E2221 — Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each
HCPCS Level II E-code · short descriptor: “Solid caster tire repl, 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.
E2221 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $30.52 to $39.60 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $35.65 | — |
| AL | $32.17 | $35.96 |
| AR | $32.17 | $35.96 |
| AZ | $31.59 | $35.65 |
| CA | $30.52 | $35.65 |
| CO | $32.16 | $35.96 |
| CT | $33.32 | $35.96 |
| DC | $31.41 | $35.96 |
| DE | $31.41 | $35.96 |
| FL | $32.17 | $35.96 |
| GA | $32.17 | $35.96 |
| HI | $35.65 | — |
| IA | $32.57 | $35.65 |
| ID | $32.16 | $35.65 |
| IL | $33.95 | $35.96 |
| IN | $33.95 | $35.96 |
| KS | $32.57 | $35.65 |
| KY | $32.17 | $35.96 |
| LA | $32.17 | $35.96 |
| MA | $33.32 | $35.96 |
| MD | $31.41 | $35.96 |
| ME | $33.32 | $35.96 |
| MI | $33.95 | $35.96 |
| MN | $32.57 | $35.96 |
| MO | $32.57 | $35.96 |
| MS | $32.17 | $35.96 |
| MT | $32.16 | $35.65 |
| NC | $32.17 | $35.96 |
| ND | $32.57 | $35.65 |
| NE | $32.57 | $35.65 |
| NH | $33.32 | $35.96 |
| NJ | $31.41 | $35.96 |
| NM | $31.59 | $35.96 |
| NV | $30.52 | $35.65 |
| NY | $31.41 | $35.96 |
| OH | $33.95 | $35.96 |
| OK | $31.59 | $35.96 |
| OR | $30.52 | $35.65 |
| PA | $31.41 | $35.96 |
| PR | $39.60 | — |
| RI | $33.32 | $35.96 |
| SC | $32.17 | $35.96 |
| SD | $32.57 | $35.65 |
| TN | $32.17 | $35.96 |
| TX | $31.59 | $35.96 |
| UT | $32.16 | $35.96 |
| VA | $32.17 | $35.96 |
| VI | $35.96 | — |
| VT | $33.32 | $35.96 |
| WA | $30.52 | $35.96 |
| WI | $33.95 | $35.96 |
| WV | $32.17 | $35.96 |
| WY | $32.16 | $35.65 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $35.79 to $43.69 depending on state and rural status.
Former-CBA payment limits: ceiling $36.41 · floor $30.95
| State | Non-rural | Rural |
|---|---|---|
| AK | $35.79 | — |
| AL | $36.41 | — |
| AR | $36.41 | — |
| AZ | $35.79 | — |
| CA | $35.79 | — |
| CO | $36.41 | — |
| CT | $36.41 | — |
| DC | $36.41 | — |
| DE | $36.41 | — |
| FL | $36.41 | — |
| GA | $36.41 | — |
| HI | $35.79 | — |
| IA | $35.79 | — |
| ID | $35.79 | — |
| IL | $36.41 | — |
| IN | $36.41 | — |
| KS | $35.79 | — |
| KY | $36.41 | — |
| LA | $36.41 | — |
| MA | $36.41 | — |
| MD | $36.41 | — |
| ME | $36.41 | — |
| MI | $36.41 | — |
| MN | $36.41 | — |
| MO | $36.41 | — |
| MS | $36.41 | — |
| MT | $35.79 | — |
| NC | $36.41 | — |
| ND | $35.79 | — |
| NE | $35.79 | — |
| NH | $36.41 | — |
| NJ | $36.41 | — |
| NM | $36.41 | — |
| NV | $35.79 | — |
| NY | $36.41 | — |
| OH | $36.41 | — |
| OK | $36.41 | — |
| OR | $35.79 | — |
| PA | $36.41 | — |
| PR | $43.69 | — |
| RI | $36.41 | — |
| SC | $36.41 | — |
| SD | $35.79 | — |
| TN | $36.41 | — |
| TX | $36.41 | — |
| UT | $36.41 | — |
| VA | $36.41 | — |
| VI | $36.41 | — |
| VT | $36.41 | — |
| WA | $36.41 | — |
| WI | $36.41 | — |
| WV | $36.41 | — |
| WY | $35.79 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $3.05 to $3.96 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $3.54 | — |
| AL | $3.22 | $3.62 |
| AR | $3.22 | $3.62 |
| AZ | $3.16 | $3.54 |
| CA | $3.05 | $3.54 |
| CO | $3.22 | $3.62 |
| CT | $3.33 | $3.62 |
| DC | $3.14 | $3.62 |
| DE | $3.14 | $3.62 |
| FL | $3.22 | $3.62 |
| GA | $3.22 | $3.62 |
| HI | $3.54 | — |
| IA | $3.26 | $3.54 |
| ID | $3.22 | $3.54 |
| IL | $3.40 | $3.62 |
| IN | $3.40 | $3.62 |
| KS | $3.26 | $3.54 |
| KY | $3.22 | $3.62 |
| LA | $3.22 | $3.62 |
| MA | $3.33 | $3.62 |
| MD | $3.14 | $3.62 |
| ME | $3.33 | $3.62 |
| MI | $3.40 | $3.62 |
| MN | $3.26 | $3.62 |
| MO | $3.26 | $3.62 |
| MS | $3.22 | $3.62 |
| MT | $3.22 | $3.54 |
| NC | $3.22 | $3.62 |
| ND | $3.26 | $3.54 |
| NE | $3.26 | $3.54 |
| NH | $3.33 | $3.62 |
| NJ | $3.14 | $3.62 |
| NM | $3.16 | $3.62 |
| NV | $3.05 | $3.54 |
| NY | $3.14 | $3.62 |
| OH | $3.40 | $3.62 |
| OK | $3.16 | $3.62 |
| OR | $3.05 | $3.54 |
| PA | $3.14 | $3.62 |
| PR | $3.96 | — |
| RI | $3.33 | $3.62 |
| SC | $3.22 | $3.62 |
| SD | $3.26 | $3.54 |
| TN | $3.22 | $3.62 |
| TX | $3.16 | $3.62 |
| UT | $3.22 | $3.62 |
| VA | $3.22 | $3.62 |
| VI | $3.62 | — |
| VT | $3.33 | $3.62 |
| WA | $3.05 | $3.62 |
| WI | $3.40 | $3.62 |
| WV | $3.22 | $3.62 |
| WY | $3.22 | $3.54 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $3.56 to $4.39 depending on state and rural status.
Former-CBA payment limits: ceiling $3.69 · floor $3.14
| State | Non-rural | Rural |
|---|---|---|
| AK | $3.56 | — |
| AL | $3.69 | — |
| AR | $3.69 | — |
| AZ | $3.56 | — |
| CA | $3.56 | — |
| CO | $3.69 | — |
| CT | $3.69 | — |
| DC | $3.69 | — |
| DE | $3.69 | — |
| FL | $3.69 | — |
| GA | $3.69 | — |
| HI | $3.56 | — |
| IA | $3.56 | — |
| ID | $3.56 | — |
| IL | $3.69 | — |
| IN | $3.69 | — |
| KS | $3.56 | — |
| KY | $3.69 | — |
| LA | $3.69 | — |
| MA | $3.69 | — |
| MD | $3.69 | — |
| ME | $3.69 | — |
| MI | $3.69 | — |
| MN | $3.69 | — |
| MO | $3.69 | — |
| MS | $3.69 | — |
| MT | $3.56 | — |
| NC | $3.69 | — |
| ND | $3.56 | — |
| NE | $3.56 | — |
| NH | $3.69 | — |
| NJ | $3.69 | — |
| NM | $3.69 | — |
| NV | $3.56 | — |
| NY | $3.69 | — |
| OH | $3.69 | — |
| OK | $3.69 | — |
| OR | $3.56 | — |
| PA | $3.69 | — |
| PR | $4.39 | — |
| RI | $3.69 | — |
| SC | $3.69 | — |
| SD | $3.56 | — |
| TN | $3.69 | — |
| TX | $3.69 | — |
| UT | $3.69 | — |
| VA | $3.69 | — |
| VI | $3.69 | — |
| VT | $3.69 | — |
| WA | $3.69 | — |
| WI | $3.69 | — |
| WV | $3.69 | — |
| WY | $3.56 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $22.89 to $29.71 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $26.74 | — |
| AL | $24.13 | $26.97 |
| AR | $24.13 | $26.97 |
| AZ | $23.69 | $26.74 |
| CA | $22.89 | $26.74 |
| CO | $24.12 | $26.97 |
| CT | $25.00 | $26.97 |
| DC | $23.56 | $26.97 |
| DE | $23.56 | $26.97 |
| FL | $24.13 | $26.97 |
| GA | $24.13 | $26.97 |
| HI | $26.74 | — |
| IA | $24.43 | $26.74 |
| ID | $24.12 | $26.74 |
| IL | $25.47 | $26.97 |
| IN | $25.47 | $26.97 |
| KS | $24.43 | $26.74 |
| KY | $24.13 | $26.97 |
| LA | $24.13 | $26.97 |
| MA | $25.00 | $26.97 |
| MD | $23.56 | $26.68 |
| ME | $25.00 | $26.97 |
| MI | $25.47 | $26.97 |
| MN | $24.43 | $26.97 |
| MO | $24.43 | $26.97 |
| MS | $24.13 | $26.97 |
| MT | $24.12 | $26.74 |
| NC | $24.13 | $26.97 |
| ND | $24.43 | $26.74 |
| NE | $24.43 | $26.74 |
| NH | $25.00 | $26.97 |
| NJ | $23.56 | $26.97 |
| NM | $23.69 | $26.97 |
| NV | $22.89 | $26.74 |
| NY | $23.56 | $26.97 |
| OH | $25.47 | $26.97 |
| OK | $23.69 | $26.97 |
| OR | $22.89 | $26.74 |
| PA | $23.56 | $26.97 |
| PR | $29.71 | — |
| RI | $25.00 | $26.97 |
| SC | $24.13 | $26.97 |
| SD | $24.43 | $26.74 |
| TN | $24.13 | $26.97 |
| TX | $23.69 | $26.97 |
| UT | $24.12 | $26.97 |
| VA | $24.13 | $26.97 |
| VI | $26.97 | — |
| VT | $25.00 | $26.97 |
| WA | $22.89 | $26.97 |
| WI | $25.47 | $26.97 |
| WV | $24.13 | $26.97 |
| WY | $24.12 | $26.74 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $26.73 to $32.80 depending on state and rural status.
Former-CBA payment limits: ceiling $27.32 · floor $23.22
| State | Non-rural | Rural |
|---|---|---|
| AK | $26.88 | — |
| AL | $27.32 | — |
| AR | $27.32 | — |
| AZ | $26.88 | — |
| CA | $26.88 | — |
| CO | $27.32 | — |
| CT | $27.32 | — |
| DC | $27.32 | — |
| DE | $27.32 | — |
| FL | $27.32 | — |
| GA | $27.32 | — |
| HI | $26.88 | — |
| IA | $26.88 | — |
| ID | $26.88 | — |
| IL | $27.32 | — |
| IN | $27.32 | — |
| KS | $26.88 | — |
| KY | $27.32 | — |
| LA | $27.32 | — |
| MA | $27.32 | — |
| MD | $26.73 | — |
| ME | $27.32 | — |
| MI | $27.32 | — |
| MN | $27.32 | — |
| MO | $27.32 | — |
| MS | $27.32 | — |
| MT | $26.88 | — |
| NC | $27.32 | — |
| ND | $26.88 | — |
| NE | $26.88 | — |
| NH | $27.32 | — |
| NJ | $27.32 | — |
| NM | $27.32 | — |
| NV | $26.88 | — |
| NY | $27.32 | — |
| OH | $27.32 | — |
| OK | $27.32 | — |
| OR | $26.88 | — |
| PA | $27.32 | — |
| PR | $32.80 | — |
| RI | $27.32 | — |
| SC | $27.32 | — |
| SD | $26.88 | — |
| TN | $27.32 | — |
| TX | $27.32 | — |
| UT | $27.32 | — |
| VA | $27.32 | — |
| VI | $27.32 | — |
| VT | $27.32 | — |
| WA | $27.32 | — |
| WI | $27.32 | — |
| WV | $27.32 | — |
| WY | $26.88 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E2221 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
Bill E2221 with confidence
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