MyMedi-AI

E2222 — Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each

HCPCS Level II E-code · short descriptor: “Solid caster integ whl, repl”

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.

E2222 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $25.43 to $32.85 depending on state and rural status.

StateNon-ruralRural
AK$29.84—
AL$27.21$29.84
AR$27.21$29.84
AZ$27.02$29.84
CA$25.43$29.84
CO$26.45$29.84
CT$27.38$29.84
DC$26.12$29.84
DE$26.12$29.84
FL$27.21$29.84
GA$27.21$29.84
HI$29.84—
IA$27.34$29.84
ID$26.45$29.84
IL$28.08$29.84
IN$28.08$29.84
KS$27.34$29.84
KY$27.21$29.84
LA$27.21$29.84
MA$27.38$29.84
MD$26.12$29.84
ME$27.38$29.84
MI$28.08$29.84
MN$27.34$29.84
MO$27.34$29.84
MS$27.21$29.84
MT$26.45$29.84
NC$27.21$29.84
ND$27.34$29.84
NE$27.34$29.84
NH$27.38$29.84
NJ$26.12$29.84
NM$27.02$29.84
NV$25.43$29.84
NY$26.12$29.84
OH$28.08$29.84
OK$27.02$29.84
OR$25.43$29.84
PA$26.12$29.84
PR$32.85—
RI$27.38$29.84
SC$27.21$29.84
SD$27.34$29.84
TN$27.21$29.84
TX$27.02$29.84
UT$26.45$29.84
VA$27.21$29.84
VI$29.84—
VT$27.38$29.84
WA$25.43$29.84
WI$28.08$29.84
WV$27.21$29.84
WY$26.45$29.84

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $30.03 to $36.03 depending on state and rural status.

Former-CBA payment limits: ceiling $30.03 · floor $25.53

StateNon-ruralRural
AK$30.03—
AL$30.03—
AR$30.03—
AZ$30.03—
CA$30.03—
CO$30.03—
CT$30.03—
DC$30.03—
DE$30.03—
FL$30.03—
GA$30.03—
HI$30.03—
IA$30.03—
ID$30.03—
IL$30.03—
IN$30.03—
KS$30.03—
KY$30.03—
LA$30.03—
MA$30.03—
MD$30.03—
ME$30.03—
MI$30.03—
MN$30.03—
MO$30.03—
MS$30.03—
MT$30.03—
NC$30.03—
ND$30.03—
NE$30.03—
NH$30.03—
NJ$30.03—
NM$30.03—
NV$30.03—
NY$30.03—
OH$30.03—
OK$30.03—
OR$30.03—
PA$30.03—
PR$36.03—
RI$30.03—
SC$30.03—
SD$30.03—
TN$30.03—
TX$30.03—
UT$30.03—
VA$30.03—
VI$30.03—
VT$30.03—
WA$30.03—
WI$30.03—
WV$30.03—
WY$30.03—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $2.54 to $3.28 depending on state and rural status.

StateNon-ruralRural
AK$2.97—
AL$2.72$2.97
AR$2.72$2.97
AZ$2.70$2.97
CA$2.54$2.97
CO$2.64$2.97
CT$2.74$2.97
DC$2.61$2.97
DE$2.61$2.97
FL$2.72$2.97
GA$2.72$2.97
HI$2.97—
IA$2.73$2.97
ID$2.64$2.97
IL$2.81$2.97
IN$2.81$2.97
KS$2.73$2.97
KY$2.72$2.97
LA$2.72$2.97
MA$2.74$2.97
MD$2.61$2.97
ME$2.74$2.97
MI$2.81$2.97
MN$2.73$2.97
MO$2.73$2.97
MS$2.72$2.97
MT$2.64$2.97
NC$2.72$2.97
ND$2.73$2.97
NE$2.73$2.97
NH$2.74$2.97
NJ$2.61$2.97
NM$2.70$2.97
NV$2.54$2.97
NY$2.61$2.97
OH$2.81$2.97
OK$2.70$2.97
OR$2.54$2.97
PA$2.61$2.97
PR$3.28—
RI$2.74$2.97
SC$2.72$2.97
SD$2.73$2.97
TN$2.72$2.97
TX$2.70$2.97
UT$2.64$2.97
VA$2.72$2.97
VI$2.97—
VT$2.74$2.97
WA$2.54$2.97
WI$2.81$2.97
WV$2.72$2.97
WY$2.64$2.97

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $2.96 to $3.61 depending on state and rural status.

Former-CBA payment limits: ceiling $2.96 · floor $2.52

StateNon-ruralRural
AK$2.96—
AL$2.96—
AR$2.96—
AZ$2.96—
CA$2.96—
CO$2.96—
CT$2.96—
DC$2.96—
DE$2.96—
FL$2.96—
GA$2.96—
HI$2.96—
IA$2.96—
ID$2.96—
IL$2.96—
IN$2.96—
KS$2.96—
KY$2.96—
LA$2.96—
MA$2.96—
MD$2.96—
ME$2.96—
MI$2.96—
MN$2.96—
MO$2.96—
MS$2.96—
MT$2.96—
NC$2.96—
ND$2.96—
NE$2.96—
NH$2.96—
NJ$2.96—
NM$2.96—
NV$2.96—
NY$2.96—
OH$2.96—
OK$2.96—
OR$2.96—
PA$2.96—
PR$3.61—
RI$2.96—
SC$2.96—
SD$2.96—
TN$2.96—
TX$2.96—
UT$2.96—
VA$2.96—
VI$2.96—
VT$2.96—
WA$2.96—
WI$2.96—
WV$2.96—
WY$2.96—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $19.07 to $24.64 depending on state and rural status.

StateNon-ruralRural
AK$22.39—
AL$20.41$22.39
AR$20.41$22.39
AZ$20.27$22.39
CA$19.07$22.39
CO$19.84$22.39
CT$20.54$22.39
DC$19.59$22.39
DE$19.59$22.39
FL$20.41$22.39
GA$20.41$22.39
HI$22.39—
IA$20.51$22.39
ID$19.84$22.39
IL$21.06$22.39
IN$21.06$22.39
KS$20.51$22.39
KY$20.41$22.39
LA$20.41$22.39
MA$20.54$22.39
MD$19.59$22.39
ME$20.54$22.39
MI$21.06$22.39
MN$20.51$22.39
MO$20.51$22.39
MS$20.41$22.39
MT$19.84$22.39
NC$20.41$22.39
ND$20.51$22.39
NE$20.51$22.39
NH$20.54$22.39
NJ$19.59$22.39
NM$20.27$22.39
NV$19.07$22.39
NY$19.59$22.39
OH$21.06$22.39
OK$20.27$22.39
OR$19.07$22.39
PA$19.59$22.39
PR$24.64—
RI$20.54$22.39
SC$20.41$22.39
SD$20.51$22.39
TN$20.41$22.39
TX$20.27$22.39
UT$19.84$22.39
VA$20.41$22.39
VI$22.39—
VT$20.54$22.39
WA$19.07$22.39
WI$21.06$22.39
WV$20.41$22.39
WY$19.84$22.39

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $22.53 to $27.05 depending on state and rural status.

Former-CBA payment limits: ceiling $22.53 · floor $19.15

StateNon-ruralRural
AK$22.53—
AL$22.53—
AR$22.53—
AZ$22.53—
CA$22.53—
CO$22.53—
CT$22.53—
DC$22.53—
DE$22.53—
FL$22.53—
GA$22.53—
HI$22.53—
IA$22.53—
ID$22.53—
IL$22.53—
IN$22.53—
KS$22.53—
KY$22.53—
LA$22.53—
MA$22.53—
MD$22.53—
ME$22.53—
MI$22.53—
MN$22.53—
MO$22.53—
MS$22.53—
MT$22.53—
NC$22.53—
ND$22.53—
NE$22.53—
NH$22.53—
NJ$22.53—
NM$22.53—
NV$22.53—
NY$22.53—
OH$22.53—
OK$22.53—
OR$22.53—
PA$22.53—
PR$27.05—
RI$22.53—
SC$22.53—
SD$22.53—
TN$22.53—
TX$22.53—
UT$22.53—
VA$22.53—
VI$22.53—
VT$22.53—
WA$22.53—
WI$22.53—
WV$22.53—
WY$22.53—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps E2222 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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