E2220 — Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each
HCPCS Level II E-code · short descriptor: “Solid propuls tire, repl, ea”
- 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.
E2220 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $33.23 to $45.57 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $45.57 | — |
| AL | $34.56 | $34.56 |
| AR | $36.21 | $39.80 |
| AZ | $33.73 | $39.80 |
| CA | $34.08 | $39.80 |
| CO | $36.13 | $39.80 |
| CT | $37.96 | $39.55 |
| DC | $33.23 | $34.56 |
| DE | $33.23 | $39.80 |
| FL | $36.21 | $39.80 |
| GA | $36.21 | $39.80 |
| HI | $42.85 | — |
| IA | $35.48 | $39.80 |
| ID | $36.13 | $39.80 |
| IL | $34.50 | $39.80 |
| IN | $34.50 | $36.08 |
| KS | $35.48 | $36.35 |
| KY | $34.56 | $34.56 |
| LA | $36.21 | $39.80 |
| MA | $37.96 | $39.80 |
| MD | $33.23 | $39.80 |
| ME | $37.96 | $39.80 |
| MI | $34.50 | $34.56 |
| MN | $35.48 | $36.08 |
| MO | $35.48 | $39.05 |
| MS | $36.21 | $39.80 |
| MT | $34.56 | $34.56 |
| NC | $36.21 | $39.80 |
| ND | $35.48 | $37.09 |
| NE | $35.48 | $38.30 |
| NH | $34.56 | $34.56 |
| NJ | $33.23 | $39.80 |
| NM | $33.73 | $39.80 |
| NV | $34.08 | $39.80 |
| NY | $33.23 | $35.17 |
| OH | $34.50 | $34.56 |
| OK | $33.73 | $39.80 |
| OR | $34.08 | $34.56 |
| PA | $33.23 | $34.56 |
| PR | $45.16 | — |
| RI | $37.96 | $39.80 |
| SC | $36.21 | $39.80 |
| SD | $35.48 | $36.84 |
| TN | $36.21 | $39.80 |
| TX | $33.73 | $34.56 |
| UT | $36.13 | $38.34 |
| VA | $34.56 | $34.56 |
| VI | $35.17 | — |
| VT | $34.56 | $34.56 |
| WA | $34.08 | $39.80 |
| WI | $34.50 | $39.80 |
| WV | $36.21 | $36.71 |
| WY | $36.13 | $37.09 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $34.57 to $51.43 depending on state and rural status.
Former-CBA payment limits: ceiling $40.67 · floor $34.57
| State | Non-rural | Rural |
|---|---|---|
| AK | $51.43 | — |
| AL | $34.57 | — |
| AR | $40.67 | — |
| AZ | $40.67 | — |
| CA | $40.67 | — |
| CO | $40.67 | — |
| CT | $40.16 | — |
| DC | $34.57 | — |
| DE | $40.67 | — |
| FL | $40.67 | — |
| GA | $40.67 | — |
| HI | $46.03 | — |
| IA | $40.67 | — |
| ID | $40.67 | — |
| IL | $40.67 | — |
| IN | $36.10 | — |
| KS | $36.33 | — |
| KY | $34.57 | — |
| LA | $40.67 | — |
| MA | $40.67 | — |
| MD | $40.67 | — |
| ME | $40.67 | — |
| MI | $34.57 | — |
| MN | $36.10 | — |
| MO | $39.15 | — |
| MS | $40.67 | — |
| MT | $34.57 | — |
| NC | $40.67 | — |
| ND | $37.08 | — |
| NE | $38.31 | — |
| NH | $34.57 | — |
| NJ | $40.67 | — |
| NM | $40.67 | — |
| NV | $40.67 | — |
| NY | $35.18 | — |
| OH | $34.57 | — |
| OK | $40.67 | — |
| OR | $34.57 | — |
| PA | $34.57 | — |
| PR | $50.60 | — |
| RI | $40.67 | — |
| SC | $40.67 | — |
| SD | $36.85 | — |
| TN | $40.67 | — |
| TX | $34.57 | — |
| UT | $38.34 | — |
| VA | $34.57 | — |
| VI | $35.18 | — |
| VT | $34.57 | — |
| WA | $40.67 | — |
| WI | $40.67 | — |
| WV | $36.72 | — |
| WY | $37.08 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $3.32 to $5.16 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $4.56 | — |
| AL | $3.62 | $3.77 |
| AR | $3.62 | $3.91 |
| AZ | $3.37 | $3.91 |
| CA | $3.41 | $3.91 |
| CO | $3.62 | $3.91 |
| CT | $3.79 | $3.91 |
| DC | $3.32 | $3.34 |
| DE | $3.32 | $3.91 |
| FL | $3.62 | $3.91 |
| GA | $3.62 | $3.91 |
| HI | $4.27 | — |
| IA | $3.55 | $3.91 |
| ID | $3.62 | $3.91 |
| IL | $3.45 | $3.91 |
| IN | $3.45 | $3.61 |
| KS | $3.55 | $3.66 |
| KY | $3.34 | $3.34 |
| LA | $3.62 | $3.91 |
| MA | $3.79 | $3.91 |
| MD | $3.32 | $3.91 |
| ME | $3.79 | $3.91 |
| MI | $3.42 | $3.42 |
| MN | $3.55 | $3.61 |
| MO | $3.55 | $3.91 |
| MS | $3.62 | $3.91 |
| MT | $3.34 | $3.34 |
| NC | $3.62 | $3.91 |
| ND | $3.55 | $3.72 |
| NE | $3.55 | $3.85 |
| NH | $3.77 | $3.77 |
| NJ | $3.32 | $3.91 |
| NM | $3.37 | $3.91 |
| NV | $3.41 | $3.91 |
| NY | $3.32 | $3.51 |
| OH | $3.45 | $3.45 |
| OK | $3.37 | $3.91 |
| OR | $3.34 | $3.34 |
| PA | $3.32 | $3.39 |
| PR | $5.16 | — |
| RI | $3.72 | $3.72 |
| SC | $3.62 | $3.91 |
| SD | $3.55 | $3.71 |
| TN | $3.62 | $3.91 |
| TX | $3.34 | $3.34 |
| UT | $3.62 | $3.72 |
| VA | $3.34 | $3.34 |
| VI | $3.51 | — |
| VT | $3.77 | $3.77 |
| WA | $3.34 | $3.34 |
| WI | $3.45 | $3.91 |
| WV | $3.62 | $3.70 |
| WY | $3.62 | $3.72 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $3.34 to $6.33 depending on state and rural status.
Former-CBA payment limits: ceiling $3.93 · floor $3.34
| State | Non-rural | Rural |
|---|---|---|
| AK | $5.13 | — |
| AL | $3.78 | — |
| AR | $3.93 | — |
| AZ | $3.93 | — |
| CA | $3.93 | — |
| CO | $3.93 | — |
| CT | $3.93 | — |
| DC | $3.34 | — |
| DE | $3.93 | — |
| FL | $3.93 | — |
| GA | $3.93 | — |
| HI | $4.56 | — |
| IA | $3.93 | — |
| ID | $3.93 | — |
| IL | $3.93 | — |
| IN | $3.62 | — |
| KS | $3.66 | — |
| KY | $3.34 | — |
| LA | $3.93 | — |
| MA | $3.93 | — |
| MD | $3.93 | — |
| ME | $3.93 | — |
| MI | $3.41 | — |
| MN | $3.62 | — |
| MO | $3.93 | — |
| MS | $3.93 | — |
| MT | $3.34 | — |
| NC | $3.93 | — |
| ND | $3.74 | — |
| NE | $3.86 | — |
| NH | $3.78 | — |
| NJ | $3.93 | — |
| NM | $3.93 | — |
| NV | $3.93 | — |
| NY | $3.52 | — |
| OH | $3.46 | — |
| OK | $3.93 | — |
| OR | $3.34 | — |
| PA | $3.39 | — |
| PR | $6.33 | — |
| RI | $3.74 | — |
| SC | $3.93 | — |
| SD | $3.73 | — |
| TN | $3.93 | — |
| TX | $3.34 | — |
| UT | $3.74 | — |
| VA | $3.34 | — |
| VI | $3.52 | — |
| VT | $3.78 | — |
| WA | $3.34 | — |
| WI | $3.93 | — |
| WV | $3.71 | — |
| WY | $3.74 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $24.92 to $49.72 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $34.15 | — |
| AL | $27.16 | $27.54 |
| AR | $27.16 | $30.15 |
| AZ | $25.30 | $30.15 |
| CA | $25.56 | $30.15 |
| CO | $27.10 | $30.15 |
| CT | $28.47 | $29.67 |
| DC | $24.92 | $26.44 |
| DE | $24.92 | $30.15 |
| FL | $27.16 | $30.15 |
| GA | $27.16 | $30.15 |
| HI | $32.12 | — |
| IA | $26.61 | $30.15 |
| ID | $27.10 | $30.15 |
| IL | $25.88 | $30.15 |
| IN | $25.88 | $27.05 |
| KS | $26.61 | $27.30 |
| KY | $26.44 | $26.44 |
| LA | $27.16 | $30.15 |
| MA | $28.47 | $30.15 |
| MD | $24.92 | $30.15 |
| ME | $28.47 | $30.15 |
| MI | $25.88 | $26.44 |
| MN | $26.61 | $27.05 |
| MO | $26.61 | $29.30 |
| MS | $27.16 | $30.15 |
| MT | $26.44 | $26.44 |
| NC | $27.16 | $30.15 |
| ND | $26.61 | $27.84 |
| NE | $26.61 | $28.71 |
| NH | $26.44 | $26.44 |
| NJ | $24.92 | $30.09 |
| NM | $25.30 | $30.15 |
| NV | $25.56 | $30.15 |
| NY | $24.92 | $26.44 |
| OH | $25.88 | $26.44 |
| OK | $25.30 | $30.15 |
| OR | $25.56 | $26.44 |
| PA | $24.92 | $26.44 |
| PR | $49.72 | — |
| RI | $28.47 | $30.15 |
| SC | $27.16 | $30.15 |
| SD | $26.61 | $27.64 |
| TN | $27.16 | $30.15 |
| TX | $25.30 | $26.44 |
| UT | $27.10 | $28.76 |
| VA | $27.16 | $30.15 |
| VI | $26.44 | — |
| VT | $26.44 | $26.44 |
| WA | $25.56 | $30.15 |
| WI | $25.88 | $30.15 |
| WV | $27.16 | $27.54 |
| WY | $27.10 | $27.84 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $26.43 to $69.67 depending on state and rural status.
Former-CBA payment limits: ceiling $31.09 · floor $26.43
| State | Non-rural | Rural |
|---|---|---|
| AK | $38.51 | — |
| AL | $27.54 | — |
| AR | $31.09 | — |
| AZ | $31.09 | — |
| CA | $31.09 | — |
| CO | $31.09 | — |
| CT | $30.14 | — |
| DC | $26.43 | — |
| DE | $31.09 | — |
| FL | $31.09 | — |
| GA | $31.09 | — |
| HI | $34.50 | — |
| IA | $31.09 | — |
| ID | $31.09 | — |
| IL | $31.09 | — |
| IN | $27.06 | — |
| KS | $27.30 | — |
| KY | $26.43 | — |
| LA | $31.09 | — |
| MA | $31.09 | — |
| MD | $31.09 | — |
| ME | $31.09 | — |
| MI | $26.43 | — |
| MN | $27.06 | — |
| MO | $29.40 | — |
| MS | $31.09 | — |
| MT | $26.43 | — |
| NC | $31.09 | — |
| ND | $27.85 | — |
| NE | $28.73 | — |
| NH | $26.43 | — |
| NJ | $30.97 | — |
| NM | $31.09 | — |
| NV | $31.09 | — |
| NY | $26.43 | — |
| OH | $26.43 | — |
| OK | $31.09 | — |
| OR | $26.43 | — |
| PA | $26.43 | — |
| PR | $69.67 | — |
| RI | $31.09 | — |
| SC | $31.09 | — |
| SD | $27.64 | — |
| TN | $31.09 | — |
| TX | $26.43 | — |
| UT | $28.77 | — |
| VA | $31.09 | — |
| VI | $26.43 | — |
| VT | $26.43 | — |
| WA | $31.09 | — |
| WI | $31.09 | — |
| WV | $27.54 | — |
| WY | $27.85 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E2220 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
Bill E2220 with confidence
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