MyMedi-AI

E2206 — Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each

HCPCS Level II E-code · short descriptor: “Man wc whl lock comp repl ea”

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 2026-10-25; 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.

E2206 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $43.46 to $62.97 depending on state and rural status.

StateNon-ruralRural
AK$56.68—
AL$46.90$54.45
AR$46.90$54.45
AZ$45.47$53.98
CA$45.16$53.98
CO$49.69$54.45
CT$44.99$54.45
DC$43.46$54.45
DE$43.46$54.45
FL$46.90$54.45
GA$46.90$54.45
HI$56.68—
IA$46.77$53.98
ID$49.69$53.98
IL$47.43$54.45
IN$47.43$54.45
KS$46.77$53.98
KY$46.90$54.45
LA$46.90$54.45
MA$44.99$54.45
MD$43.46$54.45
ME$44.99$54.45
MI$47.43$54.45
MN$46.77$54.45
MO$46.77$54.45
MS$46.90$54.45
MT$49.69$53.98
NC$46.90$54.45
ND$46.77$53.98
NE$46.77$53.98
NH$44.99$54.45
NJ$43.46$54.45
NM$45.47$54.45
NV$45.16$53.98
NY$43.46$54.45
OH$47.43$54.45
OK$45.47$54.45
OR$45.16$53.98
PA$43.46$54.45
PR$62.97—
RI$44.99$54.45
SC$46.90$54.45
SD$46.77$53.98
TN$46.90$54.45
TX$45.47$54.45
UT$49.69$54.45
VA$46.90$54.45
VI$57.16—
VT$44.99$54.45
WA$45.16$54.45
WI$47.43$54.45
WV$46.90$54.45
WY$49.69$53.98

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $57.02 to $69.59 depending on state and rural status.

Former-CBA payment limits: ceiling $57.96 · floor $49.27

StateNon-ruralRural
AK$57.02—
AL$57.96—
AR$57.96—
AZ$57.02—
CA$57.02—
CO$57.96—
CT$57.96—
DC$57.96—
DE$57.96—
FL$57.96—
GA$57.96—
HI$57.02—
IA$57.02—
ID$57.02—
IL$57.96—
IN$57.96—
KS$57.02—
KY$57.96—
LA$57.96—
MA$57.96—
MD$57.96—
ME$57.96—
MI$57.96—
MN$57.96—
MO$57.96—
MS$57.96—
MT$57.02—
NC$57.96—
ND$57.02—
NE$57.02—
NH$57.96—
NJ$57.96—
NM$57.96—
NV$57.02—
NY$57.96—
OH$57.96—
OK$57.96—
OR$57.02—
PA$57.96—
PR$69.59—
RI$57.96—
SC$57.96—
SD$57.02—
TN$57.96—
TX$57.96—
UT$57.96—
VA$57.96—
VI$57.96—
VT$57.96—
WA$57.96—
WI$57.96—
WV$57.96—
WY$57.02—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $4.34 to $6.29 depending on state and rural status.

StateNon-ruralRural
AK$5.66—
AL$4.69$5.44
AR$4.69$5.44
AZ$4.55$5.39
CA$4.52$5.39
CO$4.97$5.44
CT$4.50$5.44
DC$4.34$5.44
DE$4.34$5.44
FL$4.69$5.44
GA$4.69$5.44
HI$5.66—
IA$4.68$5.39
ID$4.97$5.39
IL$4.74$5.44
IN$4.74$5.44
KS$4.68$5.39
KY$4.69$5.44
LA$4.69$5.44
MA$4.50$5.44
MD$4.34$5.44
ME$4.50$5.44
MI$4.74$5.44
MN$4.68$5.44
MO$4.68$5.44
MS$4.69$5.44
MT$4.97$5.39
NC$4.69$5.44
ND$4.68$5.39
NE$4.68$5.39
NH$4.50$5.44
NJ$4.34$5.44
NM$4.55$5.44
NV$4.52$5.39
NY$4.34$5.44
OH$4.74$5.44
OK$4.55$5.44
OR$4.52$5.39
PA$4.34$5.44
PR$6.29—
RI$4.50$5.44
SC$4.69$5.44
SD$4.68$5.39
TN$4.69$5.44
TX$4.55$5.44
UT$4.97$5.44
VA$4.69$5.44
VI$5.71—
VT$4.50$5.44
WA$4.52$5.44
WI$4.74$5.44
WV$4.69$5.44
WY$4.97$5.39

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $5.68 to $6.96 depending on state and rural status.

Former-CBA payment limits: ceiling $5.76 · floor $4.90

StateNon-ruralRural
AK$5.68—
AL$5.76—
AR$5.76—
AZ$5.68—
CA$5.68—
CO$5.76—
CT$5.76—
DC$5.76—
DE$5.76—
FL$5.76—
GA$5.76—
HI$5.68—
IA$5.68—
ID$5.68—
IL$5.76—
IN$5.76—
KS$5.68—
KY$5.76—
LA$5.76—
MA$5.76—
MD$5.76—
ME$5.76—
MI$5.76—
MN$5.76—
MO$5.76—
MS$5.76—
MT$5.68—
NC$5.76—
ND$5.68—
NE$5.68—
NH$5.76—
NJ$5.76—
NM$5.76—
NV$5.68—
NY$5.76—
OH$5.76—
OK$5.76—
OR$5.68—
PA$5.76—
PR$6.96—
RI$5.76—
SC$5.76—
SD$5.68—
TN$5.76—
TX$5.76—
UT$5.76—
VA$5.76—
VI$5.76—
VT$5.76—
WA$5.76—
WI$5.76—
WV$5.76—
WY$5.68—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $32.59 to $47.22 depending on state and rural status.

StateNon-ruralRural
AK$42.52—
AL$35.18$40.84
AR$35.18$40.84
AZ$34.10$40.49
CA$33.87$40.49
CO$37.26$40.84
CT$33.75$40.84
DC$32.59$40.84
DE$32.59$40.84
FL$35.18$40.84
GA$35.18$40.84
HI$42.52—
IA$35.08$40.49
ID$37.26$40.49
IL$35.57$40.84
IN$35.57$40.84
KS$35.08$40.49
KY$35.18$40.84
LA$35.18$40.84
MA$33.75$40.84
MD$32.59$40.84
ME$33.75$40.84
MI$35.57$40.84
MN$35.08$40.84
MO$35.08$40.84
MS$35.18$40.84
MT$37.26$40.49
NC$35.18$40.84
ND$35.08$40.49
NE$35.08$40.49
NH$33.75$40.84
NJ$32.59$40.84
NM$34.10$40.84
NV$33.87$40.49
NY$32.59$40.84
OH$35.57$40.84
OK$34.10$40.84
OR$33.87$40.49
PA$32.59$40.84
PR$47.22—
RI$33.75$40.84
SC$35.18$40.84
SD$35.08$40.49
TN$35.18$40.84
TX$34.10$40.84
UT$37.26$40.84
VA$35.18$40.84
VI$42.87—
VT$33.75$40.84
WA$33.87$40.84
WI$35.57$40.84
WV$35.18$40.84
WY$37.26$40.49

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $42.79 to $52.19 depending on state and rural status.

Former-CBA payment limits: ceiling $43.47 · floor $36.95

StateNon-ruralRural
AK$42.79—
AL$43.47—
AR$43.47—
AZ$42.79—
CA$42.79—
CO$43.47—
CT$43.47—
DC$43.47—
DE$43.47—
FL$43.47—
GA$43.47—
HI$42.79—
IA$42.79—
ID$42.79—
IL$43.47—
IN$43.47—
KS$42.79—
KY$43.47—
LA$43.47—
MA$43.47—
MD$43.47—
ME$43.47—
MI$43.47—
MN$43.47—
MO$43.47—
MS$43.47—
MT$42.79—
NC$43.47—
ND$42.79—
NE$42.79—
NH$43.47—
NJ$43.47—
NM$43.47—
NV$42.79—
NY$43.47—
OH$43.47—
OK$43.47—
OR$42.79—
PA$43.47—
PR$52.19—
RI$43.47—
SC$43.47—
SD$42.79—
TN$43.47—
TX$43.47—
UT$43.47—
VA$43.47—
VI$43.47—
VT$43.47—
WA$43.47—
WI$43.47—
WV$43.47—
WY$42.79—
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 E2206 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

Related E-codes

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