$68.27—
OR$68.27—
PA$68.27—
PR$81.90—
RI$68.27—
SC$68.27—
SD$68.27—
TN$68.27—
TX$68.27—
UT$68.27—
VA$68.27—
VI$68.27—
VT$68.27—
WA$68.27—
WI$68.27—
WV$68.27—
WY$68.27—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $357.23 to $562.55 depending on state and rural status.

StateNon-ruralRural
AK$511.34—
AL$400.26$466.58
AR$400.26$466.58
AZ$380.64$466.58
CA$366.82$466.58
CO$385.11$466.58
CT$370.21$466.58
DC$357.23$466.58
DE$357.23$466.58
FL$400.26$466.58
GA$400.26$466.58
HI$511.34—
IA$386.36$466.58
ID$385.11$466.58
IL$394.54$466.58
IN$394.54$466.58
KS$386.36$466.58
KY$400.26$466.58
LA$400.26$466.58
MA$370.21$466.58
MD$357.23$466.58
ME$370.21$466.58
MI$394.54$466.58
MN$386.36$466.58
MO$386.36$466.58
MS$400.26$466.58
MT$385.11$466.58
NC$400.26$466.58
ND$386.36$466.58
NE$386.36$466.58
NH$370.21$466.58
NJ$357.23$466.58
NM$380.64$466.58
NV$366.82$466.58
NY$357.23$466.58
OH$394.54$466.58
OK$380.64$466.58
OR$366.82$466.58
PA$357.23$466.58
PR$562.55—
RI$370.21$466.58
SC$400.26$466.58
SD$386.36$466.58
TN$400.26$466.58
TX$380.64$466.58
UT$385.11$466.58
VA$400.26$466.58
VI$511.34—
VT$370.21$466.58
WA$366.82$466.58
WI$394.54$466.58
WV$400.26$466.58
WY$385.11$466.58

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $511.99 to $614.45 depending on state and rural status.

Former-CBA payment limits: ceiling $511.99 · floor $435.19

StateNon-ruralRural
AK$511.99—
AL$511.99—
AR$511.99—
AZ$511.99—
CA$511.99—
CO$511.99—
CT$511.99—
DC$511.99—
DE$511.99—
FL$511.99—
GA$511.99—
HI$511.99—
IA$511.99—
ID$511.99—
IL$511.99—
IN$511.99—
KS$511.99—
KY$511.99—
LA$511.99—
MA$511.99—
MD$511.99—
ME$511.99—
MI$511.99—
MN$511.99—
MO$511.99—
MS$511.99—
MT$511.99—
NC$511.99—
ND$511.99—
NE$511.99—
NH$511.99—
NJ$511.99—
NM$511.99—
NV$511.99—
NY$511.99—
OH$511.99—
OK$511.99—
OR$511.99—
PA$511.99—
PR$614.45—
RI$511.99—
SC$511.99—
SD$511.99—
TN$511.99—
TX$511.99—
UT$511.99—
VA$511.99—
VI$511.99—
VT$511.99—
WA$511.99—
WI$511.99—
WV$511.99—
WY$511.99—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps E2203 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

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