E2217 — Manual wheelchair accessory, foam filled caster tire, any size, each
HCPCS Level II E-code · short descriptor: “Foam filled 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
- 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.
E2217 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $42.11 to $97.18 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $97.18 | — |
| AL | $48.73 | $50.69 |
| AR | $48.73 | $56.86 |
| AZ | $46.47 | $50.69 |
| CA | $49.32 | $56.86 |
| CO | $49.02 | $51.60 |
| CT | $47.21 | $56.86 |
| DC | $46.34 | $56.86 |
| DE | $46.34 | $56.86 |
| FL | $48.73 | $50.69 |
| GA | $48.73 | $56.86 |
| HI | $42.11 | — |
| IA | $50.69 | $50.69 |
| ID | $49.02 | $56.86 |
| IL | $52.67 | $56.86 |
| IN | $52.67 | $54.56 |
| KS | $53.05 | $56.86 |
| KY | $48.73 | $50.69 |
| LA | $48.73 | $56.86 |
| MA | $47.21 | $55.77 |
| MD | $46.34 | $56.86 |
| ME | $47.21 | $55.77 |
| MI | $52.67 | $56.86 |
| MN | $53.05 | $54.57 |
| MO | $53.05 | $56.86 |
| MS | $48.73 | $50.69 |
| MT | $49.02 | $56.86 |
| NC | $48.73 | $56.86 |
| ND | $51.60 | $51.60 |
| NE | $53.05 | $56.86 |
| NH | $47.21 | $55.77 |
| NJ | $46.34 | $56.86 |
| NM | $46.47 | $50.69 |
| NV | $49.32 | $50.69 |
| NY | $46.34 | $56.86 |
| OH | $52.67 | $54.57 |
| OK | $46.47 | $50.69 |
| OR | $49.32 | $56.86 |
| PA | $46.34 | $56.86 |
| PR | $56.03 | — |
| RI | $47.21 | $50.69 |
| SC | $48.73 | $56.86 |
| SD | $51.60 | $51.60 |
| TN | $48.73 | $50.69 |
| TX | $46.47 | $50.69 |
| UT | $49.02 | $50.69 |
| VA | $48.73 | $56.86 |
| VI | $56.86 | — |
| VT | $47.21 | $55.77 |
| WA | $49.32 | $56.86 |
| WI | $52.67 | $56.86 |
| WV | $48.73 | $56.86 |
| WY | $49.02 | $51.60 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $42.12 to $140.28 depending on state and rural status.
Former-CBA payment limits: ceiling $59.62 · floor $50.68
| State | Non-rural | Rural |
|---|---|---|
| AK | $140.28 | — |
| AL | $50.68 | — |
| AR | $59.62 | — |
| AZ | $50.68 | — |
| CA | $59.62 | — |
| CO | $51.60 | — |
| CT | $59.62 | — |
| DC | $59.62 | — |
| DE | $59.62 | — |
| FL | $50.68 | — |
| GA | $59.62 | — |
| HI | $42.12 | — |
| IA | $50.68 | — |
| ID | $59.62 | — |
| IL | $59.62 | — |
| IN | $55.03 | — |
| KS | $59.62 | — |
| KY | $50.68 | — |
| LA | $59.62 | — |
| MA | $57.44 | — |
| MD | $59.62 | — |
| ME | $57.44 | — |
| MI | $59.62 | — |
| MN | $55.07 | — |
| MO | $59.62 | — |
| MS | $50.68 | — |
| MT | $59.62 | — |
| NC | $59.62 | — |
| ND | $51.60 | — |
| NE | $59.62 | — |
| NH | $57.44 | — |
| NJ | $59.62 | — |
| NM | $50.68 | — |
| NV | $50.68 | — |
| NY | $59.62 | — |
| OH | $55.07 | — |
| OK | $50.68 | — |
| OR | $59.62 | — |
| PA | $59.62 | — |
| PR | $57.97 | — |
| RI | $50.68 | — |
| SC | $59.62 | — |
| SD | $51.60 | — |
| TN | $50.68 | — |
| TX | $50.68 | — |
| UT | $50.68 | — |
| VA | $59.62 | — |
| VI | $59.62 | — |
| VT | $57.44 | — |
| WA | $59.62 | — |
| WI | $59.62 | — |
| WV | $59.62 | — |
| WY | $51.60 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $4.26 to $9.73 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $9.73 | — |
| AL | $4.87 | $6.07 |
| AR | $4.87 | $6.07 |
| AZ | $4.65 | $6.07 |
| CA | $4.93 | $6.07 |
| CO | $4.90 | $5.57 |
| CT | $4.72 | $5.70 |
| DC | $4.64 | $6.07 |
| DE | $4.64 | $6.07 |
| FL | $4.87 | $5.57 |
| GA | $4.87 | $6.07 |
| HI | $4.26 | — |
| IA | $5.31 | $5.57 |
| ID | $4.90 | $6.07 |
| IL | $5.27 | $6.07 |
| IN | $5.27 | $5.57 |
| KS | $5.31 | $6.07 |
| KY | $4.87 | $5.57 |
| LA | $4.87 | $6.07 |
| MA | $4.72 | $5.57 |
| MD | $4.64 | $6.07 |
| ME | $4.72 | $5.57 |
| MI | $5.27 | $6.07 |
| MN | $5.31 | $5.57 |
| MO | $5.31 | $6.07 |
| MS | $4.87 | $5.57 |
| MT | $4.90 | $6.07 |
| NC | $4.87 | $6.07 |
| ND | $5.31 | $5.57 |
| NE | $5.31 | $6.07 |
| NH | $4.72 | $5.57 |
| NJ | $4.64 | $6.07 |
| NM | $4.65 | $5.57 |
| NV | $4.93 | $6.07 |
| NY | $4.64 | $6.07 |
| OH | $5.27 | $5.57 |
| OK | $4.65 | $5.57 |
| OR | $4.93 | $6.07 |
| PA | $4.64 | $5.93 |
| PR | $6.34 | — |
| RI | $4.72 | $5.57 |
| SC | $4.87 | $6.07 |
| SD | $5.31 | $5.57 |
| TN | $4.87 | $5.57 |
| TX | $4.65 | $5.57 |
| UT | $4.90 | $5.57 |
| VA | $4.87 | $6.00 |
| VI | $6.07 | — |
| VT | $4.72 | $5.57 |
| WA | $4.93 | $6.07 |
| WI | $5.27 | $6.07 |
| WV | $4.87 | $6.07 |
| WY | $4.90 | $5.57 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $4.27 to $14.06 depending on state and rural status.
Former-CBA payment limits: ceiling $6.73 · floor $5.72
| State | Non-rural | Rural |
|---|---|---|
| AK | $14.06 | — |
| AL | $6.73 | — |
| AR | $6.73 | — |
| AZ | $6.73 | — |
| CA | $6.73 | — |
| CO | $5.72 | — |
| CT | $6.00 | — |
| DC | $6.73 | — |
| DE | $6.73 | — |
| FL | $5.72 | — |
| GA | $6.73 | — |
| HI | $4.27 | — |
| IA | $5.72 | — |
| ID | $6.73 | — |
| IL | $6.73 | — |
| IN | $5.72 | — |
| KS | $6.73 | — |
| KY | $5.72 | — |
| LA | $6.73 | — |
| MA | $5.72 | — |
| MD | $6.73 | — |
| ME | $5.72 | — |
| MI | $6.73 | — |
| MN | $5.72 | — |
| MO | $6.73 | — |
| MS | $5.72 | — |
| MT | $6.73 | — |
| NC | $6.73 | — |
| ND | $5.72 | — |
| NE | $6.73 | — |
| NH | $5.72 | — |
| NJ | $6.73 | — |
| NM | $5.72 | — |
| NV | $6.73 | — |
| NY | $6.73 | — |
| OH | $5.72 | — |
| OK | $5.72 | — |
| OR | $6.73 | — |
| PA | $6.47 | — |
| PR | $7.26 | — |
| RI | $5.72 | — |
| SC | $6.73 | — |
| SD | $5.72 | — |
| TN | $5.72 | — |
| TX | $5.72 | — |
| UT | $5.72 | — |
| VA | $6.59 | — |
| VI | $6.73 | — |
| VT | $5.72 | — |
| WA | $6.73 | — |
| WI | $6.73 | — |
| WV | $6.73 | — |
| WY | $5.72 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $31.60 to $72.87 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $72.87 | — |
| AL | $36.55 | $38.02 |
| AR | $36.55 | $42.65 |
| AZ | $34.85 | $38.02 |
| CA | $36.99 | $42.65 |
| CO | $36.77 | $38.71 |
| CT | $35.41 | $42.65 |
| DC | $34.76 | $42.65 |
| DE | $34.76 | $42.65 |
| FL | $36.55 | $38.02 |
| GA | $36.55 | $42.65 |
| HI | $31.60 | — |
| IA | $38.02 | $38.02 |
| ID | $36.77 | $42.65 |
| IL | $39.50 | $42.65 |
| IN | $39.50 | $40.93 |
| KS | $39.79 | $42.65 |
| KY | $36.55 | $38.02 |
| LA | $36.55 | $42.65 |
| MA | $35.41 | $41.83 |
| MD | $34.76 | $42.65 |
| ME | $35.41 | $41.83 |
| MI | $39.50 | $42.65 |
| MN | $39.79 | $40.95 |
| MO | $39.79 | $42.65 |
| MS | $36.55 | $38.02 |
| MT | $36.77 | $42.65 |
| NC | $36.55 | $42.65 |
| ND | $38.71 | $38.71 |
| NE | $39.79 | $42.65 |
| NH | $35.41 | $41.83 |
| NJ | $34.76 | $42.65 |
| NM | $34.85 | $38.02 |
| NV | $36.99 | $38.02 |
| NY | $34.76 | $42.65 |
| OH | $39.50 | $40.95 |
| OK | $34.85 | $38.02 |
| OR | $36.99 | $42.65 |
| PA | $34.76 | $42.65 |
| PR | $42.03 | — |
| RI | $35.41 | $38.02 |
| SC | $36.55 | $42.65 |
| SD | $38.71 | $38.71 |
| TN | $36.55 | $38.02 |
| TX | $34.85 | $38.02 |
| UT | $36.77 | $38.02 |
| VA | $36.55 | $42.65 |
| VI | $42.65 | — |
| VT | $35.41 | $41.83 |
| WA | $36.99 | $42.65 |
| WI | $39.50 | $42.65 |
| WV | $36.55 | $42.65 |
| WY | $36.77 | $38.71 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $31.60 to $105.15 depending on state and rural status.
Former-CBA payment limits: ceiling $44.72 · floor $38.01
| State | Non-rural | Rural |
|---|---|---|
| AK | $105.15 | — |
| AL | $38.01 | — |
| AR | $44.72 | — |
| AZ | $38.01 | — |
| CA | $44.72 | — |
| CO | $38.70 | — |
| CT | $44.72 | — |
| DC | $44.72 | — |
| DE | $44.72 | — |
| FL | $38.01 | — |
| GA | $44.72 | — |
| HI | $31.60 | — |
| IA | $38.01 | — |
| ID | $44.72 | — |
| IL | $44.72 | — |
| IN | $41.29 | — |
| KS | $44.72 | — |
| KY | $38.01 | — |
| LA | $44.72 | — |
| MA | $43.11 | — |
| MD | $44.72 | — |
| ME | $43.11 | — |
| MI | $44.72 | — |
| MN | $41.33 | — |
| MO | $44.72 | — |
| MS | $38.01 | — |
| MT | $44.72 | — |
| NC | $44.72 | — |
| ND | $38.70 | — |
| NE | $44.72 | — |
| NH | $43.11 | — |
| NJ | $44.72 | — |
| NM | $38.01 | — |
| NV | $38.01 | — |
| NY | $44.72 | — |
| OH | $41.33 | — |
| OK | $38.01 | — |
| OR | $44.72 | — |
| PA | $44.72 | — |
| PR | $43.49 | — |
| RI | $38.01 | — |
| SC | $44.72 | — |
| SD | $38.70 | — |
| TN | $38.01 | — |
| TX | $38.01 | — |
| UT | $38.01 | — |
| VA | $44.72 | — |
| VI | $44.72 | — |
| VT | $43.11 | — |
| WA | $44.72 | — |
| WI | $44.72 | — |
| WV | $44.72 | — |
| WY | $38.70 | — |
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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