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
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.

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 (April 13, 2026 update — 83 items). 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 (April 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 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

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