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
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.

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 (April 13, 2026 update — 83 items). 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 (April 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 April 2026. 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.

Common denial codes to watch

Related E-codes

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