E2218 — Manual wheelchair accessory, foam propulsion tire, any size, each
HCPCS Level II E-code · short descriptor: “Foam propulsion 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 2026-10-26; 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 2026-10-26; 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.
E2218 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $47.58 to $109.81 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $109.81 | — |
| AL | $55.06 | $57.28 |
| AR | $55.06 | $64.25 |
| AZ | $52.51 | $57.28 |
| CA | $55.73 | $64.25 |
| CO | $55.39 | $58.31 |
| CT | $53.35 | $64.25 |
| DC | $52.36 | $64.25 |
| DE | $52.36 | $64.25 |
| FL | $55.06 | $57.28 |
| GA | $55.06 | $64.25 |
| HI | $47.58 | — |
| IA | $57.28 | $57.28 |
| ID | $55.39 | $64.25 |
| IL | $59.52 | $64.25 |
| IN | $59.52 | $61.65 |
| KS | $59.95 | $64.25 |
| KY | $55.06 | $57.28 |
| LA | $55.06 | $64.25 |
| MA | $53.35 | $63.02 |
| MD | $52.36 | $64.25 |
| ME | $53.35 | $63.02 |
| MI | $59.52 | $64.25 |
| MN | $59.95 | $61.66 |
| MO | $59.95 | $64.25 |
| MS | $55.06 | $57.28 |
| MT | $55.39 | $64.25 |
| NC | $55.06 | $64.25 |
| ND | $58.31 | $58.31 |
| NE | $59.95 | $64.25 |
| NH | $53.35 | $63.02 |
| NJ | $52.36 | $64.25 |
| NM | $52.51 | $57.28 |
| NV | $55.73 | $57.28 |
| NY | $52.36 | $64.25 |
| OH | $59.52 | $61.66 |
| OK | $52.51 | $57.28 |
| OR | $55.73 | $64.25 |
| PA | $52.36 | $64.25 |
| PR | $63.31 | — |
| RI | $53.35 | $57.28 |
| SC | $55.06 | $64.25 |
| SD | $58.31 | $58.31 |
| TN | $55.06 | $57.28 |
| TX | $52.51 | $57.28 |
| UT | $55.39 | $57.28 |
| VA | $55.06 | $64.25 |
| VI | $64.25 | — |
| VT | $53.35 | $63.02 |
| WA | $55.73 | $64.25 |
| WI | $59.52 | $64.25 |
| WV | $55.06 | $64.25 |
| WY | $55.39 | $58.31 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $47.61 to $158.51 depending on state and rural status.
Former-CBA payment limits: ceiling $67.40 · floor $57.29
| State | Non-rural | Rural |
|---|---|---|
| AK | $158.51 | — |
| AL | $57.29 | — |
| AR | $67.40 | — |
| AZ | $57.29 | — |
| CA | $67.40 | — |
| CO | $58.34 | — |
| CT | $67.40 | — |
| DC | $67.40 | — |
| DE | $67.40 | — |
| FL | $57.29 | — |
| GA | $67.40 | — |
| HI | $47.61 | — |
| IA | $57.29 | — |
| ID | $67.40 | — |
| IL | $67.40 | — |
| IN | $62.18 | — |
| KS | $67.40 | — |
| KY | $57.29 | — |
| LA | $67.40 | — |
| MA | $64.92 | — |
| MD | $67.40 | — |
| ME | $64.92 | — |
| MI | $67.40 | — |
| MN | $62.28 | — |
| MO | $67.40 | — |
| MS | $57.29 | — |
| MT | $67.40 | — |
| NC | $67.40 | — |
| ND | $58.34 | — |
| NE | $67.40 | — |
| NH | $64.92 | — |
| NJ | $67.40 | — |
| NM | $57.29 | — |
| NV | $57.29 | — |
| NY | $67.40 | — |
| OH | $62.28 | — |
| OK | $57.29 | — |
| OR | $67.40 | — |
| PA | $67.40 | — |
| PR | $65.56 | — |
| RI | $57.29 | — |
| SC | $67.40 | — |
| SD | $58.34 | — |
| TN | $57.29 | — |
| TX | $57.29 | — |
| UT | $57.29 | — |
| VA | $67.40 | — |
| VI | $67.40 | — |
| VT | $64.92 | — |
| WA | $67.40 | — |
| WI | $67.40 | — |
| WV | $67.40 | — |
| WY | $58.34 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $4.81 to $10.99 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $10.99 | — |
| AL | $5.50 | $6.86 |
| AR | $5.50 | $6.86 |
| AZ | $5.25 | $6.86 |
| CA | $5.57 | $6.86 |
| CO | $5.54 | $6.29 |
| CT | $5.33 | $6.44 |
| DC | $5.24 | $6.86 |
| DE | $5.24 | $6.86 |
| FL | $5.50 | $6.29 |
| GA | $5.50 | $6.86 |
| HI | $4.81 | — |
| IA | $6.00 | $6.29 |
| ID | $5.54 | $6.86 |
| IL | $5.96 | $6.86 |
| IN | $5.96 | $6.29 |
| KS | $6.00 | $6.86 |
| KY | $5.50 | $6.29 |
| LA | $5.50 | $6.86 |
| MA | $5.33 | $6.29 |
| MD | $5.24 | $6.86 |
| ME | $5.33 | $6.29 |
| MI | $5.96 | $6.86 |
| MN | $6.00 | $6.29 |
| MO | $6.00 | $6.86 |
| MS | $5.50 | $6.29 |
| MT | $5.54 | $6.86 |
| NC | $5.50 | $6.86 |
| ND | $6.00 | $6.29 |
| NE | $6.00 | $6.86 |
| NH | $5.33 | $6.29 |
| NJ | $5.24 | $6.86 |
| NM | $5.25 | $6.29 |
| NV | $5.57 | $6.86 |
| NY | $5.24 | $6.86 |
| OH | $5.96 | $6.29 |
| OK | $5.25 | $6.29 |
| OR | $5.57 | $6.86 |
| PA | $5.24 | $6.70 |
| PR | $7.16 | — |
| RI | $5.33 | $6.29 |
| SC | $5.50 | $6.86 |
| SD | $6.00 | $6.29 |
| TN | $5.50 | $6.29 |
| TX | $5.25 | $6.29 |
| UT | $5.54 | $6.29 |
| VA | $5.50 | $6.78 |
| VI | $6.86 | — |
| VT | $5.33 | $6.29 |
| WA | $5.57 | $6.86 |
| WI | $5.96 | $6.86 |
| WV | $5.50 | $6.86 |
| WY | $5.54 | $6.29 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $4.83 to $15.92 depending on state and rural status.
Former-CBA payment limits: ceiling $7.65 · floor $6.50
| State | Non-rural | Rural |
|---|---|---|
| AK | $15.92 | — |
| AL | $7.65 | — |
| AR | $7.65 | — |
| AZ | $7.65 | — |
| CA | $7.65 | — |
| CO | $6.50 | — |
| CT | $6.73 | — |
| DC | $7.65 | — |
| DE | $7.65 | — |
| FL | $6.50 | — |
| GA | $7.65 | — |
| HI | $4.83 | — |
| IA | $6.50 | — |
| ID | $7.65 | — |
| IL | $7.65 | — |
| IN | $6.50 | — |
| KS | $7.65 | — |
| KY | $6.50 | — |
| LA | $7.65 | — |
| MA | $6.50 | — |
| MD | $7.65 | — |
| ME | $6.50 | — |
| MI | $7.65 | — |
| MN | $6.50 | — |
| MO | $7.65 | — |
| MS | $6.50 | — |
| MT | $7.65 | — |
| NC | $7.65 | — |
| ND | $6.50 | — |
| NE | $7.65 | — |
| NH | $6.50 | — |
| NJ | $7.65 | — |
| NM | $6.50 | — |
| NV | $7.65 | — |
| NY | $7.65 | — |
| OH | $6.50 | — |
| OK | $6.50 | — |
| OR | $7.65 | — |
| PA | $7.26 | — |
| PR | $8.18 | — |
| RI | $6.50 | — |
| SC | $7.65 | — |
| SD | $6.50 | — |
| TN | $6.50 | — |
| TX | $6.50 | — |
| UT | $6.50 | — |
| VA | $7.38 | — |
| VI | $7.65 | — |
| VT | $6.51 | — |
| WA | $7.65 | — |
| WI | $7.65 | — |
| WV | $7.65 | — |
| WY | $6.50 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $35.71 to $82.34 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $82.34 | — |
| AL | $41.30 | $42.96 |
| AR | $41.30 | $48.19 |
| AZ | $39.38 | $42.96 |
| CA | $41.80 | $48.19 |
| CO | $41.55 | $43.74 |
| CT | $40.01 | $48.19 |
| DC | $39.28 | $48.19 |
| DE | $39.28 | $48.19 |
| FL | $41.30 | $42.96 |
| GA | $41.30 | $48.19 |
| HI | $35.71 | — |
| IA | $42.96 | $42.96 |
| ID | $41.55 | $48.19 |
| IL | $44.64 | $48.19 |
| IN | $44.64 | $46.25 |
| KS | $44.96 | $48.19 |
| KY | $41.30 | $42.96 |
| LA | $41.30 | $48.19 |
| MA | $40.01 | $47.27 |
| MD | $39.28 | $48.19 |
| ME | $40.01 | $47.27 |
| MI | $44.64 | $48.19 |
| MN | $44.96 | $46.27 |
| MO | $44.96 | $48.19 |
| MS | $41.30 | $42.96 |
| MT | $41.55 | $48.19 |
| NC | $41.30 | $48.19 |
| ND | $43.74 | $43.74 |
| NE | $44.96 | $48.19 |
| NH | $40.01 | $47.27 |
| NJ | $39.28 | $48.19 |
| NM | $39.38 | $42.96 |
| NV | $41.80 | $42.96 |
| NY | $39.28 | $48.19 |
| OH | $44.64 | $46.27 |
| OK | $39.38 | $42.96 |
| OR | $41.80 | $48.19 |
| PA | $39.28 | $48.19 |
| PR | $47.49 | — |
| RI | $40.01 | $42.96 |
| SC | $41.30 | $48.19 |
| SD | $43.74 | $43.74 |
| TN | $41.30 | $42.96 |
| TX | $39.38 | $42.96 |
| UT | $41.55 | $42.96 |
| VA | $41.30 | $48.19 |
| VI | $48.19 | — |
| VT | $40.01 | $47.27 |
| WA | $41.80 | $48.19 |
| WI | $44.64 | $48.19 |
| WV | $41.30 | $48.19 |
| WY | $41.55 | $43.74 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $35.70 to $118.87 depending on state and rural status.
Former-CBA payment limits: ceiling $50.51 · floor $42.93
| State | Non-rural | Rural |
|---|---|---|
| AK | $118.87 | — |
| AL | $42.93 | — |
| AR | $50.51 | — |
| AZ | $42.93 | — |
| CA | $50.51 | — |
| CO | $43.72 | — |
| CT | $50.51 | — |
| DC | $50.51 | — |
| DE | $50.51 | — |
| FL | $42.93 | — |
| GA | $50.51 | — |
| HI | $35.70 | — |
| IA | $42.93 | — |
| ID | $50.51 | — |
| IL | $50.51 | — |
| IN | $46.68 | — |
| KS | $50.51 | — |
| KY | $42.93 | — |
| LA | $50.51 | — |
| MA | $48.68 | — |
| MD | $50.51 | — |
| ME | $48.68 | — |
| MI | $50.51 | — |
| MN | $46.73 | — |
| MO | $50.51 | — |
| MS | $42.93 | — |
| MT | $50.51 | — |
| NC | $50.51 | — |
| ND | $43.72 | — |
| NE | $50.51 | — |
| NH | $48.68 | — |
| NJ | $50.51 | — |
| NM | $42.93 | — |
| NV | $42.93 | — |
| NY | $50.51 | — |
| OH | $46.73 | — |
| OK | $42.93 | — |
| OR | $50.51 | — |
| PA | $50.51 | — |
| PR | $49.15 | — |
| RI | $42.93 | — |
| SC | $50.51 | — |
| SD | $43.72 | — |
| TN | $42.93 | — |
| TX | $42.93 | — |
| UT | $42.93 | — |
| VA | $50.51 | — |
| VI | $50.51 | — |
| VT | $48.68 | — |
| WA | $50.51 | — |
| WI | $50.51 | — |
| WV | $50.51 | — |
| WY | $43.72 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E2218 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
Related E-codes
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