E2384 — Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each
HCPCS Level II E-code · short descriptor: “Pneumatic caster tire”
- 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
- 4
- 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 2026-10-25; 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 2026-10-25; 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.
E2384 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $68.94 to $108.28 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $97.54 | — |
| AL | $75.95 | $90.79 |
| AR | $75.95 | $90.79 |
| AZ | $72.57 | $89.97 |
| CA | $72.45 | $89.97 |
| CO | $79.69 | $90.79 |
| CT | $68.94 | $90.79 |
| DC | $69.23 | $90.79 |
| DE | $69.23 | $90.79 |
| FL | $75.95 | $90.79 |
| GA | $75.95 | $90.79 |
| HI | $97.54 | — |
| IA | $76.78 | $89.97 |
| ID | $79.69 | $89.97 |
| IL | $80.95 | $90.79 |
| IN | $80.95 | $90.79 |
| KS | $76.78 | $89.97 |
| KY | $75.95 | $90.79 |
| LA | $75.95 | $90.79 |
| MA | $68.94 | $90.79 |
| MD | $69.23 | $90.79 |
| ME | $68.94 | $90.79 |
| MI | $80.95 | $90.79 |
| MN | $76.78 | $90.79 |
| MO | $76.78 | $90.79 |
| MS | $75.95 | $90.79 |
| MT | $79.69 | $89.97 |
| NC | $75.95 | $90.79 |
| ND | $76.78 | $89.97 |
| NE | $76.78 | $89.97 |
| NH | $68.94 | $90.79 |
| NJ | $69.23 | $90.79 |
| NM | $72.57 | $90.79 |
| NV | $72.45 | $89.97 |
| NY | $69.23 | $90.79 |
| OH | $80.95 | $90.79 |
| OK | $72.57 | $90.79 |
| OR | $72.45 | $89.97 |
| PA | $69.23 | $90.79 |
| PR | $108.28 | — |
| RI | $68.94 | $90.79 |
| SC | $75.95 | $90.79 |
| SD | $76.78 | $89.97 |
| TN | $75.95 | $90.79 |
| TX | $72.57 | $90.79 |
| UT | $79.69 | $90.79 |
| VA | $75.95 | $90.79 |
| VI | $98.36 | — |
| VT | $68.94 | $90.79 |
| WA | $72.45 | $90.79 |
| WI | $80.95 | $90.79 |
| WV | $75.95 | $90.79 |
| WY | $79.69 | $89.97 |
NU + KE — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $97.05 to $116.93 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $104.62 | — |
| AL | — | $97.99 |
| AR | — | $97.99 |
| AZ | — | $97.05 |
| CA | — | $97.05 |
| CO | — | $97.99 |
| CT | — | $97.99 |
| DC | — | $97.99 |
| DE | — | $97.99 |
| FL | — | $97.99 |
| GA | — | $97.99 |
| HI | $104.62 | — |
| IA | — | $97.05 |
| ID | — | $97.05 |
| IL | — | $97.99 |
| IN | — | $97.99 |
| KS | — | $97.05 |
| KY | — | $97.99 |
| LA | — | $97.99 |
| MA | — | $97.99 |
| MD | — | $97.99 |
| ME | — | $97.99 |
| MI | — | $97.99 |
| MN | — | $97.99 |
| MO | — | $97.99 |
| MS | — | $97.99 |
| MT | — | $97.05 |
| NC | — | $97.99 |
| ND | — | $97.05 |
| NE | — | $97.05 |
| NH | — | $97.99 |
| NJ | — | $97.99 |
| NM | — | $97.99 |
| NV | — | $97.05 |
| NY | — | $97.99 |
| OH | — | $97.99 |
| OK | — | $97.99 |
| OR | — | $97.05 |
| PA | — | $97.99 |
| PR | $116.93 | — |
| RI | — | $97.99 |
| SC | — | $97.99 |
| SD | — | $97.05 |
| TN | — | $97.99 |
| TX | — | $97.99 |
| UT | — | $97.99 |
| VA | — | $97.99 |
| VI | $105.56 | — |
| VT | — | $97.99 |
| WA | — | $97.99 |
| WI | — | $97.99 |
| WV | — | $97.99 |
| WY | — | $97.05 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $97.76 to $119.25 depending on state and rural status.
Former-CBA payment limits: ceiling $99.38 · floor $84.47
| State | Non-rural | Rural |
|---|---|---|
| AK | $97.76 | — |
| AL | $99.38 | — |
| AR | $99.38 | — |
| AZ | $97.76 | — |
| CA | $97.76 | — |
| CO | $99.38 | — |
| CT | $99.38 | — |
| DC | $99.38 | — |
| DE | $99.38 | — |
| FL | $99.38 | — |
| GA | $99.38 | — |
| HI | $97.76 | — |
| IA | $97.76 | — |
| ID | $97.76 | — |
| IL | $99.38 | — |
| IN | $99.38 | — |
| KS | $97.76 | — |
| KY | $99.38 | — |
| LA | $99.38 | — |
| MA | $99.38 | — |
| MD | $99.38 | — |
| ME | $99.38 | — |
| MI | $99.38 | — |
| MN | $99.38 | — |
| MO | $99.38 | — |
| MS | $99.38 | — |
| MT | $97.76 | — |
| NC | $99.38 | — |
| ND | $97.76 | — |
| NE | $97.76 | — |
| NH | $99.38 | — |
| NJ | $99.38 | — |
| NM | $99.38 | — |
| NV | $97.76 | — |
| NY | $99.38 | — |
| OH | $99.38 | — |
| OK | $99.38 | — |
| OR | $97.76 | — |
| PA | $99.38 | — |
| PR | $119.25 | — |
| RI | $99.38 | — |
| SC | $99.38 | — |
| SD | $97.76 | — |
| TN | $99.38 | — |
| TX | $99.38 | — |
| UT | $99.38 | — |
| VA | $99.38 | — |
| VI | $99.38 | — |
| VT | $99.38 | — |
| WA | $99.38 | — |
| WI | $99.38 | — |
| WV | $99.38 | — |
| WY | $97.76 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $6.89 to $10.82 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $9.74 | — |
| AL | $7.60 | $9.09 |
| AR | $7.60 | $9.09 |
| AZ | $7.26 | $8.98 |
| CA | $7.25 | $8.98 |
| CO | $7.97 | $9.09 |
| CT | $6.89 | $9.09 |
| DC | $6.92 | $9.09 |
| DE | $6.92 | $9.09 |
| FL | $7.60 | $9.09 |
| GA | $7.60 | $9.09 |
| HI | $9.74 | — |
| IA | $7.68 | $8.98 |
| ID | $7.97 | $8.98 |
| IL | $8.09 | $9.09 |
| IN | $8.09 | $9.09 |
| KS | $7.68 | $8.98 |
| KY | $7.60 | $9.09 |
| LA | $7.60 | $9.09 |
| MA | $6.89 | $9.09 |
| MD | $6.92 | $9.09 |
| ME | $6.89 | $9.09 |
| MI | $8.09 | $9.09 |
| MN | $7.68 | $9.09 |
| MO | $7.68 | $9.09 |
| MS | $7.60 | $9.09 |
| MT | $7.97 | $8.98 |
| NC | $7.60 | $9.09 |
| ND | $7.68 | $8.98 |
| NE | $7.68 | $8.98 |
| NH | $6.89 | $9.09 |
| NJ | $6.92 | $9.09 |
| NM | $7.26 | $9.09 |
| NV | $7.25 | $8.98 |
| NY | $6.92 | $9.09 |
| OH | $8.09 | $9.09 |
| OK | $7.26 | $9.09 |
| OR | $7.25 | $8.98 |
| PA | $6.92 | $9.09 |
| PR | $10.82 | — |
| RI | $6.89 | $9.09 |
| SC | $7.60 | $9.09 |
| SD | $7.68 | $8.98 |
| TN | $7.60 | $9.09 |
| TX | $7.26 | $9.09 |
| UT | $7.97 | $9.09 |
| VA | $7.60 | $9.09 |
| VI | $9.85 | — |
| VT | $6.89 | $9.09 |
| WA | $7.25 | $9.09 |
| WI | $8.09 | $9.09 |
| WV | $7.60 | $9.09 |
| WY | $7.97 | $8.98 |
RR + KE — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $9.69 to $11.69 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $10.45 | — |
| AL | — | $9.81 |
| AR | — | $9.81 |
| AZ | — | $9.69 |
| CA | — | $9.69 |
| CO | — | $9.81 |
| CT | — | $9.81 |
| DC | — | $9.81 |
| DE | — | $9.81 |
| FL | — | $9.81 |
| GA | — | $9.81 |
| HI | $10.45 | — |
| IA | — | $9.69 |
| ID | — | $9.69 |
| IL | — | $9.81 |
| IN | — | $9.81 |
| KS | — | $9.69 |
| KY | — | $9.81 |
| LA | — | $9.81 |
| MA | — | $9.81 |
| MD | — | $9.81 |
| ME | — | $9.81 |
| MI | — | $9.81 |
| MN | — | $9.81 |
| MO | — | $9.81 |
| MS | — | $9.81 |
| MT | — | $9.69 |
| NC | — | $9.81 |
| ND | — | $9.69 |
| NE | — | $9.69 |
| NH | — | $9.81 |
| NJ | — | $9.81 |
| NM | — | $9.81 |
| NV | — | $9.69 |
| NY | — | $9.81 |
| OH | — | $9.81 |
| OK | — | $9.81 |
| OR | — | $9.69 |
| PA | — | $9.81 |
| PR | $11.69 | — |
| RI | — | $9.81 |
| SC | — | $9.81 |
| SD | — | $9.69 |
| TN | — | $9.81 |
| TX | — | $9.81 |
| UT | — | $9.81 |
| VA | — | $9.81 |
| VI | $10.57 | — |
| VT | — | $9.81 |
| WA | — | $9.81 |
| WI | — | $9.81 |
| WV | — | $9.81 |
| WY | — | $9.69 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $9.75 to $11.91 depending on state and rural status.
Former-CBA payment limits: ceiling $9.97 · floor $8.47
| State | Non-rural | Rural |
|---|---|---|
| AK | $9.75 | — |
| AL | $9.97 | — |
| AR | $9.97 | — |
| AZ | $9.75 | — |
| CA | $9.75 | — |
| CO | $9.97 | — |
| CT | $9.97 | — |
| DC | $9.97 | — |
| DE | $9.97 | — |
| FL | $9.97 | — |
| GA | $9.97 | — |
| HI | $9.75 | — |
| IA | $9.75 | — |
| ID | $9.75 | — |
| IL | $9.97 | — |
| IN | $9.97 | — |
| KS | $9.75 | — |
| KY | $9.97 | — |
| LA | $9.97 | — |
| MA | $9.97 | — |
| MD | $9.97 | — |
| ME | $9.97 | — |
| MI | $9.97 | — |
| MN | $9.97 | — |
| MO | $9.97 | — |
| MS | $9.97 | — |
| MT | $9.75 | — |
| NC | $9.97 | — |
| ND | $9.75 | — |
| NE | $9.75 | — |
| NH | $9.97 | — |
| NJ | $9.97 | — |
| NM | $9.97 | — |
| NV | $9.75 | — |
| NY | $9.97 | — |
| OH | $9.97 | — |
| OK | $9.97 | — |
| OR | $9.75 | — |
| PA | $9.97 | — |
| PR | $11.91 | — |
| RI | $9.97 | — |
| SC | $9.97 | — |
| SD | $9.75 | — |
| TN | $9.97 | — |
| TX | $9.97 | — |
| UT | $9.97 | — |
| VA | $9.97 | — |
| VI | $9.97 | — |
| VT | $9.97 | — |
| WA | $9.97 | — |
| WI | $9.97 | — |
| WV | $9.97 | — |
| WY | $9.75 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $51.71 to $81.20 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $73.14 | — |
| AL | $56.96 | $68.10 |
| AR | $56.96 | $68.10 |
| AZ | $54.43 | $67.46 |
| CA | $54.34 | $67.46 |
| CO | $59.77 | $68.10 |
| CT | $51.71 | $68.10 |
| DC | $51.92 | $68.10 |
| DE | $51.92 | $68.10 |
| FL | $56.96 | $68.10 |
| GA | $56.96 | $68.10 |
| HI | $73.14 | — |
| IA | $57.59 | $67.46 |
| ID | $59.77 | $67.46 |
| IL | $60.71 | $68.10 |
| IN | $60.71 | $68.10 |
| KS | $57.59 | $67.46 |
| KY | $56.96 | $68.10 |
| LA | $56.96 | $68.10 |
| MA | $51.71 | $68.10 |
| MD | $51.92 | $68.10 |
| ME | $51.71 | $68.10 |
| MI | $60.71 | $68.10 |
| MN | $57.59 | $68.10 |
| MO | $57.59 | $68.10 |
| MS | $56.96 | $68.10 |
| MT | $59.77 | $67.46 |
| NC | $56.96 | $68.10 |
| ND | $57.59 | $67.46 |
| NE | $57.59 | $67.46 |
| NH | $51.71 | $68.10 |
| NJ | $51.92 | $68.10 |
| NM | $54.43 | $68.10 |
| NV | $54.34 | $67.46 |
| NY | $51.92 | $68.10 |
| OH | $60.71 | $68.10 |
| OK | $54.43 | $68.10 |
| OR | $54.34 | $67.46 |
| PA | $51.92 | $68.10 |
| PR | $81.20 | — |
| RI | $51.71 | $68.10 |
| SC | $56.96 | $68.10 |
| SD | $57.59 | $67.46 |
| TN | $56.96 | $68.10 |
| TX | $54.43 | $68.10 |
| UT | $59.77 | $68.10 |
| VA | $56.96 | $68.10 |
| VI | $73.78 | — |
| VT | $51.71 | $68.10 |
| WA | $54.34 | $68.10 |
| WI | $60.71 | $68.10 |
| WV | $56.96 | $68.10 |
| WY | $59.77 | $67.46 |
UE + KE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $72.78 to $87.69 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $78.45 | — |
| AL | — | $73.51 |
| AR | — | $73.51 |
| AZ | — | $72.78 |
| CA | — | $72.78 |
| CO | — | $73.51 |
| CT | — | $73.51 |
| DC | — | $73.51 |
| DE | — | $73.51 |
| FL | — | $73.51 |
| GA | — | $73.51 |
| HI | $78.45 | — |
| IA | — | $72.78 |
| ID | — | $72.78 |
| IL | — | $73.51 |
| IN | — | $73.51 |
| KS | — | $72.78 |
| KY | — | $73.51 |
| LA | — | $73.51 |
| MA | — | $73.51 |
| MD | — | $73.51 |
| ME | — | $73.51 |
| MI | — | $73.51 |
| MN | — | $73.51 |
| MO | — | $73.51 |
| MS | — | $73.51 |
| MT | — | $72.78 |
| NC | — | $73.51 |
| ND | — | $72.78 |
| NE | — | $72.78 |
| NH | — | $73.51 |
| NJ | — | $73.51 |
| NM | — | $73.51 |
| NV | — | $72.78 |
| NY | — | $73.51 |
| OH | — | $73.51 |
| OK | — | $73.51 |
| OR | — | $72.78 |
| PA | — | $73.51 |
| PR | $87.69 | — |
| RI | — | $73.51 |
| SC | — | $73.51 |
| SD | — | $72.78 |
| TN | — | $73.51 |
| TX | — | $73.51 |
| UT | — | $73.51 |
| VA | — | $73.51 |
| VI | $79.18 | — |
| VT | — | $73.51 |
| WA | — | $73.51 |
| WI | — | $73.51 |
| WV | — | $73.51 |
| WY | — | $72.78 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $73.28 to $89.42 depending on state and rural status.
Former-CBA payment limits: ceiling $74.55 · floor $63.37
| State | Non-rural | Rural |
|---|---|---|
| AK | $73.28 | — |
| AL | $74.55 | — |
| AR | $74.55 | — |
| AZ | $73.28 | — |
| CA | $73.28 | — |
| CO | $74.55 | — |
| CT | $74.55 | — |
| DC | $74.55 | — |
| DE | $74.55 | — |
| FL | $74.55 | — |
| GA | $74.55 | — |
| HI | $73.28 | — |
| IA | $73.28 | — |
| ID | $73.28 | — |
| IL | $74.55 | — |
| IN | $74.55 | — |
| KS | $73.28 | — |
| KY | $74.55 | — |
| LA | $74.55 | — |
| MA | $74.55 | — |
| MD | $74.55 | — |
| ME | $74.55 | — |
| MI | $74.55 | — |
| MN | $74.55 | — |
| MO | $74.55 | — |
| MS | $74.55 | — |
| MT | $73.28 | — |
| NC | $74.55 | — |
| ND | $73.28 | — |
| NE | $73.28 | — |
| NH | $74.55 | — |
| NJ | $74.55 | — |
| NM | $74.55 | — |
| NV | $73.28 | — |
| NY | $74.55 | — |
| OH | $74.55 | — |
| OK | $74.55 | — |
| OR | $73.28 | — |
| PA | $74.55 | — |
| PR | $89.42 | — |
| RI | $74.55 | — |
| SC | $74.55 | — |
| SD | $73.28 | — |
| TN | $74.55 | — |
| TX | $74.55 | — |
| UT | $74.55 | — |
| VA | $74.55 | — |
| VI | $74.55 | — |
| VT | $74.55 | — |
| WA | $74.55 | — |
| WI | $74.55 | — |
| WV | $74.55 | — |
| WY | $73.28 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E2384 at 4 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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