MyMedi-AI

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
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.

E2212 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $7.01 to $9.20 depending on state and rural status.

StateNon-ruralRural
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

StateNon-ruralRural
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.

StateNon-ruralRural
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

StateNon-ruralRural
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.

StateNon-ruralRural
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

StateNon-ruralRural
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
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

Bill E2212 with confidence

MyMedi-AI scrubs whole claims against NCCI pairs, MUE limits, modifier rules, and PA flags before you submit — built for DME teams, no PHI stored on our servers.

Start free trial   Run a CMS-0057-F readiness check

Prefer DIY compliance? Self-audit documentation kits for DME suppliers →