MyMedi-AI

E2213 — Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each

HCPCS Level II E-code · short descriptor: “Pneumatic prop tire insert”

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.

E2213 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $33.77 to $47.12 depending on state and rural status.

StateNon-ruralRural
AK$42.44—
AL$35.76$41.52
AR$35.76$41.52
AZ$35.51$41.16
CA$33.77$41.16
CO$35.86$41.52
CT$37.82$41.52
DC$36.37$41.52
DE$36.37$41.51
FL$35.76$41.51
GA$35.76$41.52
HI$42.44—
IA$35.95$41.16
ID$35.86$41.16
IL$37.18$41.52
IN$37.18$41.52
KS$35.95$41.16
KY$35.76$41.52
LA$35.76$41.52
MA$37.82$41.52
MD$36.37$41.52
ME$37.82$41.52
MI$37.18$41.52
MN$35.95$41.52
MO$35.95$41.52
MS$35.76$41.52
MT$35.86$41.16
NC$35.76$41.52
ND$35.95$41.16
NE$35.95$41.16
NH$37.82$41.51
NJ$36.37$41.51
NM$35.51$41.52
NV$33.77$41.16
NY$36.37$41.51
OH$37.18$41.52
OK$35.51$41.52
OR$33.77$41.16
PA$36.37$41.51
PR$47.12—
RI$37.82$41.51
SC$35.76$41.52
SD$35.95$41.16
TN$35.76$41.52
TX$35.51$41.51
UT$35.86$41.52
VA$35.76$41.52
VI$42.80—
VT$37.82$41.52
WA$33.77$41.52
WI$37.18$41.52
WV$35.76$41.52
WY$35.86$41.16

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $42.63 to $51.96 depending on state and rural status.

Former-CBA payment limits: ceiling $43.36 · floor $36.86

StateNon-ruralRural
AK$42.63—
AL$43.36—
AR$43.36—
AZ$42.63—
CA$42.63—
CO$43.36—
CT$43.36—
DC$43.36—
DE$43.36—
FL$43.36—
GA$43.36—
HI$42.63—
IA$42.63—
ID$42.63—
IL$43.36—
IN$43.36—
KS$42.63—
KY$43.36—
LA$43.36—
MA$43.36—
MD$43.36—
ME$43.36—
MI$43.36—
MN$43.36—
MO$43.36—
MS$43.36—
MT$42.63—
NC$43.36—
ND$42.63—
NE$42.63—
NH$43.36—
NJ$43.36—
NM$43.36—
NV$42.63—
NY$43.36—
OH$43.36—
OK$43.36—
OR$42.63—
PA$43.36—
PR$51.96—
RI$43.36—
SC$43.36—
SD$42.63—
TN$43.36—
TX$43.36—
UT$43.36—
VA$43.36—
VI$43.36—
VT$43.36—
WA$43.36—
WI$43.36—
WV$43.36—
WY$42.63—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $3.38 to $4.71 depending on state and rural status.

StateNon-ruralRural
AK$4.26—
AL$3.58$4.16
AR$3.58$4.16
AZ$3.55$4.14
CA$3.38$4.14
CO$3.59$4.16
CT$3.78$4.16
DC$3.64$4.16
DE$3.64$4.16
FL$3.58$4.16
GA$3.58$4.16
HI$4.26—
IA$3.59$4.14
ID$3.59$4.14
IL$3.72$4.16
IN$3.72$4.16
KS$3.59$4.14
KY$3.58$4.16
LA$3.58$4.16
MA$3.78$4.16
MD$3.64$4.16
ME$3.78$4.16
MI$3.72$4.16
MN$3.59$4.16
MO$3.59$4.16
MS$3.58$4.16
MT$3.59$4.14
NC$3.58$4.16
ND$3.59$4.14
NE$3.59$4.14
NH$3.78$4.16
NJ$3.64$4.16
NM$3.55$4.16
NV$3.38$4.14
NY$3.64$4.16
OH$3.72$4.16
OK$3.55$4.16
OR$3.38$4.14
PA$3.64$4.16
PR$4.71—
RI$3.78$4.16
SC$3.58$4.16
SD$3.59$4.14
TN$3.58$4.16
TX$3.55$4.16
UT$3.59$4.16
VA$3.58$4.16
VI$4.29—
VT$3.78$4.16
WA$3.38$4.16
WI$3.72$4.16
WV$3.58$4.16
WY$3.59$4.14

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $4.30 to $5.20 depending on state and rural status.

Former-CBA payment limits: ceiling $4.37 · floor $3.71

StateNon-ruralRural
AK$4.30—
AL$4.37—
AR$4.37—
AZ$4.30—
CA$4.30—
CO$4.37—
CT$4.37—
DC$4.37—
DE$4.37—
FL$4.37—
GA$4.37—
HI$4.30—
IA$4.30—
ID$4.30—
IL$4.37—
IN$4.37—
KS$4.30—
KY$4.37—
LA$4.37—
MA$4.37—
MD$4.37—
ME$4.37—
MI$4.37—
MN$4.37—
MO$4.37—
MS$4.37—
MT$4.30—
NC$4.37—
ND$4.30—
NE$4.30—
NH$4.37—
NJ$4.37—
NM$4.37—
NV$4.30—
NY$4.37—
OH$4.37—
OK$4.37—
OR$4.30—
PA$4.37—
PR$5.20—
RI$4.37—
SC$4.37—
SD$4.30—
TN$4.37—
TX$4.37—
UT$4.37—
VA$4.37—
VI$4.37—
VT$4.37—
WA$4.37—
WI$4.37—
WV$4.37—
WY$4.30—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $25.33 to $35.35 depending on state and rural status.

StateNon-ruralRural
AK$31.81—
AL$26.82$31.13
AR$26.82$31.13
AZ$26.63$30.85
CA$25.33$30.85
CO$26.90$31.13
CT$28.37$31.13
DC$27.28$31.13
DE$27.28$31.12
FL$26.82$31.12
GA$26.82$31.13
HI$31.81—
IA$26.96$30.85
ID$26.90$30.85
IL$27.89$31.13
IN$27.89$31.13
KS$26.96$30.85
KY$26.82$31.13
LA$26.82$31.13
MA$28.37$31.13
MD$27.28$31.13
ME$28.37$31.13
MI$27.89$31.13
MN$26.96$31.13
MO$26.96$31.13
MS$26.82$31.13
MT$26.90$30.85
NC$26.82$31.13
ND$26.96$30.85
NE$26.96$30.85
NH$28.37$31.12
NJ$27.28$31.12
NM$26.63$31.13
NV$25.33$30.85
NY$27.28$31.12
OH$27.89$31.13
OK$26.63$31.13
OR$25.33$30.85
PA$27.28$31.12
PR$35.35—
RI$28.37$31.12
SC$26.82$31.13
SD$26.96$30.85
TN$26.82$31.13
TX$26.63$31.12
UT$26.90$31.13
VA$26.82$31.13
VI$32.08—
VT$28.37$31.13
WA$25.33$31.13
WI$27.89$31.13
WV$26.82$31.13
WY$26.90$30.85

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $31.91 to $39.00 depending on state and rural status.

Former-CBA payment limits: ceiling $32.50 · floor $27.63

StateNon-ruralRural
AK$31.91—
AL$32.50—
AR$32.50—
AZ$31.91—
CA$31.91—
CO$32.50—
CT$32.50—
DC$32.50—
DE$32.49—
FL$32.49—
GA$32.50—
HI$31.91—
IA$31.91—
ID$31.91—
IL$32.50—
IN$32.50—
KS$31.91—
KY$32.50—
LA$32.50—
MA$32.50—
MD$32.50—
ME$32.50—
MI$32.50—
MN$32.50—
MO$32.50—
MS$32.50—
MT$31.91—
NC$32.50—
ND$31.91—
NE$31.91—
NH$32.49—
NJ$32.49—
NM$32.50—
NV$31.91—
NY$32.49—
OH$32.50—
OK$32.50—
OR$31.91—
PA$32.49—
PR$39.00—
RI$32.49—
SC$32.50—
SD$31.91—
TN$32.50—
TX$32.49—
UT$32.50—
VA$32.50—
VI$32.49—
VT$32.50—
WA$32.50—
WI$32.50—
WV$32.50—
WY$31.91—
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 E2213 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

E2201E2202E2203E2204E2205E2206E2207E2208E2209E2210E2211E2212

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