E2212 — Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each
HCPCS Level II E-code · short descriptor: “Pneumatic prop tire tube”
- 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.
E2212 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $7.01 to $9.20 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $8.23 | — |
| AL | $7.50 | $8.35 |
| AR | $7.50 | $8.35 |
| AZ | $7.45 | $8.23 |
| CA | $7.01 | $8.23 |
| CO | $7.52 | $8.35 |
| CT | $7.89 | $8.35 |
| DC | $7.31 | $8.35 |
| DE | $7.31 | $8.35 |
| FL | $7.50 | $8.35 |
| GA | $7.50 | $8.35 |
| HI | $8.23 | — |
| IA | $7.73 | $8.23 |
| ID | $7.52 | $8.23 |
| IL | $7.99 | $8.35 |
| IN | $7.99 | $8.35 |
| KS | $7.73 | $8.23 |
| KY | $7.50 | $8.35 |
| LA | $7.50 | $8.35 |
| MA | $7.89 | $8.35 |
| MD | $7.31 | $8.35 |
| ME | $7.89 | $8.35 |
| MI | $7.99 | $8.35 |
| MN | $7.73 | $8.35 |
| MO | $7.73 | $8.35 |
| MS | $7.50 | $8.35 |
| MT | $7.52 | $8.23 |
| NC | $7.50 | $8.35 |
| ND | $7.73 | $8.23 |
| NE | $7.73 | $8.23 |
| NH | $7.89 | $8.35 |
| NJ | $7.31 | $8.35 |
| NM | $7.45 | $8.35 |
| NV | $7.01 | $8.23 |
| NY | $7.31 | $8.35 |
| OH | $7.99 | $8.35 |
| OK | $7.45 | $8.35 |
| OR | $7.01 | $8.23 |
| PA | $7.31 | $8.35 |
| PR | $9.20 | — |
| RI | $7.89 | $8.35 |
| SC | $7.50 | $8.35 |
| SD | $7.73 | $8.23 |
| TN | $7.50 | $8.35 |
| TX | $7.45 | $8.35 |
| UT | $7.52 | $8.35 |
| VA | $7.50 | $8.35 |
| VI | $8.35 | — |
| VT | $7.89 | $8.35 |
| WA | $7.01 | $8.35 |
| WI | $7.99 | $8.35 |
| WV | $7.50 | $8.35 |
| WY | $7.52 | $8.23 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $8.21 to $10.06 depending on state and rural status.
Former-CBA payment limits: ceiling $8.35 · floor $7.10
| State | Non-rural | Rural |
|---|---|---|
| AK | $8.21 | — |
| AL | $8.35 | — |
| AR | $8.35 | — |
| AZ | $8.21 | — |
| CA | $8.21 | — |
| CO | $8.35 | — |
| CT | $8.35 | — |
| DC | $8.35 | — |
| DE | $8.35 | — |
| FL | $8.35 | — |
| GA | $8.35 | — |
| HI | $8.21 | — |
| IA | $8.21 | — |
| ID | $8.21 | — |
| IL | $8.35 | — |
| IN | $8.35 | — |
| KS | $8.21 | — |
| KY | $8.35 | — |
| LA | $8.35 | — |
| MA | $8.35 | — |
| MD | $8.35 | — |
| ME | $8.35 | — |
| MI | $8.35 | — |
| MN | $8.35 | — |
| MO | $8.35 | — |
| MS | $8.35 | — |
| MT | $8.21 | — |
| NC | $8.35 | — |
| ND | $8.21 | — |
| NE | $8.21 | — |
| NH | $8.35 | — |
| NJ | $8.35 | — |
| NM | $8.35 | — |
| NV | $8.21 | — |
| NY | $8.35 | — |
| OH | $8.35 | — |
| OK | $8.35 | — |
| OR | $8.21 | — |
| PA | $8.35 | — |
| PR | $10.06 | — |
| RI | $8.35 | — |
| SC | $8.35 | — |
| SD | $8.21 | — |
| TN | $8.35 | — |
| TX | $8.35 | — |
| UT | $8.35 | — |
| VA | $8.35 | — |
| VI | $8.35 | — |
| VT | $8.35 | — |
| WA | $8.35 | — |
| WI | $8.35 | — |
| WV | $8.35 | — |
| WY | $8.21 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $0.70 to $0.94 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $0.86 | — |
| AL | $0.75 | $0.86 |
| AR | $0.75 | $0.86 |
| AZ | $0.75 | $0.86 |
| CA | $0.70 | $0.86 |
| CO | $0.75 | $0.86 |
| CT | $0.79 | $0.86 |
| DC | $0.73 | $0.86 |
| DE | $0.73 | $0.86 |
| FL | $0.75 | $0.86 |
| GA | $0.75 | $0.86 |
| HI | $0.86 | — |
| IA | $0.77 | $0.86 |
| ID | $0.75 | $0.86 |
| IL | $0.80 | $0.86 |
| IN | $0.80 | $0.86 |
| KS | $0.77 | $0.86 |
| KY | $0.75 | $0.86 |
| LA | $0.75 | $0.86 |
| MA | $0.79 | $0.86 |
| MD | $0.73 | $0.86 |
| ME | $0.79 | $0.86 |
| MI | $0.80 | $0.86 |
| MN | $0.77 | $0.86 |
| MO | $0.77 | $0.86 |
| MS | $0.75 | $0.86 |
| MT | $0.75 | $0.86 |
| NC | $0.75 | $0.86 |
| ND | $0.77 | $0.86 |
| NE | $0.77 | $0.86 |
| NH | $0.79 | $0.86 |
| NJ | $0.73 | $0.86 |
| NM | $0.75 | $0.86 |
| NV | $0.70 | $0.86 |
| NY | $0.73 | $0.86 |
| OH | $0.80 | $0.86 |
| OK | $0.75 | $0.86 |
| OR | $0.70 | $0.86 |
| PA | $0.73 | $0.86 |
| PR | $0.94 | — |
| RI | $0.79 | $0.86 |
| SC | $0.75 | $0.86 |
| SD | $0.77 | $0.86 |
| TN | $0.75 | $0.86 |
| TX | $0.75 | $0.86 |
| UT | $0.75 | $0.86 |
| VA | $0.75 | $0.86 |
| VI | $0.86 | — |
| VT | $0.79 | $0.86 |
| WA | $0.70 | $0.86 |
| WI | $0.80 | $0.86 |
| WV | $0.75 | $0.86 |
| WY | $0.75 | $0.86 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $0.90 to $1.05 depending on state and rural status.
Former-CBA payment limits: ceiling $0.90 · floor $0.77
| State | Non-rural | Rural |
|---|---|---|
| AK | $0.90 | — |
| AL | $0.90 | — |
| AR | $0.90 | — |
| AZ | $0.90 | — |
| CA | $0.90 | — |
| CO | $0.90 | — |
| CT | $0.90 | — |
| DC | $0.90 | — |
| DE | $0.90 | — |
| FL | $0.90 | — |
| GA | $0.90 | — |
| HI | $0.90 | — |
| IA | $0.90 | — |
| ID | $0.90 | — |
| IL | $0.90 | — |
| IN | $0.90 | — |
| KS | $0.90 | — |
| KY | $0.90 | — |
| LA | $0.90 | — |
| MA | $0.90 | — |
| MD | $0.90 | — |
| ME | $0.90 | — |
| MI | $0.90 | — |
| MN | $0.90 | — |
| MO | $0.90 | — |
| MS | $0.90 | — |
| MT | $0.90 | — |
| NC | $0.90 | — |
| ND | $0.90 | — |
| NE | $0.90 | — |
| NH | $0.90 | — |
| NJ | $0.90 | — |
| NM | $0.90 | — |
| NV | $0.90 | — |
| NY | $0.90 | — |
| OH | $0.90 | — |
| OK | $0.90 | — |
| OR | $0.90 | — |
| PA | $0.90 | — |
| PR | $1.05 | — |
| RI | $0.90 | — |
| SC | $0.90 | — |
| SD | $0.90 | — |
| TN | $0.90 | — |
| TX | $0.90 | — |
| UT | $0.90 | — |
| VA | $0.90 | — |
| VI | $0.90 | — |
| VT | $0.90 | — |
| WA | $0.90 | — |
| WI | $0.90 | — |
| WV | $0.90 | — |
| WY | $0.90 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $5.26 to $6.90 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $6.20 | — |
| AL | $5.63 | $6.27 |
| AR | $5.63 | $6.27 |
| AZ | $5.59 | $6.20 |
| CA | $5.26 | $6.20 |
| CO | $5.64 | $6.27 |
| CT | $5.92 | $6.27 |
| DC | $5.49 | $6.27 |
| DE | $5.49 | $6.27 |
| FL | $5.63 | $6.27 |
| GA | $5.63 | $6.27 |
| HI | $6.20 | — |
| IA | $5.80 | $6.20 |
| ID | $5.64 | $6.20 |
| IL | $6.00 | $6.27 |
| IN | $6.00 | $6.27 |
| KS | $5.80 | $6.20 |
| KY | $5.63 | $6.27 |
| LA | $5.63 | $6.27 |
| MA | $5.92 | $6.27 |
| MD | $5.49 | $6.27 |
| ME | $5.92 | $6.27 |
| MI | $6.00 | $6.27 |
| MN | $5.80 | $6.27 |
| MO | $5.80 | $6.27 |
| MS | $5.63 | $6.27 |
| MT | $5.64 | $6.20 |
| NC | $5.63 | $6.27 |
| ND | $5.80 | $6.20 |
| NE | $5.80 | $6.20 |
| NH | $5.92 | $6.27 |
| NJ | $5.49 | $6.27 |
| NM | $5.59 | $6.27 |
| NV | $5.26 | $6.20 |
| NY | $5.49 | $6.27 |
| OH | $6.00 | $6.27 |
| OK | $5.59 | $6.27 |
| OR | $5.26 | $6.20 |
| PA | $5.49 | $6.27 |
| PR | $6.90 | — |
| RI | $5.92 | $6.27 |
| SC | $5.63 | $6.27 |
| SD | $5.80 | $6.20 |
| TN | $5.63 | $6.27 |
| TX | $5.59 | $6.27 |
| UT | $5.64 | $6.27 |
| VA | $5.63 | $6.27 |
| VI | $6.27 | — |
| VT | $5.92 | $6.27 |
| WA | $5.26 | $6.27 |
| WI | $6.00 | $6.27 |
| WV | $5.63 | $6.27 |
| WY | $5.64 | $6.20 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $6.19 to $7.58 depending on state and rural status.
Former-CBA payment limits: ceiling $6.28 · floor $5.34
| State | Non-rural | Rural |
|---|---|---|
| AK | $6.19 | — |
| AL | $6.28 | — |
| AR | $6.28 | — |
| AZ | $6.19 | — |
| CA | $6.19 | — |
| CO | $6.28 | — |
| CT | $6.28 | — |
| DC | $6.28 | — |
| DE | $6.28 | — |
| FL | $6.28 | — |
| GA | $6.28 | — |
| HI | $6.19 | — |
| IA | $6.19 | — |
| ID | $6.19 | — |
| IL | $6.28 | — |
| IN | $6.28 | — |
| KS | $6.19 | — |
| KY | $6.28 | — |
| LA | $6.28 | — |
| MA | $6.28 | — |
| MD | $6.28 | — |
| ME | $6.28 | — |
| MI | $6.28 | — |
| MN | $6.28 | — |
| MO | $6.28 | — |
| MS | $6.28 | — |
| MT | $6.19 | — |
| NC | $6.28 | — |
| ND | $6.19 | — |
| NE | $6.19 | — |
| NH | $6.28 | — |
| NJ | $6.28 | — |
| NM | $6.28 | — |
| NV | $6.19 | — |
| NY | $6.28 | — |
| OH | $6.28 | — |
| OK | $6.28 | — |
| OR | $6.19 | — |
| PA | $6.28 | — |
| PR | $7.58 | — |
| RI | $6.28 | — |
| SC | $6.28 | — |
| SD | $6.19 | — |
| TN | $6.28 | — |
| TX | $6.28 | — |
| UT | $6.28 | — |
| VA | $6.28 | — |
| VI | $6.28 | — |
| VT | $6.28 | — |
| WA | $6.28 | — |
| WI | $6.28 | — |
| WV | $6.28 | — |
| WY | $6.19 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E2212 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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