MyMedi-AI

E2343 — Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches

HCPCS Level II E-code · short descriptor: “W/c dpth 22-25 in seat frame”

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
1
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 2026-10-26; 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 2026-10-26; 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.

E2343 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $1021.52 to $1225.81 depending on state and rural status.

Former-CBA payment limits: ceiling $1021.52 · floor $868.29

StateNon-ruralRural
AK$1021.52—
AL$1021.52—
AR$1021.52—
AZ$1021.52—
CA$1021.52—
CO$1021.52—
CT$1021.52—
DC$1021.52—
DE$1021.52—
FL$1021.52—
GA$1021.52—
HI$1021.52—
IA$1021.52—
ID$1021.52—
IL$1021.52—
IN$1021.52—
KS$1021.52—
KY$1021.52—
LA$1021.52—
MA$1021.52—
MD$1021.52—
ME$1021.52—
MI$1021.52—
MN$1021.52—
MO$1021.52—
MS$1021.52—
MT$1021.52—
NC$1021.52—
ND$1021.52—
NE$1021.52—
NH$1021.52—
NJ$1021.52—
NM$1021.52—
NV$1021.52—
NY$1021.52—
OH$1021.52—
OK$1021.52—
OR$1021.52—
PA$1021.52—
PR$1225.81—
RI$1021.52—
SC$1021.52—
SD$1021.52—
TN$1021.52—
TX$1021.52—
UT$1021.52—
VA$1021.52—
VI$1021.52—
VT$1021.52—
WA$1021.52—
WI$1021.52—
WV$1021.52—
WY$1021.52—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $102.14 to $122.59 depending on state and rural status.

Former-CBA payment limits: ceiling $102.14 · floor $86.82

StateNon-ruralRural
AK$102.14—
AL$102.14—
AR$102.14—
AZ$102.14—
CA$102.14—
CO$102.14—
CT$102.14—
DC$102.14—
DE$102.14—
FL$102.14—
GA$102.14—
HI$102.14—
IA$102.14—
ID$102.14—
IL$102.14—
IN$102.14—
KS$102.14—
KY$102.14—
LA$102.14—
MA$102.14—
MD$102.14—
ME$102.14—
MI$102.14—
MN$102.14—
MO$102.14—
MS$102.14—
MT$102.14—
NC$102.14—
ND$102.14—
NE$102.14—
NH$102.14—
NJ$102.14—
NM$102.14—
NV$102.14—
NY$102.14—
OH$102.14—
OK$102.14—
OR$102.14—
PA$102.14—
PR$122.59—
RI$102.14—
SC$102.14—
SD$102.14—
TN$102.14—
TX$102.14—
UT$102.14—
VA$102.14—
VI$102.14—
VT$102.14—
WA$102.14—
WI$102.14—
WV$102.14—
WY$102.14—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $766.12 to $919.32 depending on state and rural status.

Former-CBA payment limits: ceiling $766.12 · floor $651.20

StateNon-ruralRural
AK$766.12—
AL$766.12—
AR$766.12—
AZ$766.12—
CA$766.12—
CO$766.12—
CT$766.12—
DC$766.12—
DE$766.12—
FL$766.12—
GA$766.12—
HI$766.12—
IA$766.12—
ID$766.12—
IL$766.12—
IN$766.12—
KS$766.12—
KY$766.12—
LA$766.12—
MA$766.12—
MD$766.12—
ME$766.12—
MI$766.12—
MN$766.12—
MO$766.12—
MS$766.12—
MT$766.12—
NC$766.12—
ND$766.12—
NE$766.12—
NH$766.12—
NJ$766.12—
NM$766.12—
NV$766.12—
NY$766.12—
OH$766.12—
OK$766.12—
OR$766.12—
PA$766.12—
PR$919.32—
RI$766.12—
SC$766.12—
SD$766.12—
TN$766.12—
TX$766.12—
UT$766.12—
VA$766.12—
VI$766.12—
VT$766.12—
WA$766.12—
WI$766.12—
WV$766.12—
WY$766.12—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps E2343 at 1 unit 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

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