E2325 — Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware
HCPCS Level II E-code · short descriptor: “Sip and puff interface”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Carrier judgment — coverage decided by the DME MAC
- DMEPOS payment category
- Capped rental
- 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.
E2325 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $165.45 to $182.52 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $165.45 | — |
| AL | $165.45 | $165.45 |
| AR | $165.45 | $165.45 |
| AZ | $165.45 | $165.45 |
| CA | $165.45 | $165.45 |
| CO | $165.45 | $165.45 |
| CT | $165.45 | $165.45 |
| DC | $165.45 | $165.45 |
| DE | $165.45 | $165.45 |
| FL | $165.45 | $165.45 |
| GA | $165.45 | $165.45 |
| HI | $165.45 | — |
| IA | $165.45 | $165.45 |
| ID | $165.45 | $165.45 |
| IL | $165.45 | $165.45 |
| IN | $165.45 | $165.45 |
| KS | $165.45 | $165.45 |
| KY | $165.45 | $165.45 |
| LA | $165.45 | $165.45 |
| MA | $165.45 | $165.45 |
| MD | $165.45 | $165.45 |
| ME | $165.45 | $165.45 |
| MI | $165.45 | $165.45 |
| MN | $165.45 | $165.45 |
| MO | $165.45 | $165.45 |
| MS | $165.45 | $165.45 |
| MT | $165.45 | $165.45 |
| NC | $165.45 | $165.45 |
| ND | $165.45 | $165.45 |
| NE | $165.45 | $165.45 |
| NH | $165.45 | $165.45 |
| NJ | $165.45 | $165.45 |
| NM | $165.45 | $165.45 |
| NV | $165.45 | $165.45 |
| NY | $165.45 | $165.45 |
| OH | $165.45 | $165.45 |
| OK | $165.45 | $165.45 |
| OR | $165.45 | $165.45 |
| PA | $165.45 | $165.45 |
| PR | $182.52 | — |
| RI | $165.45 | $165.45 |
| SC | $165.45 | $165.45 |
| SD | $165.45 | $165.45 |
| TN | $165.45 | $165.45 |
| TX | $165.45 | $165.45 |
| UT | $165.45 | $165.45 |
| VA | $165.45 | $165.45 |
| VI | $165.45 | — |
| VT | $165.45 | $165.45 |
| WA | $165.45 | $165.45 |
| WI | $165.45 | $165.45 |
| WV | $165.45 | $165.45 |
| WY | $165.45 | $165.45 |
RR + KE — Monthly rental Capped rental
Medicare allowable ranges from $177.97 to $196.91 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $177.97 | — |
| AL | — | $177.97 |
| AR | — | $177.97 |
| AZ | — | $177.97 |
| CA | — | $177.97 |
| CO | — | $177.97 |
| CT | — | $177.97 |
| DC | — | $177.97 |
| DE | — | $177.97 |
| FL | — | $177.97 |
| GA | — | $177.97 |
| HI | $177.97 | — |
| IA | — | $177.97 |
| ID | — | $177.97 |
| IL | — | $177.97 |
| IN | — | $177.97 |
| KS | — | $177.97 |
| KY | — | $177.97 |
| LA | — | $177.97 |
| MA | — | $177.97 |
| MD | — | $177.97 |
| ME | — | $177.97 |
| MI | — | $177.97 |
| MN | — | $177.97 |
| MO | — | $177.97 |
| MS | — | $177.97 |
| MT | — | $177.97 |
| NC | — | $177.97 |
| ND | — | $177.97 |
| NE | — | $177.97 |
| NH | — | $177.97 |
| NJ | — | $177.97 |
| NM | — | $177.97 |
| NV | — | $177.97 |
| NY | — | $177.97 |
| OH | — | $177.97 |
| OK | — | $177.97 |
| OR | — | $177.97 |
| PA | — | $177.97 |
| PR | $196.91 | — |
| RI | — | $177.97 |
| SC | — | $177.97 |
| SD | — | $177.97 |
| TN | — | $177.97 |
| TX | — | $177.97 |
| UT | — | $177.97 |
| VA | — | $177.97 |
| VI | $177.97 | — |
| VT | — | $177.97 |
| WA | — | $177.97 |
| WI | — | $177.97 |
| WV | — | $177.97 |
| WY | — | $177.97 |
RR + KU — Monthly rental Capped rental
Medicare allowable ranges from $165.44 to $198.54 depending on state and rural status.
Former-CBA payment limits: ceiling $165.44 · floor $140.62
| State | Non-rural | Rural |
|---|---|---|
| AK | $165.44 | — |
| AL | $165.44 | — |
| AR | $165.44 | — |
| AZ | $165.44 | — |
| CA | $165.44 | — |
| CO | $165.44 | — |
| CT | $165.44 | — |
| DC | $165.44 | — |
| DE | $165.44 | — |
| FL | $165.44 | — |
| GA | $165.44 | — |
| HI | $165.44 | — |
| IA | $165.44 | — |
| ID | $165.44 | — |
| IL | $165.44 | — |
| IN | $165.44 | — |
| KS | $165.44 | — |
| KY | $165.44 | — |
| LA | $165.44 | — |
| MA | $165.44 | — |
| MD | $165.44 | — |
| ME | $165.44 | — |
| MI | $165.44 | — |
| MN | $165.44 | — |
| MO | $165.44 | — |
| MS | $165.44 | — |
| MT | $165.44 | — |
| NC | $165.44 | — |
| ND | $165.44 | — |
| NE | $165.44 | — |
| NH | $165.44 | — |
| NJ | $165.44 | — |
| NM | $165.44 | — |
| NV | $165.44 | — |
| NY | $165.44 | — |
| OH | $165.44 | — |
| OK | $165.44 | — |
| OR | $165.44 | — |
| PA | $165.44 | — |
| PR | $198.54 | — |
| RI | $165.44 | — |
| SC | $165.44 | — |
| SD | $165.44 | — |
| TN | $165.44 | — |
| TX | $165.44 | — |
| UT | $165.44 | — |
| VA | $165.44 | — |
| VI | $165.44 | — |
| VT | $165.44 | — |
| WA | $165.44 | — |
| WI | $165.44 | — |
| WV | $165.44 | — |
| WY | $165.44 | — |
Common denial codes to watch
Related E-codes
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