MyMedi-AI

E2205 — Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each

HCPCS Level II E-code · short descriptor: “Manual wc accessory, handrim”

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
2
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 2026-10-27; 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 2026-10-27; 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.

E2205 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $38.51 to $51.16 depending on state and rural status.

StateNon-ruralRural
AK$45.77—
AL$42.78$46.51
AR$42.78$46.51
AZ$41.70$45.77
CA$38.51$45.77
CO$41.43$46.51
CT$43.81$46.51
DC$41.56$46.51
DE$41.56$46.51
FL$42.78$46.51
GA$42.78$46.51
HI$45.77—
IA$42.48$45.77
ID$41.43$45.77
IL$43.68$46.51
IN$43.68$46.51
KS$42.48$45.77
KY$42.78$46.51
LA$42.78$46.51
MA$43.81$46.51
MD$41.56$46.51
ME$43.81$46.51
MI$43.68$46.51
MN$42.48$46.51
MO$42.48$46.51
MS$42.78$46.51
MT$41.43$45.77
NC$42.78$46.51
ND$42.48$45.77
NE$42.48$45.77
NH$43.81$46.51
NJ$41.56$46.51
NM$41.70$46.51
NV$38.51$45.77
NY$41.56$46.51
OH$43.68$46.51
OK$41.70$46.51
OR$38.51$45.77
PA$41.56$46.51
PR$51.16—
RI$43.81$46.51
SC$42.78$46.51
SD$42.48$45.77
TN$42.78$46.51
TX$41.70$46.51
UT$41.43$46.51
VA$42.78$46.51
VI$46.51—
VT$43.81$46.51
WA$38.51$46.51
WI$43.68$46.51
WV$42.78$46.51
WY$41.43$45.77

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $45.77 to $55.87 depending on state and rural status.

Former-CBA payment limits: ceiling $46.56 · floor $39.58

StateNon-ruralRural
AK$45.77—
AL$46.56—
AR$46.56—
AZ$45.77—
CA$45.77—
CO$46.56—
CT$46.56—
DC$46.56—
DE$46.56—
FL$46.56—
GA$46.56—
HI$45.77—
IA$45.77—
ID$45.77—
IL$46.56—
IN$46.56—
KS$45.77—
KY$46.56—
LA$46.56—
MA$46.56—
MD$46.56—
ME$46.56—
MI$46.56—
MN$46.56—
MO$46.56—
MS$46.56—
MT$45.77—
NC$46.56—
ND$45.77—
NE$45.77—
NH$46.56—
NJ$46.56—
NM$46.56—
NV$45.77—
NY$46.56—
OH$46.56—
OK$46.56—
OR$45.77—
PA$46.56—
PR$55.87—
RI$46.56—
SC$46.56—
SD$45.77—
TN$46.56—
TX$46.56—
UT$46.56—
VA$46.56—
VI$46.56—
VT$46.56—
WA$46.56—
WI$46.56—
WV$46.56—
WY$45.77—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $3.85 to $5.12 depending on state and rural status.

StateNon-ruralRural
AK$4.55—
AL$4.28$4.64
AR$4.28$4.64
AZ$4.17$4.55
CA$3.85$4.55
CO$4.15$4.64
CT$4.38$4.64
DC$4.16$4.64
DE$4.16$4.64
FL$4.28$4.64
GA$4.28$4.64
HI$4.55—
IA$4.25$4.55
ID$4.15$4.55
IL$4.37$4.64
IN$4.37$4.64
KS$4.25$4.55
KY$4.28$4.64
LA$4.28$4.64
MA$4.38$4.64
MD$4.16$4.64
ME$4.38$4.64
MI$4.37$4.64
MN$4.25$4.64
MO$4.25$4.64
MS$4.28$4.64
MT$4.15$4.55
NC$4.28$4.64
ND$4.25$4.55
NE$4.25$4.55
NH$4.38$4.64
NJ$4.16$4.64
NM$4.17$4.64
NV$3.85$4.55
NY$4.16$4.64
OH$4.37$4.64
OK$4.17$4.64
OR$3.85$4.55
PA$4.16$4.64
PR$5.12—
RI$4.38$4.64
SC$4.28$4.64
SD$4.25$4.55
TN$4.28$4.64
TX$4.17$4.64
UT$4.15$4.64
VA$4.28$4.64
VI$4.64—
VT$4.38$4.64
WA$3.85$4.64
WI$4.37$4.64
WV$4.28$4.64
WY$4.15$4.55

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $4.54 to $5.60 depending on state and rural status.

Former-CBA payment limits: ceiling $4.64 · floor $3.94

StateNon-ruralRural
AK$4.54—
AL$4.64—
AR$4.64—
AZ$4.54—
CA$4.54—
CO$4.64—
CT$4.64—
DC$4.64—
DE$4.64—
FL$4.64—
GA$4.64—
HI$4.54—
IA$4.54—
ID$4.54—
IL$4.64—
IN$4.64—
KS$4.54—
KY$4.64—
LA$4.64—
MA$4.64—
MD$4.64—
ME$4.64—
MI$4.64—
MN$4.64—
MO$4.64—
MS$4.64—
MT$4.54—
NC$4.64—
ND$4.54—
NE$4.54—
NH$4.64—
NJ$4.64—
NM$4.64—
NV$4.54—
NY$4.64—
OH$4.64—
OK$4.64—
OR$4.54—
PA$4.64—
PR$5.60—
RI$4.64—
SC$4.64—
SD$4.54—
TN$4.64—
TX$4.64—
UT$4.64—
VA$4.64—
VI$4.64—
VT$4.64—
WA$4.64—
WI$4.64—
WV$4.64—
WY$4.54—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $28.88 to $38.37 depending on state and rural status.

StateNon-ruralRural
AK$34.36—
AL$32.09$34.90
AR$32.09$34.90
AZ$31.28$34.36
CA$28.88$34.36
CO$31.08$34.90
CT$32.86$34.90
DC$31.17$34.90
DE$31.17$34.88
FL$32.09$34.90
GA$32.09$34.90
HI$34.36—
IA$31.87$34.36
ID$31.08$34.36
IL$32.76$34.90
IN$32.76$34.90
KS$31.87$34.36
KY$32.09$34.90
LA$32.09$34.90
MA$32.86$34.90
MD$31.17$34.90
ME$32.86$34.90
MI$32.76$34.90
MN$31.87$34.90
MO$31.87$34.90
MS$32.09$34.90
MT$31.08$34.36
NC$32.09$34.90
ND$31.87$34.36
NE$31.87$34.36
NH$32.86$34.88
NJ$31.17$34.88
NM$31.28$34.90
NV$28.88$34.36
NY$31.17$34.88
OH$32.76$34.90
OK$31.28$34.90
OR$28.88$34.36
PA$31.17$34.88
PR$38.37—
RI$32.86$34.88
SC$32.09$34.90
SD$31.87$34.36
TN$32.09$34.90
TX$31.28$34.90
UT$31.08$34.90
VA$32.09$34.90
VI$34.88—
VT$32.86$34.90
WA$28.88$34.90
WI$32.76$34.90
WV$32.09$34.90
WY$31.08$34.36

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $34.36 to $41.90 depending on state and rural status.

Former-CBA payment limits: ceiling $34.95 · floor $29.71

StateNon-ruralRural
AK$34.36—
AL$34.95—
AR$34.95—
AZ$34.36—
CA$34.36—
CO$34.95—
CT$34.95—
DC$34.95—
DE$34.91—
FL$34.95—
GA$34.95—
HI$34.36—
IA$34.36—
ID$34.36—
IL$34.95—
IN$34.95—
KS$34.36—
KY$34.95—
LA$34.95—
MA$34.95—
MD$34.95—
ME$34.95—
MI$34.95—
MN$34.95—
MO$34.95—
MS$34.95—
MT$34.36—
NC$34.95—
ND$34.36—
NE$34.36—
NH$34.91—
NJ$34.91—
NM$34.95—
NV$34.36—
NY$34.91—
OH$34.95—
OK$34.95—
OR$34.36—
PA$34.91—
PR$41.90—
RI$34.91—
SC$34.95—
SD$34.36—
TN$34.95—
TX$34.95—
UT$34.95—
VA$34.95—
VI$34.91—
VT$34.95—
WA$34.95—
WI$34.95—
WV$34.95—
WY$34.36—
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 E2205 at 2 units per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.

Common denial codes to watch

CO-50 medical necessityCO-151 frequency/units

Related E-codes

E2201E2202E2203E2204E2206E2207E2208E2209E2210E2211E2212E2213

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