E2211 — Manual wheelchair accessory, pneumatic propulsion tire, any size, each
HCPCS Level II E-code · short descriptor: “Pneumatic propulsion tire”
- 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.
E2211 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $39.76 to $115.06 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $109.26 | — |
| AL | $42.08 | $47.51 |
| AR | $42.08 | $47.67 |
| AZ | $40.47 | $47.50 |
| CA | $42.15 | $51.87 |
| CO | $40.03 | $51.87 |
| CT | $42.42 | $51.87 |
| DC | $41.32 | $51.87 |
| DE | $41.32 | $51.87 |
| FL | $42.08 | $51.87 |
| GA | $42.08 | $48.79 |
| HI | $115.06 | — |
| IA | $39.76 | $47.50 |
| ID | $40.03 | $47.50 |
| IL | $41.48 | $48.98 |
| IN | $41.48 | $47.50 |
| KS | $39.76 | $51.87 |
| KY | $42.08 | $51.87 |
| LA | $42.08 | $48.37 |
| MA | $42.42 | $51.87 |
| MD | $41.32 | $51.87 |
| ME | $42.42 | $51.87 |
| MI | $41.48 | $47.50 |
| MN | $39.76 | $47.50 |
| MO | $39.76 | $51.87 |
| MS | $42.08 | $47.50 |
| MT | $40.03 | $51.49 |
| NC | $42.08 | $51.87 |
| ND | $39.76 | $51.87 |
| NE | $39.76 | $51.87 |
| NH | $42.42 | $51.87 |
| NJ | $41.32 | $51.87 |
| NM | $40.47 | $51.87 |
| NV | $42.15 | $47.50 |
| NY | $41.32 | $49.27 |
| OH | $41.48 | $47.50 |
| OK | $40.47 | $51.87 |
| OR | $42.15 | $50.56 |
| PA | $41.32 | $47.50 |
| PR | $61.07 | — |
| RI | $42.42 | $51.87 |
| SC | $42.08 | $50.07 |
| SD | $39.76 | $51.87 |
| TN | $42.08 | $47.50 |
| TX | $40.47 | $47.50 |
| UT | $40.03 | $49.09 |
| VA | $42.08 | $51.87 |
| VI | $52.17 | — |
| VT | $42.42 | $51.87 |
| WA | $42.15 | $51.87 |
| WI | $41.48 | $51.87 |
| WV | $42.08 | $47.50 |
| WY | $40.03 | $47.50 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $49.56 to $178.90 depending on state and rural status.
Former-CBA payment limits: ceiling $58.31 · floor $49.56
| State | Non-rural | Rural |
|---|---|---|
| AK | $167.31 | — |
| AL | $49.61 | — |
| AR | $49.91 | — |
| AZ | $49.56 | — |
| CA | $58.31 | — |
| CO | $58.31 | — |
| CT | $58.31 | — |
| DC | $58.31 | — |
| DE | $58.31 | — |
| FL | $58.31 | — |
| GA | $52.17 | — |
| HI | $178.90 | — |
| IA | $49.56 | — |
| ID | $49.56 | — |
| IL | $52.53 | — |
| IN | $49.56 | — |
| KS | $58.31 | — |
| KY | $58.31 | — |
| LA | $51.30 | — |
| MA | $58.31 | — |
| MD | $58.31 | — |
| ME | $58.31 | — |
| MI | $49.56 | — |
| MN | $49.56 | — |
| MO | $58.31 | — |
| MS | $49.56 | — |
| MT | $57.55 | — |
| NC | $58.31 | — |
| ND | $58.31 | — |
| NE | $58.31 | — |
| NH | $58.31 | — |
| NJ | $58.31 | — |
| NM | $58.31 | — |
| NV | $49.56 | — |
| NY | $53.12 | — |
| OH | $49.56 | — |
| OK | $58.31 | — |
| OR | $55.70 | — |
| PA | $49.56 | — |
| PR | $70.95 | — |
| RI | $58.31 | — |
| SC | $54.72 | — |
| SD | $58.31 | — |
| TN | $49.56 | — |
| TX | $49.56 | — |
| UT | $52.75 | — |
| VA | $58.31 | — |
| VI | $53.12 | — |
| VT | $58.31 | — |
| WA | $58.31 | — |
| WI | $58.31 | — |
| WV | $49.56 | — |
| WY | $49.56 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $3.97 to $11.52 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $10.93 | — |
| AL | $4.21 | $5.13 |
| AR | $4.21 | $4.70 |
| AZ | $4.05 | $5.13 |
| CA | $4.21 | $5.13 |
| CO | $4.01 | $5.13 |
| CT | $4.24 | $5.13 |
| DC | $4.13 | $5.13 |
| DE | $4.13 | $5.13 |
| FL | $4.21 | $5.13 |
| GA | $4.21 | $4.87 |
| HI | $11.52 | — |
| IA | $3.97 | $4.72 |
| ID | $4.01 | $4.70 |
| IL | $4.15 | $4.90 |
| IN | $4.15 | $4.70 |
| KS | $3.97 | $5.13 |
| KY | $4.21 | $5.13 |
| LA | $4.21 | $4.84 |
| MA | $4.24 | $5.09 |
| MD | $4.13 | $5.13 |
| ME | $4.24 | $5.13 |
| MI | $4.15 | $4.70 |
| MN | $3.97 | $4.70 |
| MO | $3.97 | $5.13 |
| MS | $4.21 | $4.70 |
| MT | $4.01 | $5.13 |
| NC | $4.21 | $5.13 |
| ND | $3.97 | $5.13 |
| NE | $3.97 | $5.13 |
| NH | $4.24 | $5.09 |
| NJ | $4.13 | $5.13 |
| NM | $4.05 | $5.13 |
| NV | $4.21 | $5.13 |
| NY | $4.13 | $4.94 |
| OH | $4.15 | $4.70 |
| OK | $4.05 | $5.13 |
| OR | $4.21 | $5.06 |
| PA | $4.13 | $4.70 |
| PR | $7.00 | — |
| RI | $4.24 | $5.06 |
| SC | $4.21 | $5.01 |
| SD | $3.97 | $5.13 |
| TN | $4.21 | $4.70 |
| TX | $4.05 | $4.70 |
| UT | $4.01 | $4.92 |
| VA | $4.21 | $5.13 |
| VI | $5.23 | — |
| VT | $4.24 | $5.13 |
| WA | $4.21 | $5.06 |
| WI | $4.15 | $5.13 |
| WV | $4.21 | $4.70 |
| WY | $4.01 | $4.70 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $4.85 to $17.92 depending on state and rural status.
Former-CBA payment limits: ceiling $5.71 · floor $4.85
| State | Non-rural | Rural |
|---|---|---|
| AK | $16.73 | — |
| AL | $5.71 | — |
| AR | $4.85 | — |
| AZ | $5.71 | — |
| CA | $5.71 | — |
| CO | $5.71 | — |
| CT | $5.71 | — |
| DC | $5.71 | — |
| DE | $5.71 | — |
| FL | $5.71 | — |
| GA | $5.19 | — |
| HI | $17.92 | — |
| IA | $4.90 | — |
| ID | $4.87 | — |
| IL | $5.26 | — |
| IN | $4.85 | — |
| KS | $5.71 | — |
| KY | $5.71 | — |
| LA | $5.12 | — |
| MA | $5.63 | — |
| MD | $5.71 | — |
| ME | $5.71 | — |
| MI | $4.85 | — |
| MN | $4.85 | — |
| MO | $5.71 | — |
| MS | $4.85 | — |
| MT | $5.71 | — |
| NC | $5.71 | — |
| ND | $5.71 | — |
| NE | $5.71 | — |
| NH | $5.63 | — |
| NJ | $5.71 | — |
| NM | $5.71 | — |
| NV | $5.71 | — |
| NY | $5.33 | — |
| OH | $4.85 | — |
| OK | $5.71 | — |
| OR | $5.59 | — |
| PA | $4.85 | — |
| PR | $8.86 | — |
| RI | $5.58 | — |
| SC | $5.48 | — |
| SD | $5.71 | — |
| TN | $4.85 | — |
| TX | $4.85 | — |
| UT | $5.31 | — |
| VA | $5.71 | — |
| VI | $5.33 | — |
| VT | $5.71 | — |
| WA | $5.59 | — |
| WI | $5.71 | — |
| WV | $4.85 | — |
| WY | $4.85 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $29.82 to $86.30 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $81.95 | — |
| AL | $31.56 | $34.79 |
| AR | $31.56 | $35.75 |
| AZ | $30.35 | $34.79 |
| CA | $31.62 | $37.92 |
| CO | $30.02 | $37.92 |
| CT | $31.82 | $37.92 |
| DC | $30.99 | $37.92 |
| DE | $30.99 | $37.92 |
| FL | $31.56 | $37.92 |
| GA | $31.56 | $35.38 |
| HI | $86.30 | — |
| IA | $29.82 | $35.26 |
| ID | $30.02 | $35.17 |
| IL | $31.11 | $36.75 |
| IN | $31.11 | $34.79 |
| KS | $29.82 | $37.92 |
| KY | $31.56 | $37.92 |
| LA | $31.56 | $36.26 |
| MA | $31.82 | $37.92 |
| MD | $30.99 | $37.92 |
| ME | $31.82 | $37.92 |
| MI | $31.11 | $34.79 |
| MN | $29.82 | $34.79 |
| MO | $29.82 | $37.92 |
| MS | $31.56 | $34.79 |
| MT | $30.02 | $37.92 |
| NC | $31.56 | $37.92 |
| ND | $29.82 | $37.92 |
| NE | $29.82 | $37.92 |
| NH | $31.82 | $37.92 |
| NJ | $30.99 | $37.92 |
| NM | $30.35 | $37.92 |
| NV | $31.62 | $34.79 |
| NY | $30.99 | $36.96 |
| OH | $31.11 | $34.79 |
| OK | $30.35 | $37.92 |
| OR | $31.62 | $37.92 |
| PA | $30.99 | $34.79 |
| PR | $45.81 | — |
| RI | $31.82 | $37.92 |
| SC | $31.56 | $37.56 |
| SD | $29.82 | $37.92 |
| TN | $31.56 | $34.81 |
| TX | $30.35 | $34.79 |
| UT | $30.02 | $36.82 |
| VA | $31.56 | $37.57 |
| VI | $39.14 | — |
| VT | $31.82 | $37.92 |
| WA | $31.62 | $37.92 |
| WI | $31.11 | $35.30 |
| WV | $31.56 | $34.79 |
| WY | $30.02 | $34.79 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $35.50 to $134.18 depending on state and rural status.
Former-CBA payment limits: ceiling $41.77 · floor $35.50
| State | Non-rural | Rural |
|---|---|---|
| AK | $125.47 | — |
| AL | $35.50 | — |
| AR | $37.41 | — |
| AZ | $35.50 | — |
| CA | $41.77 | — |
| CO | $41.77 | — |
| CT | $41.77 | — |
| DC | $41.77 | — |
| DE | $41.77 | — |
| FL | $41.77 | — |
| GA | $36.70 | — |
| HI | $134.18 | — |
| IA | $36.43 | — |
| ID | $36.26 | — |
| IL | $39.42 | — |
| IN | $35.50 | — |
| KS | $41.77 | — |
| KY | $41.77 | — |
| LA | $38.44 | — |
| MA | $41.77 | — |
| MD | $41.77 | — |
| ME | $41.77 | — |
| MI | $35.50 | — |
| MN | $35.50 | — |
| MO | $41.77 | — |
| MS | $35.50 | — |
| MT | $41.77 | — |
| NC | $41.77 | — |
| ND | $41.77 | — |
| NE | $41.77 | — |
| NH | $41.77 | — |
| NJ | $41.77 | — |
| NM | $41.77 | — |
| NV | $35.50 | — |
| NY | $39.86 | — |
| OH | $35.50 | — |
| OK | $41.77 | — |
| OR | $41.77 | — |
| PA | $35.50 | — |
| PR | $53.22 | — |
| RI | $41.77 | — |
| SC | $41.06 | — |
| SD | $41.77 | — |
| TN | $35.57 | — |
| TX | $35.50 | — |
| UT | $39.58 | — |
| VA | $41.07 | — |
| VI | $39.86 | — |
| VT | $41.77 | — |
| WA | $41.77 | — |
| WI | $36.54 | — |
| WV | $35.50 | — |
| WY | $35.50 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E2211 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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