E2378 — Power wheelchair component, actuator, replacement only
HCPCS Level II E-code · short descriptor: “Pw actuator replacement”
- 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
- 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.
E2378 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $66.89 to $81.81 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $72.63 | — |
| AL | $70.14 | $72.63 |
| AR | $70.14 | $72.63 |
| AZ | $66.89 | $72.63 |
| CA | $67.09 | $72.63 |
| CO | $70.66 | $72.63 |
| CT | $71.84 | $72.63 |
| DC | $67.24 | $72.63 |
| DE | $67.24 | $72.63 |
| FL | $70.14 | $72.63 |
| GA | $70.14 | $72.63 |
| HI | $72.63 | — |
| IA | $70.73 | $72.63 |
| ID | $70.66 | $72.63 |
| IL | $68.86 | $72.63 |
| IN | $68.86 | $72.63 |
| KS | $70.73 | $72.63 |
| KY | $70.14 | $72.63 |
| LA | $70.14 | $72.63 |
| MA | $71.84 | $72.63 |
| MD | $67.24 | $72.63 |
| ME | $71.84 | $72.63 |
| MI | $68.86 | $72.63 |
| MN | $70.73 | $72.63 |
| MO | $70.73 | $72.63 |
| MS | $70.14 | $72.63 |
| MT | $70.66 | $72.63 |
| NC | $70.14 | $72.63 |
| ND | $70.73 | $72.63 |
| NE | $70.73 | $72.63 |
| NH | $71.84 | $72.63 |
| NJ | $67.24 | $72.63 |
| NM | $66.89 | $72.63 |
| NV | $67.09 | $72.63 |
| NY | $67.24 | $72.63 |
| OH | $68.86 | $72.63 |
| OK | $66.89 | $72.63 |
| OR | $67.09 | $72.63 |
| PA | $67.24 | $72.63 |
| PR | $81.81 | — |
| RI | $71.84 | $72.63 |
| SC | $70.14 | $72.63 |
| SD | $70.73 | $72.63 |
| TN | $70.14 | $72.63 |
| TX | $66.89 | $72.63 |
| UT | $70.66 | $72.63 |
| VA | $70.14 | $72.63 |
| VI | $72.63 | — |
| VT | $71.84 | $72.63 |
| WA | $67.09 | $72.63 |
| WI | $68.86 | $72.63 |
| WV | $70.14 | $72.63 |
| WY | $70.66 | $72.63 |
RR + KU — Monthly rental Capped rental
Medicare allowable ranges from $72.94 to $87.55 depending on state and rural status.
Former-CBA payment limits: ceiling $72.94 · floor $62.00
| State | Non-rural | Rural |
|---|---|---|
| AK | $72.94 | — |
| AL | $72.94 | — |
| AR | $72.94 | — |
| AZ | $72.94 | — |
| CA | $72.94 | — |
| CO | $72.94 | — |
| CT | $72.94 | — |
| DC | $72.94 | — |
| DE | $72.94 | — |
| FL | $72.94 | — |
| GA | $72.94 | — |
| HI | $72.94 | — |
| IA | $72.94 | — |
| ID | $72.94 | — |
| IL | $72.94 | — |
| IN | $72.94 | — |
| KS | $72.94 | — |
| KY | $72.94 | — |
| LA | $72.94 | — |
| MA | $72.94 | — |
| MD | $72.94 | — |
| ME | $72.94 | — |
| MI | $72.94 | — |
| MN | $72.94 | — |
| MO | $72.94 | — |
| MS | $72.94 | — |
| MT | $72.94 | — |
| NC | $72.94 | — |
| ND | $72.94 | — |
| NE | $72.94 | — |
| NH | $72.94 | — |
| NJ | $72.94 | — |
| NM | $72.94 | — |
| NV | $72.94 | — |
| NY | $72.94 | — |
| OH | $72.94 | — |
| OK | $72.94 | — |
| OR | $72.94 | — |
| PA | $72.94 | — |
| PR | $87.55 | — |
| RI | $72.94 | — |
| SC | $72.94 | — |
| SD | $72.94 | — |
| TN | $72.94 | — |
| TX | $72.94 | — |
| UT | $72.94 | — |
| VA | $72.94 | — |
| VI | $72.94 | — |
| VT | $72.94 | — |
| WA | $72.94 | — |
| WI | $72.94 | — |
| WV | $72.94 | — |
| WY | $72.94 | — |
Common denial codes to watch
Related E-codes
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