E2215 — Manual wheelchair accessory, tube for pneumatic caster tire, any size, each
HCPCS Level II E-code · short descriptor: “Pneumatic caster 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.
E2215 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $11.75 to $15.07 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $13.46 | — |
| AL | $12.34 | $13.67 |
| AR | $12.34 | $13.67 |
| AZ | $12.12 | $13.46 |
| CA | $11.75 | $13.46 |
| CO | $12.48 | $13.67 |
| CT | $12.95 | $13.67 |
| DC | $12.20 | $13.67 |
| DE | $12.20 | $13.67 |
| FL | $12.34 | $13.67 |
| GA | $12.34 | $13.67 |
| HI | $13.46 | — |
| IA | $12.84 | $13.46 |
| ID | $12.48 | $13.46 |
| IL | $12.83 | $13.67 |
| IN | $12.83 | $13.67 |
| KS | $12.84 | $13.46 |
| KY | $12.34 | $13.67 |
| LA | $12.34 | $13.67 |
| MA | $12.95 | $13.67 |
| MD | $12.20 | $13.67 |
| ME | $12.95 | $13.67 |
| MI | $12.83 | $13.67 |
| MN | $12.84 | $13.67 |
| MO | $12.84 | $13.67 |
| MS | $12.34 | $13.67 |
| MT | $12.48 | $13.46 |
| NC | $12.34 | $13.67 |
| ND | $12.84 | $13.46 |
| NE | $12.84 | $13.46 |
| NH | $12.95 | $13.67 |
| NJ | $12.20 | $13.67 |
| NM | $12.12 | $13.67 |
| NV | $11.75 | $13.46 |
| NY | $12.20 | $13.67 |
| OH | $12.83 | $13.67 |
| OK | $12.12 | $13.67 |
| OR | $11.75 | $13.46 |
| PA | $12.20 | $13.67 |
| PR | $15.07 | — |
| RI | $12.95 | $13.67 |
| SC | $12.34 | $13.67 |
| SD | $12.84 | $13.46 |
| TN | $12.34 | $13.67 |
| TX | $12.12 | $13.67 |
| UT | $12.48 | $13.67 |
| VA | $12.34 | $13.67 |
| VI | $13.67 | — |
| VT | $12.95 | $13.67 |
| WA | $11.75 | $13.46 |
| WI | $12.83 | $13.67 |
| WV | $12.34 | $13.67 |
| WY | $12.48 | $13.46 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $13.45 to $16.43 depending on state and rural status.
Former-CBA payment limits: ceiling $13.67 · floor $11.62
| State | Non-rural | Rural |
|---|---|---|
| AK | $13.45 | — |
| AL | $13.67 | — |
| AR | $13.67 | — |
| AZ | $13.45 | — |
| CA | $13.45 | — |
| CO | $13.67 | — |
| CT | $13.67 | — |
| DC | $13.67 | — |
| DE | $13.67 | — |
| FL | $13.67 | — |
| GA | $13.67 | — |
| HI | $13.45 | — |
| IA | $13.45 | — |
| ID | $13.45 | — |
| IL | $13.67 | — |
| IN | $13.67 | — |
| KS | $13.45 | — |
| KY | $13.67 | — |
| LA | $13.67 | — |
| MA | $13.67 | — |
| MD | $13.67 | — |
| ME | $13.67 | — |
| MI | $13.67 | — |
| MN | $13.67 | — |
| MO | $13.67 | — |
| MS | $13.67 | — |
| MT | $13.45 | — |
| NC | $13.67 | — |
| ND | $13.45 | — |
| NE | $13.45 | — |
| NH | $13.67 | — |
| NJ | $13.67 | — |
| NM | $13.67 | — |
| NV | $13.45 | — |
| NY | $13.67 | — |
| OH | $13.67 | — |
| OK | $13.67 | — |
| OR | $13.45 | — |
| PA | $13.67 | — |
| PR | $16.43 | — |
| RI | $13.67 | — |
| SC | $13.67 | — |
| SD | $13.45 | — |
| TN | $13.67 | — |
| TX | $13.67 | — |
| UT | $13.67 | — |
| VA | $13.67 | — |
| VI | $13.67 | — |
| VT | $13.67 | — |
| WA | $13.45 | — |
| WI | $13.67 | — |
| WV | $13.67 | — |
| WY | $13.45 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $1.18 to $1.51 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $1.35 | — |
| AL | $1.23 | $1.36 |
| AR | $1.23 | $1.36 |
| AZ | $1.21 | $1.35 |
| CA | $1.18 | $1.35 |
| CO | $1.25 | $1.36 |
| CT | $1.30 | $1.36 |
| DC | $1.22 | $1.36 |
| DE | $1.22 | $1.36 |
| FL | $1.23 | $1.36 |
| GA | $1.23 | $1.36 |
| HI | $1.35 | — |
| IA | $1.28 | $1.35 |
| ID | $1.25 | $1.35 |
| IL | $1.28 | $1.36 |
| IN | $1.28 | $1.36 |
| KS | $1.28 | $1.35 |
| KY | $1.23 | $1.36 |
| LA | $1.23 | $1.36 |
| MA | $1.30 | $1.36 |
| MD | $1.22 | $1.36 |
| ME | $1.30 | $1.36 |
| MI | $1.28 | $1.36 |
| MN | $1.28 | $1.36 |
| MO | $1.28 | $1.36 |
| MS | $1.23 | $1.36 |
| MT | $1.25 | $1.35 |
| NC | $1.23 | $1.36 |
| ND | $1.28 | $1.35 |
| NE | $1.28 | $1.35 |
| NH | $1.30 | $1.36 |
| NJ | $1.22 | $1.36 |
| NM | $1.21 | $1.36 |
| NV | $1.18 | $1.35 |
| NY | $1.22 | $1.36 |
| OH | $1.28 | $1.36 |
| OK | $1.21 | $1.36 |
| OR | $1.18 | $1.35 |
| PA | $1.22 | $1.36 |
| PR | $1.51 | — |
| RI | $1.30 | $1.36 |
| SC | $1.23 | $1.36 |
| SD | $1.28 | $1.35 |
| TN | $1.23 | $1.36 |
| TX | $1.21 | $1.36 |
| UT | $1.25 | $1.36 |
| VA | $1.23 | $1.36 |
| VI | $1.36 | — |
| VT | $1.30 | $1.36 |
| WA | $1.18 | $1.35 |
| WI | $1.28 | $1.36 |
| WV | $1.23 | $1.36 |
| WY | $1.25 | $1.35 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $1.35 to $1.64 depending on state and rural status.
Former-CBA payment limits: ceiling $1.36 · floor $1.16
| State | Non-rural | Rural |
|---|---|---|
| AK | $1.35 | — |
| AL | $1.36 | — |
| AR | $1.36 | — |
| AZ | $1.35 | — |
| CA | $1.35 | — |
| CO | $1.36 | — |
| CT | $1.36 | — |
| DC | $1.36 | — |
| DE | $1.36 | — |
| FL | $1.36 | — |
| GA | $1.36 | — |
| HI | $1.35 | — |
| IA | $1.35 | — |
| ID | $1.35 | — |
| IL | $1.36 | — |
| IN | $1.36 | — |
| KS | $1.35 | — |
| KY | $1.36 | — |
| LA | $1.36 | — |
| MA | $1.36 | — |
| MD | $1.36 | — |
| ME | $1.36 | — |
| MI | $1.36 | — |
| MN | $1.36 | — |
| MO | $1.36 | — |
| MS | $1.36 | — |
| MT | $1.35 | — |
| NC | $1.36 | — |
| ND | $1.35 | — |
| NE | $1.35 | — |
| NH | $1.36 | — |
| NJ | $1.36 | — |
| NM | $1.36 | — |
| NV | $1.35 | — |
| NY | $1.36 | — |
| OH | $1.36 | — |
| OK | $1.36 | — |
| OR | $1.35 | — |
| PA | $1.36 | — |
| PR | $1.64 | — |
| RI | $1.36 | — |
| SC | $1.36 | — |
| SD | $1.35 | — |
| TN | $1.36 | — |
| TX | $1.36 | — |
| UT | $1.36 | — |
| VA | $1.36 | — |
| VI | $1.36 | — |
| VT | $1.36 | — |
| WA | $1.35 | — |
| WI | $1.36 | — |
| WV | $1.36 | — |
| WY | $1.35 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $8.82 to $11.28 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $10.09 | — |
| AL | $9.26 | $10.23 |
| AR | $9.26 | $10.23 |
| AZ | $9.09 | $10.09 |
| CA | $8.82 | $10.09 |
| CO | $9.36 | $10.23 |
| CT | $9.72 | $10.23 |
| DC | $9.15 | $10.23 |
| DE | $9.15 | $10.23 |
| FL | $9.26 | $10.23 |
| GA | $9.26 | $10.23 |
| HI | $10.09 | — |
| IA | $9.63 | $10.09 |
| ID | $9.36 | $10.09 |
| IL | $9.62 | $10.23 |
| IN | $9.62 | $10.23 |
| KS | $9.63 | $10.09 |
| KY | $9.26 | $10.23 |
| LA | $9.26 | $10.23 |
| MA | $9.72 | $10.23 |
| MD | $9.15 | $10.23 |
| ME | $9.72 | $10.23 |
| MI | $9.62 | $10.23 |
| MN | $9.63 | $10.23 |
| MO | $9.63 | $10.23 |
| MS | $9.26 | $10.23 |
| MT | $9.36 | $10.09 |
| NC | $9.26 | $10.23 |
| ND | $9.63 | $10.09 |
| NE | $9.63 | $10.09 |
| NH | $9.72 | $10.23 |
| NJ | $9.15 | $10.23 |
| NM | $9.09 | $10.23 |
| NV | $8.82 | $10.09 |
| NY | $9.15 | $10.23 |
| OH | $9.62 | $10.23 |
| OK | $9.09 | $10.23 |
| OR | $8.82 | $10.09 |
| PA | $9.15 | $10.23 |
| PR | $11.28 | — |
| RI | $9.72 | $10.23 |
| SC | $9.26 | $10.23 |
| SD | $9.63 | $10.09 |
| TN | $9.26 | $10.23 |
| TX | $9.09 | $10.23 |
| UT | $9.36 | $10.23 |
| VA | $9.26 | $10.23 |
| VI | $10.23 | — |
| VT | $9.72 | $10.23 |
| WA | $8.82 | $10.09 |
| WI | $9.62 | $10.23 |
| WV | $9.26 | $10.23 |
| WY | $9.36 | $10.09 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $10.08 to $12.27 depending on state and rural status.
Former-CBA payment limits: ceiling $10.26 · floor $8.72
| State | Non-rural | Rural |
|---|---|---|
| AK | $10.08 | — |
| AL | $10.26 | — |
| AR | $10.26 | — |
| AZ | $10.08 | — |
| CA | $10.08 | — |
| CO | $10.26 | — |
| CT | $10.26 | — |
| DC | $10.26 | — |
| DE | $10.26 | — |
| FL | $10.26 | — |
| GA | $10.26 | — |
| HI | $10.08 | — |
| IA | $10.08 | — |
| ID | $10.08 | — |
| IL | $10.26 | — |
| IN | $10.26 | — |
| KS | $10.08 | — |
| KY | $10.26 | — |
| LA | $10.26 | — |
| MA | $10.26 | — |
| MD | $10.26 | — |
| ME | $10.26 | — |
| MI | $10.26 | — |
| MN | $10.26 | — |
| MO | $10.26 | — |
| MS | $10.26 | — |
| MT | $10.08 | — |
| NC | $10.26 | — |
| ND | $10.08 | — |
| NE | $10.08 | — |
| NH | $10.26 | — |
| NJ | $10.26 | — |
| NM | $10.26 | — |
| NV | $10.08 | — |
| NY | $10.26 | — |
| OH | $10.26 | — |
| OK | $10.26 | — |
| OR | $10.08 | — |
| PA | $10.26 | — |
| PR | $12.27 | — |
| RI | $10.26 | — |
| SC | $10.26 | — |
| SD | $10.08 | — |
| TN | $10.26 | — |
| TX | $10.26 | — |
| UT | $10.26 | — |
| VA | $10.26 | — |
| VI | $10.26 | — |
| VT | $10.26 | — |
| WA | $10.08 | — |
| WI | $10.26 | — |
| WV | $10.26 | — |
| WY | $10.08 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E2215 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
Related E-codes
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