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
- 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.
E2213 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $33.77 to $47.12 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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.
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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.
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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 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
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