MyMedi-AI

E2370 — Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only

HCPCS Level II E-code · short descriptor: “Pwr wc dr wh motor/gear comb”

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 2026-10-26; 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.

E2370 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $62.69 to $94.65 depending on state and rural status.

StateNon-ruralRural
AK$84.80—
AL$66.29$84.80
AR$66.29$84.80
AZ$63.47$84.80
CA$63.15$84.80
CO$64.45$84.80
CT$65.27$84.80
DC$62.69$84.80
DE$62.69$84.80
FL$66.29$84.80
GA$66.29$84.80
HI$84.80—
IA$63.68$84.80
ID$64.45$84.80
IL$64.71$84.80
IN$64.71$84.80
KS$63.68$84.80
KY$66.29$84.80
LA$66.29$84.80
MA$65.27$84.80
MD$62.69$84.80
ME$65.27$84.80
MI$64.71$84.80
MN$63.68$84.80
MO$63.68$84.80
MS$66.29$84.80
MT$64.45$84.80
NC$66.29$84.80
ND$63.68$84.80
NE$63.68$84.80
NH$65.27$84.80
NJ$62.69$84.80
NM$63.47$84.80
NV$63.15$84.80
NY$62.69$84.80
OH$64.71$84.80
OK$63.47$84.80
OR$63.15$84.80
PA$62.69$84.80
PR$94.65—
RI$65.27$84.80
SC$66.29$84.80
SD$63.68$84.80
TN$66.29$84.80
TX$63.47$84.80
UT$64.45$84.80
VA$66.29$84.80
VI$84.80—
VT$65.27$84.80
WA$63.15$84.80
WI$64.71$84.80
WV$66.29$84.80
WY$64.45$84.80

RR + KE — Monthly rental Capped rental

Medicare allowable ranges from $91.95 to $103.23 depending on state and rural status.

StateNon-ruralRural
AK$91.95—
AL—$91.95
AR—$91.95
AZ—$91.95
CA—$91.95
CO—$91.95
CT—$91.95
DC—$91.95
DE—$91.95
FL—$91.95
GA—$91.95
HI$91.95—
IA—$91.95
ID—$91.95
IL—$91.95
IN—$91.95
KS—$91.95
KY—$91.95
LA—$91.95
MA—$91.95
MD—$91.95
ME—$91.95
MI—$91.95
MN—$91.95
MO—$91.95
MS—$91.95
MT—$91.95
NC—$91.95
ND—$91.95
NE—$91.95
NH—$91.95
NJ—$91.95
NM—$91.95
NV—$91.95
NY—$91.95
OH—$91.95
OK—$91.95
OR—$91.95
PA—$91.95
PR$103.23—
RI—$91.95
SC—$91.95
SD—$91.95
TN—$91.95
TX—$91.95
UT—$91.95
VA—$91.95
VI$91.95—
VT—$91.95
WA—$91.95
WI—$91.95
WV—$91.95
WY—$91.95

RR + KU — Monthly rental Capped rental

Medicare allowable ranges from $98.63 to $118.33 depending on state and rural status.

Former-CBA payment limits: ceiling $98.63 · floor $83.84

StateNon-ruralRural
AK$98.63—
AL$98.63—
AR$98.63—
AZ$98.63—
CA$98.63—
CO$98.63—
CT$98.63—
DC$98.63—
DE$98.63—
FL$98.63—
GA$98.63—
HI$98.63—
IA$98.63—
ID$98.63—
IL$98.63—
IN$98.63—
KS$98.63—
KY$98.63—
LA$98.63—
MA$98.63—
MD$98.63—
ME$98.63—
MI$98.63—
MN$98.63—
MO$98.63—
MS$98.63—
MT$98.63—
NC$98.63—
ND$98.63—
NE$98.63—
NH$98.63—
NJ$98.63—
NM$98.63—
NV$98.63—
NY$98.63—
OH$98.63—
OK$98.63—
OR$98.63—
PA$98.63—
PR$118.33—
RI$98.63—
SC$98.63—
SD$98.63—
TN$98.63—
TX$98.63—
UT$98.63—
VA$98.63—
VI$98.63—
VT$98.63—
WA$98.63—
WI$98.63—
WV$98.63—
WY$98.63—
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 E2370 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

Related E-codes

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