MyMedi-AI

E2368 — Power wheelchair component, drive wheel motor, replacement only

HCPCS Level II E-code · short descriptor: “Pwr wc drivewheel motor repl”

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
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.

E2368 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $48.43 to $69.71 depending on state and rural status.

StateNon-ruralRural
AK$63.36—
AL$50.01$59.09
AR$50.01$59.09
AZ$48.73$59.09
CA$48.59$59.09
CO$48.43$59.09
CT$49.89$59.09
DC$49.71$59.09
DE$49.71$59.09
FL$50.01$59.09
GA$50.01$59.09
HI$63.36—
IA$48.88$59.09
ID$48.43$59.09
IL$53.26$59.09
IN$53.26$59.09
KS$48.88$59.09
KY$50.01$59.09
LA$50.01$59.09
MA$49.89$59.09
MD$49.71$59.09
ME$49.89$59.09
MI$53.26$59.09
MN$48.88$59.09
MO$48.88$59.09
MS$50.01$59.09
MT$48.43$59.09
NC$50.01$59.09
ND$48.88$59.09
NE$48.88$59.09
NH$49.89$59.09
NJ$49.71$59.09
NM$48.73$59.09
NV$48.59$59.09
NY$49.71$59.09
OH$53.26$59.09
OK$48.73$59.09
OR$48.59$59.09
PA$49.71$59.09
PR$69.71—
RI$49.89$59.09
SC$50.01$59.09
SD$48.88$59.09
TN$50.01$59.09
TX$48.73$59.09
UT$48.43$59.09
VA$50.01$59.09
VI$63.36—
VT$49.89$59.09
WA$48.59$59.09
WI$53.26$59.09
WV$50.01$59.09
WY$48.43$59.09

RR + KE — Monthly rental Capped rental

Medicare allowable ranges from $63.69 to $75.23 depending on state and rural status.

StateNon-ruralRural
AK$67.96—
AL—$63.69
AR—$63.69
AZ—$63.69
CA—$63.69
CO—$63.69
CT—$63.69
DC—$63.69
DE—$63.69
FL—$63.69
GA—$63.69
HI$67.96—
IA—$63.69
ID—$63.69
IL—$63.69
IN—$63.69
KS—$63.69
KY—$63.69
LA—$63.69
MA—$63.69
MD—$63.69
ME—$63.69
MI—$63.69
MN—$63.69
MO—$63.69
MS—$63.69
MT—$63.69
NC—$63.69
ND—$63.69
NE—$63.69
NH—$63.69
NJ—$63.69
NM—$63.69
NV—$63.69
NY—$63.69
OH—$63.69
OK—$63.69
OR—$63.69
PA—$63.69
PR$75.23—
RI—$63.69
SC—$63.69
SD—$63.69
TN—$63.69
TX—$63.69
UT—$63.69
VA—$63.69
VI$67.96—
VT—$63.69
WA—$63.69
WI—$63.69
WV—$63.69
WY—$63.69

RR + KU — Monthly rental Capped rental

Medicare allowable ranges from $63.44 to $76.14 depending on state and rural status.

Former-CBA payment limits: ceiling $63.44 · floor $53.92

StateNon-ruralRural
AK$63.44—
AL$63.44—
AR$63.44—
AZ$63.44—
CA$63.44—
CO$63.44—
CT$63.44—
DC$63.44—
DE$63.44—
FL$63.44—
GA$63.44—
HI$63.44—
IA$63.44—
ID$63.44—
IL$63.44—
IN$63.44—
KS$63.44—
KY$63.44—
LA$63.44—
MA$63.44—
MD$63.44—
ME$63.44—
MI$63.44—
MN$63.44—
MO$63.44—
MS$63.44—
MT$63.44—
NC$63.44—
ND$63.44—
NE$63.44—
NH$63.44—
NJ$63.44—
NM$63.44—
NV$63.44—
NY$63.44—
OH$63.44—
OK$63.44—
OR$63.44—
PA$63.44—
PR$76.14—
RI$63.44—
SC$63.44—
SD$63.44—
TN$63.44—
TX$63.44—
UT$63.44—
VA$63.44—
VI$63.44—
VT$63.44—
WA$63.44—
WI$63.44—
WV$63.44—
WY$63.44—
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 E2368 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

CO-50 medical necessityCO-151 frequency/units

Related E-codes

E2301E2310E2311E2312E2313E2321E2322E2323E2324E2325E2326E2327

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