E2225 — Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each
HCPCS Level II E-code · short descriptor: “Caster wheel excludes tire”
- 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.
E2225 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $21.68 to $27.39 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $24.81 | — |
| AL | $22.32 | $24.81 |
| AR | $22.32 | $24.81 |
| AZ | $22.57 | $24.81 |
| CA | $21.68 | $24.81 |
| CO | $22.82 | $24.81 |
| CT | $23.70 | $24.81 |
| DC | $21.79 | $24.81 |
| DE | $21.79 | $24.81 |
| FL | $22.32 | $24.81 |
| GA | $22.32 | $24.81 |
| HI | $24.81 | — |
| IA | $23.54 | $24.81 |
| ID | $22.82 | $24.81 |
| IL | $23.52 | $24.81 |
| IN | $23.52 | $24.81 |
| KS | $23.54 | $24.81 |
| KY | $22.32 | $24.81 |
| LA | $22.32 | $24.81 |
| MA | $23.70 | $24.81 |
| MD | $21.79 | $24.81 |
| ME | $23.70 | $24.81 |
| MI | $23.52 | $24.81 |
| MN | $23.54 | $24.81 |
| MO | $23.54 | $24.81 |
| MS | $22.32 | $24.81 |
| MT | $22.82 | $24.81 |
| NC | $22.32 | $24.81 |
| ND | $23.54 | $24.81 |
| NE | $23.54 | $24.81 |
| NH | $23.70 | $24.81 |
| NJ | $21.79 | $24.81 |
| NM | $22.57 | $24.81 |
| NV | $21.68 | $24.81 |
| NY | $21.79 | $24.81 |
| OH | $23.52 | $24.81 |
| OK | $22.57 | $24.81 |
| OR | $21.68 | $24.81 |
| PA | $21.79 | $24.81 |
| PR | $27.39 | — |
| RI | $23.70 | $24.81 |
| SC | $22.32 | $24.81 |
| SD | $23.54 | $24.81 |
| TN | $22.32 | $24.81 |
| TX | $22.57 | $24.81 |
| UT | $22.82 | $24.81 |
| VA | $22.32 | $24.81 |
| VI | $24.81 | — |
| VT | $23.70 | $24.81 |
| WA | $21.68 | $24.81 |
| WI | $23.52 | $24.81 |
| WV | $22.32 | $24.81 |
| WY | $22.82 | $24.81 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $24.79 to $29.76 depending on state and rural status.
Former-CBA payment limits: ceiling $24.79 · floor $21.07
| State | Non-rural | Rural |
|---|---|---|
| AK | $24.79 | — |
| AL | $24.79 | — |
| AR | $24.79 | — |
| AZ | $24.79 | — |
| CA | $24.79 | — |
| CO | $24.79 | — |
| CT | $24.79 | — |
| DC | $24.79 | — |
| DE | $24.79 | — |
| FL | $24.79 | — |
| GA | $24.79 | — |
| HI | $24.79 | — |
| IA | $24.79 | — |
| ID | $24.79 | — |
| IL | $24.79 | — |
| IN | $24.79 | — |
| KS | $24.79 | — |
| KY | $24.79 | — |
| LA | $24.79 | — |
| MA | $24.79 | — |
| MD | $24.79 | — |
| ME | $24.79 | — |
| MI | $24.79 | — |
| MN | $24.79 | — |
| MO | $24.79 | — |
| MS | $24.79 | — |
| MT | $24.79 | — |
| NC | $24.79 | — |
| ND | $24.79 | — |
| NE | $24.79 | — |
| NH | $24.79 | — |
| NJ | $24.79 | — |
| NM | $24.79 | — |
| NV | $24.79 | — |
| NY | $24.79 | — |
| OH | $24.79 | — |
| OK | $24.79 | — |
| OR | $24.79 | — |
| PA | $24.79 | — |
| PR | $29.76 | — |
| RI | $24.79 | — |
| SC | $24.79 | — |
| SD | $24.79 | — |
| TN | $24.79 | — |
| TX | $24.79 | — |
| UT | $24.79 | — |
| VA | $24.79 | — |
| VI | $24.79 | — |
| VT | $24.79 | — |
| WA | $24.79 | — |
| WI | $24.79 | — |
| WV | $24.79 | — |
| WY | $24.79 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $2.17 to $2.73 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $2.48 | — |
| AL | $2.23 | $2.48 |
| AR | $2.23 | $2.48 |
| AZ | $2.26 | $2.48 |
| CA | $2.17 | $2.48 |
| CO | $2.28 | $2.48 |
| CT | $2.37 | $2.48 |
| DC | $2.18 | $2.48 |
| DE | $2.18 | $2.48 |
| FL | $2.23 | $2.48 |
| GA | $2.23 | $2.48 |
| HI | $2.48 | — |
| IA | $2.35 | $2.48 |
| ID | $2.28 | $2.48 |
| IL | $2.35 | $2.48 |
| IN | $2.35 | $2.48 |
| KS | $2.35 | $2.48 |
| KY | $2.23 | $2.48 |
| LA | $2.23 | $2.48 |
| MA | $2.37 | $2.48 |
| MD | $2.18 | $2.48 |
| ME | $2.37 | $2.48 |
| MI | $2.35 | $2.48 |
| MN | $2.35 | $2.48 |
| MO | $2.35 | $2.48 |
| MS | $2.23 | $2.48 |
| MT | $2.28 | $2.48 |
| NC | $2.23 | $2.48 |
| ND | $2.35 | $2.48 |
| NE | $2.35 | $2.48 |
| NH | $2.37 | $2.48 |
| NJ | $2.18 | $2.48 |
| NM | $2.26 | $2.48 |
| NV | $2.17 | $2.48 |
| NY | $2.18 | $2.48 |
| OH | $2.35 | $2.48 |
| OK | $2.26 | $2.48 |
| OR | $2.17 | $2.48 |
| PA | $2.18 | $2.48 |
| PR | $2.73 | — |
| RI | $2.37 | $2.48 |
| SC | $2.23 | $2.48 |
| SD | $2.35 | $2.48 |
| TN | $2.23 | $2.48 |
| TX | $2.26 | $2.48 |
| UT | $2.28 | $2.48 |
| VA | $2.23 | $2.48 |
| VI | $2.48 | — |
| VT | $2.37 | $2.48 |
| WA | $2.17 | $2.48 |
| WI | $2.35 | $2.48 |
| WV | $2.23 | $2.48 |
| WY | $2.28 | $2.48 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $2.46 to $2.95 depending on state and rural status.
Former-CBA payment limits: ceiling $2.46 · floor $2.09
| State | Non-rural | Rural |
|---|---|---|
| AK | $2.46 | — |
| AL | $2.46 | — |
| AR | $2.46 | — |
| AZ | $2.46 | — |
| CA | $2.46 | — |
| CO | $2.46 | — |
| CT | $2.46 | — |
| DC | $2.46 | — |
| DE | $2.46 | — |
| FL | $2.46 | — |
| GA | $2.46 | — |
| HI | $2.46 | — |
| IA | $2.46 | — |
| ID | $2.46 | — |
| IL | $2.46 | — |
| IN | $2.46 | — |
| KS | $2.46 | — |
| KY | $2.46 | — |
| LA | $2.46 | — |
| MA | $2.46 | — |
| MD | $2.46 | — |
| ME | $2.46 | — |
| MI | $2.46 | — |
| MN | $2.46 | — |
| MO | $2.46 | — |
| MS | $2.46 | — |
| MT | $2.46 | — |
| NC | $2.46 | — |
| ND | $2.46 | — |
| NE | $2.46 | — |
| NH | $2.46 | — |
| NJ | $2.46 | — |
| NM | $2.46 | — |
| NV | $2.46 | — |
| NY | $2.46 | — |
| OH | $2.46 | — |
| OK | $2.46 | — |
| OR | $2.46 | — |
| PA | $2.46 | — |
| PR | $2.95 | — |
| RI | $2.46 | — |
| SC | $2.46 | — |
| SD | $2.46 | — |
| TN | $2.46 | — |
| TX | $2.46 | — |
| UT | $2.46 | — |
| VA | $2.46 | — |
| VI | $2.46 | — |
| VT | $2.46 | — |
| WA | $2.46 | — |
| WI | $2.46 | — |
| WV | $2.46 | — |
| WY | $2.46 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $16.26 to $20.53 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $18.58 | — |
| AL | $16.74 | $18.58 |
| AR | $16.74 | $18.58 |
| AZ | $16.93 | $18.58 |
| CA | $16.26 | $18.58 |
| CO | $17.11 | $18.58 |
| CT | $17.78 | $18.58 |
| DC | $16.35 | $18.58 |
| DE | $16.35 | $18.58 |
| FL | $16.74 | $18.58 |
| GA | $16.74 | $18.58 |
| HI | $18.58 | — |
| IA | $17.66 | $18.58 |
| ID | $17.11 | $18.58 |
| IL | $17.64 | $18.58 |
| IN | $17.64 | $18.58 |
| KS | $17.66 | $18.58 |
| KY | $16.74 | $18.58 |
| LA | $16.74 | $18.58 |
| MA | $17.78 | $18.58 |
| MD | $16.35 | $18.58 |
| ME | $17.78 | $18.58 |
| MI | $17.64 | $18.58 |
| MN | $17.66 | $18.58 |
| MO | $17.66 | $18.58 |
| MS | $16.74 | $18.58 |
| MT | $17.11 | $18.58 |
| NC | $16.74 | $18.58 |
| ND | $17.66 | $18.58 |
| NE | $17.66 | $18.58 |
| NH | $17.78 | $18.58 |
| NJ | $16.35 | $18.58 |
| NM | $16.93 | $18.58 |
| NV | $16.26 | $18.58 |
| NY | $16.35 | $18.58 |
| OH | $17.64 | $18.58 |
| OK | $16.93 | $18.58 |
| OR | $16.26 | $18.58 |
| PA | $16.35 | $18.58 |
| PR | $20.53 | — |
| RI | $17.78 | $18.58 |
| SC | $16.74 | $18.58 |
| SD | $17.66 | $18.58 |
| TN | $16.74 | $18.58 |
| TX | $16.93 | $18.58 |
| UT | $17.11 | $18.58 |
| VA | $16.74 | $18.58 |
| VI | $18.58 | — |
| VT | $17.78 | $18.58 |
| WA | $16.26 | $18.58 |
| WI | $17.64 | $18.58 |
| WV | $16.74 | $18.58 |
| WY | $17.11 | $18.58 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $18.58 to $22.28 depending on state and rural status.
Former-CBA payment limits: ceiling $18.58 · floor $15.79
| State | Non-rural | Rural |
|---|---|---|
| AK | $18.58 | — |
| AL | $18.58 | — |
| AR | $18.58 | — |
| AZ | $18.58 | — |
| CA | $18.58 | — |
| CO | $18.58 | — |
| CT | $18.58 | — |
| DC | $18.58 | — |
| DE | $18.58 | — |
| FL | $18.58 | — |
| GA | $18.58 | — |
| HI | $18.58 | — |
| IA | $18.58 | — |
| ID | $18.58 | — |
| IL | $18.58 | — |
| IN | $18.58 | — |
| KS | $18.58 | — |
| KY | $18.58 | — |
| LA | $18.58 | — |
| MA | $18.58 | — |
| MD | $18.58 | — |
| ME | $18.58 | — |
| MI | $18.58 | — |
| MN | $18.58 | — |
| MO | $18.58 | — |
| MS | $18.58 | — |
| MT | $18.58 | — |
| NC | $18.58 | — |
| ND | $18.58 | — |
| NE | $18.58 | — |
| NH | $18.58 | — |
| NJ | $18.58 | — |
| NM | $18.58 | — |
| NV | $18.58 | — |
| NY | $18.58 | — |
| OH | $18.58 | — |
| OK | $18.58 | — |
| OR | $18.58 | — |
| PA | $18.58 | — |
| PR | $22.28 | — |
| RI | $18.58 | — |
| SC | $18.58 | — |
| SD | $18.58 | — |
| TN | $18.58 | — |
| TX | $18.58 | — |
| UT | $18.58 | — |
| VA | $18.58 | — |
| VI | $18.58 | — |
| VT | $18.58 | — |
| WA | $18.58 | — |
| WI | $18.58 | — |
| WV | $18.58 | — |
| WY | $18.58 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E2225 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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