E2226 — Manual wheelchair accessory, caster fork, any size, replacement only, each
HCPCS Level II E-code · short descriptor: “Caster fork replacement only”
- 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.
E2226 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $45.21 to $59.34 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $53.93 | — |
| AL | $47.54 | $53.26 |
| AR | $47.54 | $53.26 |
| AZ | $47.00 | $53.26 |
| CA | $45.21 | $53.26 |
| CO | $47.29 | $53.26 |
| CT | $49.08 | $53.26 |
| DC | $46.65 | $53.26 |
| DE | $46.65 | $53.26 |
| FL | $47.54 | $53.26 |
| GA | $47.54 | $53.26 |
| HI | $53.93 | — |
| IA | $47.92 | $53.26 |
| ID | $47.29 | $53.26 |
| IL | $50.14 | $53.26 |
| IN | $50.14 | $53.26 |
| KS | $47.92 | $53.26 |
| KY | $47.54 | $53.26 |
| LA | $47.54 | $53.26 |
| MA | $49.08 | $53.26 |
| MD | $46.65 | $53.26 |
| ME | $49.08 | $53.26 |
| MI | $50.14 | $53.26 |
| MN | $47.92 | $53.26 |
| MO | $47.92 | $53.26 |
| MS | $47.54 | $53.26 |
| MT | $47.29 | $53.26 |
| NC | $47.54 | $53.26 |
| ND | $47.92 | $53.26 |
| NE | $47.92 | $53.26 |
| NH | $49.08 | $53.26 |
| NJ | $46.65 | $53.26 |
| NM | $47.00 | $53.26 |
| NV | $45.21 | $53.26 |
| NY | $46.65 | $53.26 |
| OH | $50.14 | $53.26 |
| OK | $47.00 | $53.26 |
| OR | $45.21 | $53.26 |
| PA | $46.65 | $53.26 |
| PR | $59.34 | — |
| RI | $49.08 | $53.26 |
| SC | $47.54 | $53.26 |
| SD | $47.92 | $53.26 |
| TN | $47.54 | $53.26 |
| TX | $47.00 | $53.26 |
| UT | $47.29 | $53.26 |
| VA | $47.54 | $53.26 |
| VI | $53.93 | — |
| VT | $49.08 | $53.26 |
| WA | $45.21 | $53.26 |
| WI | $50.14 | $53.26 |
| WV | $47.54 | $53.26 |
| WY | $47.29 | $53.26 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $54.06 to $64.90 depending on state and rural status.
Former-CBA payment limits: ceiling $54.06 · floor $45.95
| State | Non-rural | Rural |
|---|---|---|
| AK | $54.06 | — |
| AL | $54.06 | — |
| AR | $54.06 | — |
| AZ | $54.06 | — |
| CA | $54.06 | — |
| CO | $54.06 | — |
| CT | $54.06 | — |
| DC | $54.06 | — |
| DE | $54.06 | — |
| FL | $54.06 | — |
| GA | $54.06 | — |
| HI | $54.06 | — |
| IA | $54.06 | — |
| ID | $54.06 | — |
| IL | $54.06 | — |
| IN | $54.06 | — |
| KS | $54.06 | — |
| KY | $54.06 | — |
| LA | $54.06 | — |
| MA | $54.06 | — |
| MD | $54.06 | — |
| ME | $54.06 | — |
| MI | $54.06 | — |
| MN | $54.06 | — |
| MO | $54.06 | — |
| MS | $54.06 | — |
| MT | $54.06 | — |
| NC | $54.06 | — |
| ND | $54.06 | — |
| NE | $54.06 | — |
| NH | $54.06 | — |
| NJ | $54.06 | — |
| NM | $54.06 | — |
| NV | $54.06 | — |
| NY | $54.06 | — |
| OH | $54.06 | — |
| OK | $54.06 | — |
| OR | $54.06 | — |
| PA | $54.06 | — |
| PR | $64.90 | — |
| RI | $54.06 | — |
| SC | $54.06 | — |
| SD | $54.06 | — |
| TN | $54.06 | — |
| TX | $54.06 | — |
| UT | $54.06 | — |
| VA | $54.06 | — |
| VI | $54.06 | — |
| VT | $54.06 | — |
| WA | $54.06 | — |
| WI | $54.06 | — |
| WV | $54.06 | — |
| WY | $54.06 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $4.52 to $5.93 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $5.39 | — |
| AL | $4.75 | $5.33 |
| AR | $4.75 | $5.33 |
| AZ | $4.70 | $5.33 |
| CA | $4.52 | $5.33 |
| CO | $4.73 | $5.33 |
| CT | $4.91 | $5.33 |
| DC | $4.67 | $5.33 |
| DE | $4.67 | $5.33 |
| FL | $4.75 | $5.33 |
| GA | $4.75 | $5.33 |
| HI | $5.39 | — |
| IA | $4.79 | $5.33 |
| ID | $4.73 | $5.33 |
| IL | $5.01 | $5.33 |
| IN | $5.01 | $5.33 |
| KS | $4.79 | $5.33 |
| KY | $4.75 | $5.33 |
| LA | $4.75 | $5.33 |
| MA | $4.91 | $5.33 |
| MD | $4.67 | $5.33 |
| ME | $4.91 | $5.33 |
| MI | $5.01 | $5.33 |
| MN | $4.79 | $5.33 |
| MO | $4.79 | $5.33 |
| MS | $4.75 | $5.33 |
| MT | $4.73 | $5.33 |
| NC | $4.75 | $5.33 |
| ND | $4.79 | $5.33 |
| NE | $4.79 | $5.33 |
| NH | $4.91 | $5.33 |
| NJ | $4.67 | $5.33 |
| NM | $4.70 | $5.33 |
| NV | $4.52 | $5.33 |
| NY | $4.67 | $5.33 |
| OH | $5.01 | $5.33 |
| OK | $4.70 | $5.33 |
| OR | $4.52 | $5.33 |
| PA | $4.67 | $5.33 |
| PR | $5.93 | — |
| RI | $4.91 | $5.33 |
| SC | $4.75 | $5.33 |
| SD | $4.79 | $5.33 |
| TN | $4.75 | $5.33 |
| TX | $4.70 | $5.33 |
| UT | $4.73 | $5.33 |
| VA | $4.75 | $5.33 |
| VI | $5.39 | — |
| VT | $4.91 | $5.33 |
| WA | $4.52 | $5.33 |
| WI | $5.01 | $5.33 |
| WV | $4.75 | $5.33 |
| WY | $4.73 | $5.33 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $5.41 to $6.51 depending on state and rural status.
Former-CBA payment limits: ceiling $5.41 · floor $4.60
| State | Non-rural | Rural |
|---|---|---|
| AK | $5.41 | — |
| AL | $5.41 | — |
| AR | $5.41 | — |
| AZ | $5.41 | — |
| CA | $5.41 | — |
| CO | $5.41 | — |
| CT | $5.41 | — |
| DC | $5.41 | — |
| DE | $5.41 | — |
| FL | $5.41 | — |
| GA | $5.41 | — |
| HI | $5.41 | — |
| IA | $5.41 | — |
| ID | $5.41 | — |
| IL | $5.41 | — |
| IN | $5.41 | — |
| KS | $5.41 | — |
| KY | $5.41 | — |
| LA | $5.41 | — |
| MA | $5.41 | — |
| MD | $5.41 | — |
| ME | $5.41 | — |
| MI | $5.41 | — |
| MN | $5.41 | — |
| MO | $5.41 | — |
| MS | $5.41 | — |
| MT | $5.41 | — |
| NC | $5.41 | — |
| ND | $5.41 | — |
| NE | $5.41 | — |
| NH | $5.41 | — |
| NJ | $5.41 | — |
| NM | $5.41 | — |
| NV | $5.41 | — |
| NY | $5.41 | — |
| OH | $5.41 | — |
| OK | $5.41 | — |
| OR | $5.41 | — |
| PA | $5.41 | — |
| PR | $6.51 | — |
| RI | $5.41 | — |
| SC | $5.41 | — |
| SD | $5.41 | — |
| TN | $5.41 | — |
| TX | $5.41 | — |
| UT | $5.41 | — |
| VA | $5.41 | — |
| VI | $5.41 | — |
| VT | $5.41 | — |
| WA | $5.41 | — |
| WI | $5.41 | — |
| WV | $5.41 | — |
| WY | $5.41 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $33.91 to $44.50 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $40.45 | — |
| AL | $35.66 | $39.95 |
| AR | $35.66 | $39.95 |
| AZ | $35.25 | $39.95 |
| CA | $33.91 | $39.95 |
| CO | $35.47 | $39.95 |
| CT | $36.81 | $39.95 |
| DC | $34.99 | $39.95 |
| DE | $34.99 | $39.95 |
| FL | $35.66 | $39.95 |
| GA | $35.66 | $39.95 |
| HI | $40.45 | — |
| IA | $35.94 | $39.95 |
| ID | $35.47 | $39.95 |
| IL | $37.61 | $39.95 |
| IN | $37.61 | $39.95 |
| KS | $35.94 | $39.95 |
| KY | $35.66 | $39.95 |
| LA | $35.66 | $39.95 |
| MA | $36.81 | $39.95 |
| MD | $34.99 | $39.95 |
| ME | $36.81 | $39.95 |
| MI | $37.61 | $39.95 |
| MN | $35.94 | $39.95 |
| MO | $35.94 | $39.95 |
| MS | $35.66 | $39.95 |
| MT | $35.47 | $39.95 |
| NC | $35.66 | $39.95 |
| ND | $35.94 | $39.95 |
| NE | $35.94 | $39.95 |
| NH | $36.81 | $39.95 |
| NJ | $34.99 | $39.95 |
| NM | $35.25 | $39.95 |
| NV | $33.91 | $39.95 |
| NY | $34.99 | $39.95 |
| OH | $37.61 | $39.95 |
| OK | $35.25 | $39.95 |
| OR | $33.91 | $39.95 |
| PA | $34.99 | $39.95 |
| PR | $44.50 | — |
| RI | $36.81 | $39.95 |
| SC | $35.66 | $39.95 |
| SD | $35.94 | $39.95 |
| TN | $35.66 | $39.95 |
| TX | $35.25 | $39.95 |
| UT | $35.47 | $39.95 |
| VA | $35.66 | $39.95 |
| VI | $40.45 | — |
| VT | $36.81 | $39.95 |
| WA | $33.91 | $39.95 |
| WI | $37.61 | $39.95 |
| WV | $35.66 | $39.95 |
| WY | $35.47 | $39.95 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $40.56 to $48.65 depending on state and rural status.
Former-CBA payment limits: ceiling $40.56 · floor $34.48
| State | Non-rural | Rural |
|---|---|---|
| AK | $40.56 | — |
| AL | $40.56 | — |
| AR | $40.56 | — |
| AZ | $40.56 | — |
| CA | $40.56 | — |
| CO | $40.56 | — |
| CT | $40.56 | — |
| DC | $40.56 | — |
| DE | $40.56 | — |
| FL | $40.56 | — |
| GA | $40.56 | — |
| HI | $40.56 | — |
| IA | $40.56 | — |
| ID | $40.56 | — |
| IL | $40.56 | — |
| IN | $40.56 | — |
| KS | $40.56 | — |
| KY | $40.56 | — |
| LA | $40.56 | — |
| MA | $40.56 | — |
| MD | $40.56 | — |
| ME | $40.56 | — |
| MI | $40.56 | — |
| MN | $40.56 | — |
| MO | $40.56 | — |
| MS | $40.56 | — |
| MT | $40.56 | — |
| NC | $40.56 | — |
| ND | $40.56 | — |
| NE | $40.56 | — |
| NH | $40.56 | — |
| NJ | $40.56 | — |
| NM | $40.56 | — |
| NV | $40.56 | — |
| NY | $40.56 | — |
| OH | $40.56 | — |
| OK | $40.56 | — |
| OR | $40.56 | — |
| PA | $40.56 | — |
| PR | $48.65 | — |
| RI | $40.56 | — |
| SC | $40.56 | — |
| SD | $40.56 | — |
| TN | $40.56 | — |
| TX | $40.56 | — |
| UT | $40.56 | — |
| VA | $40.56 | — |
| VI | $40.56 | — |
| VT | $40.56 | — |
| WA | $40.56 | — |
| WI | $40.56 | — |
| WV | $40.56 | — |
| WY | $40.56 | — |
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.
Common denial codes to watch
Related E-codes
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