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
- 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.
E2224 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $97.66 to $150.83 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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.
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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.
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E2224 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 E2224 with confidence
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