MyMedi-AI

E2376 — Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only

HCPCS Level II E-code · short descriptor: “Expandable controller, repl”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Special coverage instructions apply
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
1
Status
Active (HCPCS Level II October 2026)

Prior authorization

Not on the Medicare required-PA list (CMS Required Prior Authorization List — 82 items in force on 2026-10-29 (2 of them in some states only); 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 — 105 items in force on 2026-10-29; 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.

E2376 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $155.35 to $168.35 depending on state and rural status.

StateNon-ruralRural
AK$160.11—
AL$155.35$160.11
AR$155.35$160.11
AZ$155.35$160.11
CA$155.35$160.11
CO$155.35$160.11
CT$155.35$160.11
DC$155.35$160.11
DE$155.35$160.11
FL$155.35$160.11
GA$155.35$160.11
HI$160.11—
IA$155.35$160.11
ID$155.35$160.11
IL$155.35$160.11
IN$155.35$160.11
KS$155.35$160.11
KY$155.35$160.11
LA$155.35$160.11
MA$155.35$160.11
MD$155.35$160.11
ME$155.35$160.11
MI$155.35$160.11
MN$155.35$160.11
MO$155.35$160.11
MS$155.35$160.11
MT$155.35$160.11
NC$155.35$160.11
ND$155.35$160.11
NE$155.35$160.11
NH$155.35$160.11
NJ$155.35$160.11
NM$155.35$160.11
NV$155.35$160.11
NY$155.35$160.11
OH$155.35$160.11
OK$155.35$160.11
OR$155.35$160.11
PA$155.35$160.11
PR$168.35—
RI$155.35$160.11
SC$155.35$160.11
SD$155.35$160.11
TN$155.35$160.11
TX$155.35$160.11
UT$155.35$160.11
VA$155.35$160.11
VI$160.11—
VT$155.35$160.11
WA$155.35$160.11
WI$155.35$160.11
WV$155.35$160.11
WY$155.35$160.11

RR + KE — Monthly rental Capped rental

Medicare allowable ranges from $172.06 to $181.50 depending on state and rural status.

StateNon-ruralRural
AK$172.06—
AL—$172.06
AR—$172.06
AZ—$172.06
CA—$172.06
CO—$172.06
CT—$172.06
DC—$172.06
DE—$172.06
FL—$172.06
GA—$172.06
HI$172.06—
IA—$172.06
ID—$172.06
IL—$172.06
IN—$172.06
KS—$172.06
KY—$172.06
LA—$172.06
MA—$172.06
MD—$172.06
ME—$172.06
MI—$172.06
MN—$172.06
MO—$172.06
MS—$172.06
MT—$172.06
NC—$172.06
ND—$172.06
NE—$172.06
NH—$172.06
NJ—$172.06
NM—$172.06
NV—$172.06
NY—$172.06
OH—$172.06
OK—$172.06
OR—$172.06
PA—$172.06
PR$181.50—
RI—$172.06
SC—$172.06
SD—$172.06
TN—$172.06
TX—$172.06
UT—$172.06
VA—$172.06
VI$172.06—
VT—$172.06
WA—$172.06
WI—$172.06
WV—$172.06
WY—$172.06

RR + KU — Monthly rental Capped rental

Medicare allowable ranges from $164.90 to $181.38 depending on state and rural status.

Former-CBA payment limits: ceiling $164.90 · floor $140.17

StateNon-ruralRural
AK$164.90—
AL$164.90—
AR$164.90—
AZ$164.90—
CA$164.90—
CO$164.90—
CT$164.90—
DC$164.90—
DE$164.90—
FL$164.90—
GA$164.90—
HI$164.90—
IA$164.90—
ID$164.90—
IL$164.90—
IN$164.90—
KS$164.90—
KY$164.90—
LA$164.90—
MA$164.90—
MD$164.90—
ME$164.90—
MI$164.90—
MN$164.90—
MO$164.90—
MS$164.90—
MT$164.90—
NC$164.90—
ND$164.90—
NE$164.90—
NH$164.90—
NJ$164.90—
NM$164.90—
NV$164.90—
NY$164.90—
OH$164.90—
OK$164.90—
OR$164.90—
PA$164.90—
PR$181.38—
RI$164.90—
SC$164.90—
SD$164.90—
TN$164.90—
TX$164.90—
UT$164.90—
VA$164.90—
VI$164.90—
VT$164.90—
WA$164.90—
WI$164.90—
WV$164.90—
WY$164.90—
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 E2376 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

CO-50 medical necessityCO-151 frequency/units

Related E-codes

E2301E2310E2311E2312E2313E2321E2322E2323E2324E2325E2326E2327

Bill E2376 with confidence

Track prior-authorization requests with AI pre-fill and deadline tracking, and draft PA appeal letters — built for DME teams, PHI-free: no patient data is collected or stored.

Start free trial   Run a CMS-0057-F readiness check

Prefer DIY compliance? Self-audit documentation kits for DME suppliers →

Building an AI agent? Try the agent API in the playground — free PA-required lookups, E2376 included, and starter credits via POST /bot-marketplace/register.