MyMedi-AI

E2214 — Manual wheelchair accessory, pneumatic caster tire, any size, each

HCPCS Level II E-code · short descriptor: “Pneumatic caster tire each”

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.

E2214 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $38.09 to $60.83 depending on state and rural status.

StateNon-ruralRural
AK$60.83—
AL$38.09$43.62
AR$38.09$47.50
AZ$38.27$43.62
CA$38.84$47.50
CO$40.71$47.50
CT$42.44$43.62
DC$39.03$47.50
DE$39.03$47.50
FL$38.09$43.62
GA$38.09$43.62
HI$57.51—
IA$40.64$47.50
ID$40.71$47.50
IL$40.73$43.62
IN$40.73$47.50
KS$40.64$43.62
KY$38.09$43.62
LA$38.09$47.50
MA$42.44$47.50
MD$39.03$44.73
ME$42.44$47.50
MI$40.73$47.50
MN$40.64$47.50
MO$40.64$47.50
MS$38.09$43.62
MT$40.71$47.50
NC$38.09$43.62
ND$40.64$47.50
NE$40.64$43.62
NH$42.44$47.50
NJ$39.03$47.50
NM$38.27$47.50
NV$38.84$43.81
NY$39.03$43.62
OH$40.73$43.62
OK$38.27$47.50
OR$38.84$43.62
PA$39.03$47.50
PR$52.41—
RI$42.44$47.50
SC$38.09$43.62
SD$40.64$47.50
TN$38.09$43.62
TX$38.27$43.62
UT$40.71$43.62
VA$38.09$43.62
VI$43.62—
VT$42.44$47.50
WA$38.84$47.50
WI$40.73$47.50
WV$38.09$43.62
WY$40.71$47.50

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $43.61 to $70.60 depending on state and rural status.

Former-CBA payment limits: ceiling $51.30 · floor $43.61

StateNon-ruralRural
AK$70.60—
AL$43.61—
AR$51.30—
AZ$43.61—
CA$51.30—
CO$51.30—
CT$43.61—
DC$51.30—
DE$51.30—
FL$43.61—
GA$43.61—
HI$63.98—
IA$51.30—
ID$51.30—
IL$43.61—
IN$51.30—
KS$43.61—
KY$43.61—
LA$51.30—
MA$51.30—
MD$45.77—
ME$51.30—
MI$51.30—
MN$51.30—
MO$51.30—
MS$43.61—
MT$51.30—
NC$43.62—
ND$51.30—
NE$43.61—
NH$51.30—
NJ$51.30—
NM$51.30—
NV$43.93—
NY$43.61—
OH$43.61—
OK$51.30—
OR$43.61—
PA$51.30—
PR$53.78—
RI$51.30—
SC$43.61—
SD$51.30—
TN$43.62—
TX$43.61—
UT$43.61—
VA$43.61—
VI$43.61—
VT$51.30—
WA$51.30—
WI$51.30—
WV$43.61—
WY$51.30—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $3.81 to $6.08 depending on state and rural status.

StateNon-ruralRural
AK$6.08—
AL$3.81$5.00
AR$3.81$5.00
AZ$3.83$5.00
CA$3.89$5.00
CO$4.08$5.00
CT$4.25$4.58
DC$3.90$5.00
DE$3.90$5.00
FL$3.81$4.58
GA$3.81$4.58
HI$5.75—
IA$4.07$5.00
ID$4.08$4.90
IL$4.07$4.58
IN$4.07$5.00
KS$4.07$4.58
KY$3.81$4.58
LA$3.81$5.00
MA$4.25$5.00
MD$3.90$4.58
ME$4.25$5.00
MI$4.07$5.00
MN$4.07$5.00
MO$4.07$5.00
MS$3.81$4.58
MT$4.08$5.00
NC$3.81$4.58
ND$4.07$4.75
NE$4.07$4.58
NH$4.25$5.00
NJ$3.90$5.00
NM$3.83$5.00
NV$3.89$5.00
NY$3.90$4.58
OH$4.07$4.58
OK$3.83$5.00
OR$3.89$4.58
PA$3.90$4.81
PR$5.24—
RI$4.25$5.00
SC$3.81$4.58
SD$4.07$4.75
TN$3.81$4.58
TX$3.83$4.58
UT$4.08$5.00
VA$3.81$4.58
VI$4.79—
VT$4.25$5.00
WA$3.89$4.58
WI$4.07$5.00
WV$3.81$4.58
WY$4.08$4.75

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $4.79 to $7.05 depending on state and rural status.

Former-CBA payment limits: ceiling $5.63 · floor $4.79

StateNon-ruralRural
AK$7.05—
AL$5.63—
AR$5.63—
AZ$5.63—
CA$5.63—
CO$5.63—
CT$4.79—
DC$5.63—
DE$5.63—
FL$4.79—
GA$4.79—
HI$6.41—
IA$5.63—
ID$5.45—
IL$4.79—
IN$5.63—
KS$4.79—
KY$4.79—
LA$5.63—
MA$5.63—
MD$4.79—
ME$5.63—
MI$5.63—
MN$5.63—
MO$5.63—
MS$4.79—
MT$5.63—
NC$4.79—
ND$5.12—
NE$4.79—
NH$5.63—
NJ$5.63—
NM$5.63—
NV$5.63—
NY$4.79—
OH$4.79—
OK$5.63—
OR$4.79—
PA$5.26—
PR$5.38—
RI$5.63—
SC$4.79—
SD$5.12—
TN$4.79—
TX$4.79—
UT$5.63—
VA$4.79—
VI$4.79—
VT$5.63—
WA$4.79—
WI$5.63—
WV$4.79—
WY$5.12—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $28.57 to $45.62 depending on state and rural status.

StateNon-ruralRural
AK$45.62—
AL$28.57$33.81
AR$28.57$35.61
AZ$28.71$32.69
CA$29.13$35.61
CO$30.54$35.61
CT$31.83$32.69
DC$29.28$35.61
DE$29.28$35.61
FL$28.57$32.69
GA$28.57$32.69
HI$43.12—
IA$30.48$35.61
ID$30.54$35.61
IL$30.55$32.69
IN$30.55$35.61
KS$30.48$32.69
KY$28.57$32.69
LA$28.57$35.61
MA$31.83$35.61
MD$29.28$33.56
ME$31.83$35.61
MI$30.55$35.61
MN$30.48$35.61
MO$30.48$35.61
MS$28.57$32.69
MT$30.54$35.61
NC$28.57$32.74
ND$30.48$35.61
NE$30.48$32.69
NH$31.83$35.61
NJ$29.28$35.61
NM$28.71$35.61
NV$29.13$32.85
NY$29.28$32.69
OH$30.55$32.69
OK$28.71$35.61
OR$29.13$32.69
PA$29.28$35.61
PR$39.33—
RI$31.83$35.61
SC$28.57$32.69
SD$30.48$35.61
TN$28.57$32.74
TX$28.71$32.69
UT$30.54$32.69
VA$28.57$32.69
VI$32.69—
VT$31.83$35.61
WA$29.13$35.61
WI$30.55$35.61
WV$28.57$32.69
WY$30.54$35.61

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $32.67 to $52.99 depending on state and rural status.

Former-CBA payment limits: ceiling $38.44 · floor $32.67

StateNon-ruralRural
AK$52.99—
AL$34.84—
AR$38.44—
AZ$32.67—
CA$38.44—
CO$38.44—
CT$32.67—
DC$38.44—
DE$38.44—
FL$32.67—
GA$32.67—
HI$47.95—
IA$38.44—
ID$38.44—
IL$32.67—
IN$38.44—
KS$32.67—
KY$32.67—
LA$38.44—
MA$38.44—
MD$34.36—
ME$38.44—
MI$38.44—
MN$38.44—
MO$38.44—
MS$32.67—
MT$38.44—
NC$32.72—
ND$38.44—
NE$32.67—
NH$38.44—
NJ$38.44—
NM$38.44—
NV$32.94—
NY$32.67—
OH$32.67—
OK$38.44—
OR$32.67—
PA$38.44—
PR$40.38—
RI$38.44—
SC$32.67—
SD$38.44—
TN$32.72—
TX$32.67—
UT$32.67—
VA$32.67—
VI$32.67—
VT$38.44—
WA$38.44—
WI$38.44—
WV$32.67—
WY$38.44—
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 E2214 at 2 units per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Nature of Equipment.

Common denial codes to watch

CO-50 medical necessityCO-151 frequency/units

Related E-codes

E2201E2202E2203E2204E2205E2206E2207E2208E2209E2210E2211E2212

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