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E2224 — Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each

HCPCS Level II E-code · short descriptor: “Propulsion whl excl tire rep”

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.

E2224 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $97.66 to $150.83 depending on state and rural status.

StateNon-ruralRural
AK$97.66
AL$115.40$118.78
AR$115.40$132.90
AZ$109.53$118.78
CA$104.34$118.78
CO$115.18$132.90
CT$126.06$132.90
DC$109.69$132.06
DE$109.69$132.90
FL$115.40$132.90
GA$115.40$118.78
HI$104.41
IA$117.13$132.90
ID$115.18$128.91
IL$112.34$118.78
IN$112.34$132.90
KS$117.13$132.90
KY$115.40$118.78
LA$115.40$121.44
MA$126.06$132.90
MD$109.69$132.90
ME$126.06$132.90
MI$112.34$118.78
MN$117.13$132.90
MO$117.13$132.90
MS$115.40$126.37
MT$115.18$132.90
NC$115.40$131.12
ND$117.13$132.90
NE$117.13$132.90
NH$126.06$132.90
NJ$109.69$132.90
NM$109.53$132.90
NV$104.34$118.78
NY$109.69$122.40
OH$112.34$118.78
OK$109.53$132.90
OR$104.34$132.90
PA$109.69$118.78
PR$150.83
RI$126.06$132.90
SC$115.40$118.78
SD$117.13$132.90
TN$115.40$129.05
TX$109.53$118.78
UT$115.18$118.78
VA$115.40$118.78
VI$122.40
VT$126.06$132.90
WA$104.34$118.78
WI$112.34$132.90
WV$115.40$118.78
WY$115.18$132.90

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $97.65 to $175.58 depending on state and rural status.

Former-CBA payment limits: ceiling $139.75 · floor $118.79

StateNon-ruralRural
AK$97.65
AL$118.79
AR$139.75
AZ$118.79
CA$118.79
CO$139.75
CT$139.75
DC$138.07
DE$139.75
FL$139.75
GA$118.79
HI$104.42
IA$139.75
ID$131.76
IL$118.79
IN$139.75
KS$139.75
KY$118.79
LA$121.44
MA$139.75
MD$139.75
ME$139.75
MI$118.79
MN$139.75
MO$139.75
MS$126.68
MT$139.75
NC$136.18
ND$139.75
NE$139.75
NH$139.75
NJ$139.75
NM$139.75
NV$118.79
NY$122.39
OH$118.79
OK$139.75
OR$139.75
PA$118.79
PR$175.58
RI$139.75
SC$118.79
SD$139.75
TN$132.04
TX$118.79
UT$118.79
VA$118.79
VI$122.39
VT$139.75
WA$118.79
WI$139.75
WV$118.79
WY$139.75

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $9.75 to $17.27 depending on state and rural status.

StateNon-ruralRural
AK$9.75
AL$11.54$12.47
AR$11.54$13.63
AZ$10.96$13.63
CA$10.43$12.47
CO$11.52$13.63
CT$12.61$13.63
DC$10.97$13.22
DE$10.97$13.63
FL$11.54$13.63
GA$11.54$12.47
HI$10.45
IA$11.71$12.47
ID$11.52$12.89
IL$11.23$12.47
IN$11.23$13.63
KS$11.71$13.63
KY$11.54$12.47
LA$11.54$12.47
MA$12.61$13.63
MD$10.97$13.63
ME$12.61$13.63
MI$11.23$12.47
MN$11.71$13.63
MO$11.71$13.63
MS$11.54$12.64
MT$11.52$13.42
NC$11.54$13.11
ND$11.71$13.63
NE$11.71$13.63
NH$12.61$13.63
NJ$10.97$13.63
NM$10.96$13.31
NV$10.43$13.63
NY$10.97$12.47
OH$11.23$12.47
OK$10.96$13.31
OR$10.43$13.63
PA$10.97$12.47
PR$17.27
RI$12.61$13.63
SC$11.54$12.47
SD$11.71$13.63
TN$11.54$12.90
TX$10.96$12.47
UT$11.52$12.47
VA$11.54$12.47
VI$12.47
VT$12.61$13.63
WA$10.43$13.63
WI$11.23$13.63
WV$11.54$12.47
WY$11.52$13.63

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $9.75 to $21.93 depending on state and rural status.

Former-CBA payment limits: ceiling $14.68 · floor $12.48

StateNon-ruralRural
AK$9.75
AL$12.48
AR$14.68
AZ$14.68
CA$12.48
CO$14.68
CT$14.68
DC$13.84
DE$14.68
FL$14.68
GA$12.48
HI$10.47
IA$12.48
ID$13.17
IL$12.48
IN$14.68
KS$14.68
KY$12.48
LA$12.48
MA$14.68
MD$14.68
ME$14.68
MI$12.48
MN$14.68
MO$14.68
MS$12.68
MT$14.24
NC$13.63
ND$14.68
NE$14.68
NH$14.68
NJ$14.68
NM$14.00
NV$14.68
NY$12.48
OH$12.48
OK$14.00
OR$14.68
PA$12.48
PR$21.93
RI$14.68
SC$12.48
SD$14.68
TN$13.18
TX$12.48
UT$12.48
VA$12.48
VI$12.48
VT$14.68
WA$14.68
WI$14.68
WV$12.48
WY$14.68

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $73.24 to $113.13 depending on state and rural status.

StateNon-ruralRural
AK$73.24
AL$86.55$89.09
AR$86.55$99.68
AZ$82.15$89.09
CA$78.26$89.09
CO$86.39$99.68
CT$94.54$99.68
DC$82.27$99.03
DE$82.27$99.68
FL$86.55$99.68
GA$86.55$89.09
HI$78.28
IA$87.85$89.09
ID$86.39$96.69
IL$84.25$89.09
IN$84.25$99.68
KS$87.85$99.68
KY$86.55$89.09
LA$86.55$91.08
MA$94.54$99.68
MD$82.27$99.68
ME$94.54$99.68
MI$84.25$89.09
MN$87.85$99.68
MO$87.85$99.68
MS$86.55$94.78
MT$86.39$99.68
NC$86.55$98.34
ND$87.85$99.68
NE$87.85$99.68
NH$94.54$99.68
NJ$82.27$99.68
NM$82.15$99.68
NV$78.26$89.09
NY$82.27$91.79
OH$84.25$89.09
OK$82.15$99.68
OR$78.26$99.68
PA$82.27$89.09
PR$113.13
RI$94.54$99.68
SC$86.55$89.09
SD$87.85$99.68
TN$86.55$96.80
TX$82.15$89.09
UT$86.39$89.09
VA$86.55$89.09
VI$91.79
VT$94.54$99.68
WA$78.26$89.09
WI$84.25$99.68
WV$86.55$89.09
WY$86.39$99.68

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $73.24 to $131.72 depending on state and rural status.

Former-CBA payment limits: ceiling $104.82 · floor $89.10

StateNon-ruralRural
AK$73.24
AL$89.10
AR$104.82
AZ$89.10
CA$89.10
CO$104.82
CT$104.82
DC$103.52
DE$104.82
FL$104.82
GA$89.10
HI$78.30
IA$89.10
ID$98.85
IL$89.10
IN$104.82
KS$104.82
KY$89.10
LA$91.07
MA$104.82
MD$104.82
ME$104.82
MI$89.10
MN$104.82
MO$104.82
MS$95.02
MT$104.82
NC$102.14
ND$104.82
NE$104.82
NH$104.82
NJ$104.82
NM$104.82
NV$89.10
NY$91.80
OH$89.10
OK$104.82
OR$104.82
PA$89.10
PR$131.72
RI$104.82
SC$89.10
SD$104.82
TN$99.06
TX$89.10
UT$89.10
VA$89.10
VI$91.80
VT$104.82
WA$89.10
WI$104.82
WV$89.10
WY$104.82
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.

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