E2383 — Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each
HCPCS Level II E-code · short descriptor: “Insert, pneum wheel drive”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Special coverage instructions apply
- DMEPOS payment category
- Inexpensive or routinely purchased
- 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.
E2383 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $149.07 to $202.86 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $182.63 | — |
| AL | $150.07 | $178.78 |
| AR | $150.07 | $178.78 |
| AZ | $154.09 | $177.22 |
| CA | $149.07 | $177.22 |
| CO | $161.92 | $178.78 |
| CT | $166.10 | $178.78 |
| DC | $151.58 | $178.78 |
| DE | $151.58 | $178.78 |
| FL | $150.07 | $178.78 |
| GA | $150.07 | $178.78 |
| HI | $182.63 | — |
| IA | $152.41 | $177.22 |
| ID | $161.92 | $177.22 |
| IL | $164.29 | $178.78 |
| IN | $164.29 | $178.78 |
| KS | $152.41 | $177.22 |
| KY | $150.07 | $178.78 |
| LA | $150.07 | $178.78 |
| MA | $166.10 | $178.78 |
| MD | $151.58 | $178.78 |
| ME | $166.10 | $178.78 |
| MI | $164.29 | $178.78 |
| MN | $152.41 | $178.78 |
| MO | $152.41 | $178.78 |
| MS | $150.07 | $178.78 |
| MT | $161.92 | $177.22 |
| NC | $150.07 | $178.78 |
| ND | $152.41 | $177.22 |
| NE | $152.41 | $177.22 |
| NH | $166.10 | $178.78 |
| NJ | $151.58 | $178.78 |
| NM | $154.09 | $178.78 |
| NV | $149.07 | $177.22 |
| NY | $151.58 | $178.78 |
| OH | $164.29 | $178.78 |
| OK | $154.09 | $178.78 |
| OR | $149.07 | $177.22 |
| PA | $151.58 | $178.78 |
| PR | $202.86 | — |
| RI | $166.10 | $178.78 |
| SC | $150.07 | $178.78 |
| SD | $152.41 | $177.22 |
| TN | $150.07 | $178.78 |
| TX | $154.09 | $178.78 |
| UT | $161.92 | $178.78 |
| VA | $150.07 | $178.78 |
| VI | $184.20 | — |
| VT | $166.10 | $178.78 |
| WA | $149.07 | $178.78 |
| WI | $164.29 | $178.78 |
| WV | $150.07 | $178.78 |
| WY | $161.92 | $177.22 |
NU + KE — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $190.51 to $219.09 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $195.93 | — |
| AL | — | $192.31 |
| AR | — | $192.31 |
| AZ | — | $190.51 |
| CA | — | $190.51 |
| CO | — | $192.31 |
| CT | — | $192.31 |
| DC | — | $192.31 |
| DE | — | $192.31 |
| FL | — | $192.31 |
| GA | — | $192.31 |
| HI | $195.93 | — |
| IA | — | $190.51 |
| ID | — | $190.51 |
| IL | — | $192.31 |
| IN | — | $192.31 |
| KS | — | $190.51 |
| KY | — | $192.31 |
| LA | — | $192.31 |
| MA | — | $192.31 |
| MD | — | $192.31 |
| ME | — | $192.31 |
| MI | — | $192.31 |
| MN | — | $192.31 |
| MO | — | $192.31 |
| MS | — | $192.31 |
| MT | — | $190.51 |
| NC | — | $192.31 |
| ND | — | $190.51 |
| NE | — | $190.51 |
| NH | — | $192.31 |
| NJ | — | $192.31 |
| NM | — | $192.31 |
| NV | — | $190.51 |
| NY | — | $192.31 |
| OH | — | $192.31 |
| OK | — | $192.31 |
| OR | — | $190.51 |
| PA | — | $192.31 |
| PR | $219.09 | — |
| RI | — | $192.31 |
| SC | — | $192.31 |
| SD | — | $190.51 |
| TN | — | $192.31 |
| TX | — | $192.31 |
| UT | — | $192.31 |
| VA | — | $192.31 |
| VI | $197.73 | — |
| VT | — | $192.31 |
| WA | — | $192.31 |
| WI | — | $192.31 |
| WV | — | $192.31 |
| WY | — | $190.51 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $183.43 to $223.89 depending on state and rural status.
Former-CBA payment limits: ceiling $186.56 · floor $158.58
| State | Non-rural | Rural |
|---|---|---|
| AK | $183.43 | — |
| AL | $186.56 | — |
| AR | $186.56 | — |
| AZ | $183.43 | — |
| CA | $183.43 | — |
| CO | $186.56 | — |
| CT | $186.56 | — |
| DC | $186.56 | — |
| DE | $186.56 | — |
| FL | $186.56 | — |
| GA | $186.56 | — |
| HI | $183.43 | — |
| IA | $183.43 | — |
| ID | $183.43 | — |
| IL | $186.56 | — |
| IN | $186.56 | — |
| KS | $183.43 | — |
| KY | $186.56 | — |
| LA | $186.56 | — |
| MA | $186.56 | — |
| MD | $186.56 | — |
| ME | $186.56 | — |
| MI | $186.56 | — |
| MN | $186.56 | — |
| MO | $186.56 | — |
| MS | $186.56 | — |
| MT | $183.43 | — |
| NC | $186.56 | — |
| ND | $183.43 | — |
| NE | $183.43 | — |
| NH | $186.56 | — |
| NJ | $186.56 | — |
| NM | $186.56 | — |
| NV | $183.43 | — |
| NY | $186.56 | — |
| OH | $186.56 | — |
| OK | $186.56 | — |
| OR | $183.43 | — |
| PA | $186.56 | — |
| PR | $223.89 | — |
| RI | $186.56 | — |
| SC | $186.56 | — |
| SD | $183.43 | — |
| TN | $186.56 | — |
| TX | $186.56 | — |
| UT | $186.56 | — |
| VA | $186.56 | — |
| VI | $186.56 | — |
| VT | $186.56 | — |
| WA | $186.56 | — |
| WI | $186.56 | — |
| WV | $186.56 | — |
| WY | $183.43 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $14.91 to $20.29 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $18.26 | — |
| AL | $15.01 | $17.88 |
| AR | $15.01 | $17.88 |
| AZ | $15.41 | $17.72 |
| CA | $14.91 | $17.72 |
| CO | $16.19 | $17.88 |
| CT | $16.61 | $17.88 |
| DC | $15.16 | $17.88 |
| DE | $15.16 | $17.88 |
| FL | $15.01 | $17.88 |
| GA | $15.01 | $17.88 |
| HI | $18.26 | — |
| IA | $15.24 | $17.72 |
| ID | $16.19 | $17.72 |
| IL | $16.43 | $17.88 |
| IN | $16.43 | $17.88 |
| KS | $15.24 | $17.72 |
| KY | $15.01 | $17.88 |
| LA | $15.01 | $17.88 |
| MA | $16.61 | $17.88 |
| MD | $15.16 | $17.88 |
| ME | $16.61 | $17.88 |
| MI | $16.43 | $17.88 |
| MN | $15.24 | $17.88 |
| MO | $15.24 | $17.88 |
| MS | $15.01 | $17.88 |
| MT | $16.19 | $17.72 |
| NC | $15.01 | $17.88 |
| ND | $15.24 | $17.72 |
| NE | $15.24 | $17.72 |
| NH | $16.61 | $17.88 |
| NJ | $15.16 | $17.88 |
| NM | $15.41 | $17.88 |
| NV | $14.91 | $17.72 |
| NY | $15.16 | $17.88 |
| OH | $16.43 | $17.88 |
| OK | $15.41 | $17.88 |
| OR | $14.91 | $17.72 |
| PA | $15.16 | $17.88 |
| PR | $20.29 | — |
| RI | $16.61 | $17.88 |
| SC | $15.01 | $17.88 |
| SD | $15.24 | $17.72 |
| TN | $15.01 | $17.88 |
| TX | $15.41 | $17.88 |
| UT | $16.19 | $17.88 |
| VA | $15.01 | $17.88 |
| VI | $18.42 | — |
| VT | $16.61 | $17.88 |
| WA | $14.91 | $17.88 |
| WI | $16.43 | $17.88 |
| WV | $15.01 | $17.88 |
| WY | $16.19 | $17.72 |
RR + KE — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $19.05 to $21.92 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $19.59 | — |
| AL | — | $19.23 |
| AR | — | $19.23 |
| AZ | — | $19.05 |
| CA | — | $19.05 |
| CO | — | $19.23 |
| CT | — | $19.23 |
| DC | — | $19.23 |
| DE | — | $19.23 |
| FL | — | $19.23 |
| GA | — | $19.23 |
| HI | $19.59 | — |
| IA | — | $19.05 |
| ID | — | $19.05 |
| IL | — | $19.23 |
| IN | — | $19.23 |
| KS | — | $19.05 |
| KY | — | $19.23 |
| LA | — | $19.23 |
| MA | — | $19.23 |
| MD | — | $19.23 |
| ME | — | $19.23 |
| MI | — | $19.23 |
| MN | — | $19.23 |
| MO | — | $19.23 |
| MS | — | $19.23 |
| MT | — | $19.05 |
| NC | — | $19.23 |
| ND | — | $19.05 |
| NE | — | $19.05 |
| NH | — | $19.23 |
| NJ | — | $19.23 |
| NM | — | $19.23 |
| NV | — | $19.05 |
| NY | — | $19.23 |
| OH | — | $19.23 |
| OK | — | $19.23 |
| OR | — | $19.05 |
| PA | — | $19.23 |
| PR | $21.92 | — |
| RI | — | $19.23 |
| SC | — | $19.23 |
| SD | — | $19.05 |
| TN | — | $19.23 |
| TX | — | $19.23 |
| UT | — | $19.23 |
| VA | — | $19.23 |
| VI | $19.77 | — |
| VT | — | $19.23 |
| WA | — | $19.23 |
| WI | — | $19.23 |
| WV | — | $19.23 |
| WY | — | $19.05 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $18.32 to $22.39 depending on state and rural status.
Former-CBA payment limits: ceiling $18.66 · floor $15.86
| State | Non-rural | Rural |
|---|---|---|
| AK | $18.32 | — |
| AL | $18.66 | — |
| AR | $18.66 | — |
| AZ | $18.32 | — |
| CA | $18.32 | — |
| CO | $18.66 | — |
| CT | $18.66 | — |
| DC | $18.66 | — |
| DE | $18.66 | — |
| FL | $18.66 | — |
| GA | $18.66 | — |
| HI | $18.32 | — |
| IA | $18.32 | — |
| ID | $18.32 | — |
| IL | $18.66 | — |
| IN | $18.66 | — |
| KS | $18.32 | — |
| KY | $18.66 | — |
| LA | $18.66 | — |
| MA | $18.66 | — |
| MD | $18.66 | — |
| ME | $18.66 | — |
| MI | $18.66 | — |
| MN | $18.66 | — |
| MO | $18.66 | — |
| MS | $18.66 | — |
| MT | $18.32 | — |
| NC | $18.66 | — |
| ND | $18.32 | — |
| NE | $18.32 | — |
| NH | $18.66 | — |
| NJ | $18.66 | — |
| NM | $18.66 | — |
| NV | $18.32 | — |
| NY | $18.66 | — |
| OH | $18.66 | — |
| OK | $18.66 | — |
| OR | $18.32 | — |
| PA | $18.66 | — |
| PR | $22.39 | — |
| RI | $18.66 | — |
| SC | $18.66 | — |
| SD | $18.32 | — |
| TN | $18.66 | — |
| TX | $18.66 | — |
| UT | $18.66 | — |
| VA | $18.66 | — |
| VI | $18.66 | — |
| VT | $18.66 | — |
| WA | $18.66 | — |
| WI | $18.66 | — |
| WV | $18.66 | — |
| WY | $18.32 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $111.80 to $152.14 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $136.99 | — |
| AL | $112.55 | $134.08 |
| AR | $112.55 | $134.08 |
| AZ | $115.57 | $132.93 |
| CA | $111.80 | $132.93 |
| CO | $121.44 | $134.08 |
| CT | $124.58 | $134.08 |
| DC | $113.69 | $134.08 |
| DE | $113.69 | $134.08 |
| FL | $112.55 | $134.08 |
| GA | $112.55 | $134.08 |
| HI | $136.99 | — |
| IA | $114.31 | $132.93 |
| ID | $121.44 | $132.93 |
| IL | $123.22 | $134.08 |
| IN | $123.22 | $134.08 |
| KS | $114.31 | $132.93 |
| KY | $112.55 | $134.08 |
| LA | $112.55 | $134.08 |
| MA | $124.58 | $134.08 |
| MD | $113.69 | $134.08 |
| ME | $124.58 | $134.08 |
| MI | $123.22 | $134.08 |
| MN | $114.31 | $134.08 |
| MO | $114.31 | $134.08 |
| MS | $112.55 | $134.08 |
| MT | $121.44 | $132.93 |
| NC | $112.55 | $134.08 |
| ND | $114.31 | $132.93 |
| NE | $114.31 | $132.93 |
| NH | $124.58 | $134.08 |
| NJ | $113.69 | $134.08 |
| NM | $115.57 | $134.08 |
| NV | $111.80 | $132.93 |
| NY | $113.69 | $134.08 |
| OH | $123.22 | $134.08 |
| OK | $115.57 | $134.08 |
| OR | $111.80 | $132.93 |
| PA | $113.69 | $134.08 |
| PR | $152.14 | — |
| RI | $124.58 | $134.08 |
| SC | $112.55 | $134.08 |
| SD | $114.31 | $132.93 |
| TN | $112.55 | $134.08 |
| TX | $115.57 | $134.08 |
| UT | $121.44 | $134.08 |
| VA | $112.55 | $134.08 |
| VI | $138.15 | — |
| VT | $124.58 | $134.08 |
| WA | $111.80 | $134.08 |
| WI | $123.22 | $134.08 |
| WV | $112.55 | $134.08 |
| WY | $121.44 | $132.93 |
UE + KE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $142.90 to $164.31 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $146.97 | — |
| AL | — | $144.23 |
| AR | — | $144.23 |
| AZ | — | $142.90 |
| CA | — | $142.90 |
| CO | — | $144.23 |
| CT | — | $144.23 |
| DC | — | $144.23 |
| DE | — | $144.23 |
| FL | — | $144.23 |
| GA | — | $144.23 |
| HI | $146.97 | — |
| IA | — | $142.90 |
| ID | — | $142.90 |
| IL | — | $144.23 |
| IN | — | $144.23 |
| KS | — | $142.90 |
| KY | — | $144.23 |
| LA | — | $144.23 |
| MA | — | $144.23 |
| MD | — | $144.23 |
| ME | — | $144.23 |
| MI | — | $144.23 |
| MN | — | $144.23 |
| MO | — | $144.23 |
| MS | — | $144.23 |
| MT | — | $142.90 |
| NC | — | $144.23 |
| ND | — | $142.90 |
| NE | — | $142.90 |
| NH | — | $144.23 |
| NJ | — | $144.23 |
| NM | — | $144.23 |
| NV | — | $142.90 |
| NY | — | $144.23 |
| OH | — | $144.23 |
| OK | — | $144.23 |
| OR | — | $142.90 |
| PA | — | $144.23 |
| PR | $164.31 | — |
| RI | — | $144.23 |
| SC | — | $144.23 |
| SD | — | $142.90 |
| TN | — | $144.23 |
| TX | — | $144.23 |
| UT | — | $144.23 |
| VA | — | $144.23 |
| VI | $148.29 | — |
| VT | — | $144.23 |
| WA | — | $144.23 |
| WI | — | $144.23 |
| WV | — | $144.23 |
| WY | — | $142.90 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $137.60 to $167.89 depending on state and rural status.
Former-CBA payment limits: ceiling $139.90 · floor $118.92
| State | Non-rural | Rural |
|---|---|---|
| AK | $137.60 | — |
| AL | $139.90 | — |
| AR | $139.90 | — |
| AZ | $137.60 | — |
| CA | $137.60 | — |
| CO | $139.90 | — |
| CT | $139.90 | — |
| DC | $139.90 | — |
| DE | $139.90 | — |
| FL | $139.90 | — |
| GA | $139.90 | — |
| HI | $137.60 | — |
| IA | $137.60 | — |
| ID | $137.60 | — |
| IL | $139.90 | — |
| IN | $139.90 | — |
| KS | $137.60 | — |
| KY | $139.90 | — |
| LA | $139.90 | — |
| MA | $139.90 | — |
| MD | $139.90 | — |
| ME | $139.90 | — |
| MI | $139.90 | — |
| MN | $139.90 | — |
| MO | $139.90 | — |
| MS | $139.90 | — |
| MT | $137.60 | — |
| NC | $139.90 | — |
| ND | $137.60 | — |
| NE | $137.60 | — |
| NH | $139.90 | — |
| NJ | $139.90 | — |
| NM | $139.90 | — |
| NV | $137.60 | — |
| NY | $139.90 | — |
| OH | $139.90 | — |
| OK | $139.90 | — |
| OR | $137.60 | — |
| PA | $139.90 | — |
| PR | $167.89 | — |
| RI | $139.90 | — |
| SC | $139.90 | — |
| SD | $137.60 | — |
| TN | $139.90 | — |
| TX | $139.90 | — |
| UT | $139.90 | — |
| VA | $139.90 | — |
| VI | $139.90 | — |
| VT | $139.90 | — |
| WA | $139.90 | — |
| WI | $139.90 | — |
| WV | $139.90 | — |
| WY | $137.60 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E2383 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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