E2385 — Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each
HCPCS Level II E-code · short descriptor: “Tube, 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.
E2385 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $54.69 to $69.42 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $57.24 | — |
| AL | $54.69 | $57.75 |
| AR | $54.69 | $57.75 |
| AZ | $54.69 | $57.24 |
| CA | $54.69 | $57.24 |
| CO | $54.69 | $57.75 |
| CT | $54.69 | $57.75 |
| DC | $54.69 | $57.75 |
| DE | $54.69 | $57.75 |
| FL | $54.69 | $57.75 |
| GA | $54.69 | $57.75 |
| HI | $69.42 | — |
| IA | $54.69 | $57.24 |
| ID | $54.69 | $57.24 |
| IL | $54.69 | $57.75 |
| IN | $54.69 | $57.75 |
| KS | $54.69 | $57.24 |
| KY | $54.69 | $57.75 |
| LA | $54.69 | $57.75 |
| MA | $54.69 | $57.75 |
| MD | $54.69 | $57.75 |
| ME | $54.69 | $57.75 |
| MI | $54.69 | $57.75 |
| MN | $54.69 | $57.75 |
| MO | $54.69 | $57.75 |
| MS | $54.69 | $57.75 |
| MT | $54.69 | $57.24 |
| NC | $54.69 | $57.75 |
| ND | $54.69 | $57.24 |
| NE | $54.69 | $57.24 |
| NH | $54.69 | $57.75 |
| NJ | $54.69 | $57.75 |
| NM | $54.69 | $57.75 |
| NV | $54.69 | $57.24 |
| NY | $54.69 | $57.75 |
| OH | $54.69 | $57.75 |
| OK | $54.69 | $57.75 |
| OR | $54.69 | $57.24 |
| PA | $54.69 | $57.75 |
| PR | $63.81 | — |
| RI | $54.69 | $57.75 |
| SC | $54.69 | $57.75 |
| SD | $54.69 | $57.24 |
| TN | $54.69 | $57.75 |
| TX | $54.69 | $57.75 |
| UT | $54.69 | $57.75 |
| VA | $54.69 | $57.75 |
| VI | $57.75 | — |
| VT | $54.69 | $57.75 |
| WA | $54.69 | $57.75 |
| WI | $54.69 | $57.75 |
| WV | $54.69 | $57.75 |
| WY | $54.69 | $57.24 |
NU + KE — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $61.58 to $75.52 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $61.58 | — |
| AL | — | $62.16 |
| AR | — | $62.16 |
| AZ | — | $61.58 |
| CA | — | $61.58 |
| CO | — | $62.16 |
| CT | — | $62.16 |
| DC | — | $62.16 |
| DE | — | $62.16 |
| FL | — | $62.16 |
| GA | — | $62.16 |
| HI | $75.52 | — |
| IA | — | $61.58 |
| ID | — | $61.58 |
| IL | — | $62.16 |
| IN | — | $62.16 |
| KS | — | $61.58 |
| KY | — | $62.16 |
| LA | — | $62.16 |
| MA | — | $62.16 |
| MD | — | $62.16 |
| ME | — | $62.16 |
| MI | — | $62.16 |
| MN | — | $62.16 |
| MO | — | $62.16 |
| MS | — | $62.16 |
| MT | — | $61.58 |
| NC | — | $62.16 |
| ND | — | $61.58 |
| NE | — | $61.58 |
| NH | — | $62.16 |
| NJ | — | $62.16 |
| NM | — | $62.16 |
| NV | — | $61.58 |
| NY | — | $62.16 |
| OH | — | $62.16 |
| OK | — | $62.16 |
| OR | — | $61.58 |
| PA | — | $62.16 |
| PR | $69.09 | — |
| RI | — | $62.16 |
| SC | — | $62.16 |
| SD | — | $61.58 |
| TN | — | $62.16 |
| TX | — | $62.16 |
| UT | — | $62.16 |
| VA | — | $62.16 |
| VI | $62.16 | — |
| VT | — | $62.16 |
| WA | — | $62.16 |
| WI | — | $62.16 |
| WV | — | $62.16 |
| WY | — | $61.58 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $59.77 to $84.14 depending on state and rural status.
Former-CBA payment limits: ceiling $60.79 · floor $51.67
| State | Non-rural | Rural |
|---|---|---|
| AK | $59.77 | — |
| AL | $60.79 | — |
| AR | $60.79 | — |
| AZ | $59.77 | — |
| CA | $59.77 | — |
| CO | $60.79 | — |
| CT | $60.79 | — |
| DC | $60.79 | — |
| DE | $60.79 | — |
| FL | $60.79 | — |
| GA | $60.79 | — |
| HI | $84.14 | — |
| IA | $59.77 | — |
| ID | $59.77 | — |
| IL | $60.79 | — |
| IN | $60.79 | — |
| KS | $59.77 | — |
| KY | $60.79 | — |
| LA | $60.79 | — |
| MA | $60.79 | — |
| MD | $60.79 | — |
| ME | $60.79 | — |
| MI | $60.79 | — |
| MN | $60.79 | — |
| MO | $60.79 | — |
| MS | $60.79 | — |
| MT | $59.77 | — |
| NC | $60.79 | — |
| ND | $59.77 | — |
| NE | $59.77 | — |
| NH | $60.79 | — |
| NJ | $60.79 | — |
| NM | $60.79 | — |
| NV | $59.77 | — |
| NY | $60.79 | — |
| OH | $60.79 | — |
| OK | $60.79 | — |
| OR | $59.77 | — |
| PA | $60.79 | — |
| PR | $72.93 | — |
| RI | $60.79 | — |
| SC | $60.79 | — |
| SD | $59.77 | — |
| TN | $60.79 | — |
| TX | $60.79 | — |
| UT | $60.79 | — |
| VA | $60.79 | — |
| VI | $60.79 | — |
| VT | $60.79 | — |
| WA | $60.79 | — |
| WI | $60.79 | — |
| WV | $60.79 | — |
| WY | $59.77 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $5.47 to $6.38 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $5.73 | — |
| AL | $5.47 | $5.79 |
| AR | $5.47 | $5.79 |
| AZ | $5.47 | $5.73 |
| CA | $5.47 | $5.73 |
| CO | $5.47 | $5.79 |
| CT | $5.47 | $5.79 |
| DC | $5.47 | $5.79 |
| DE | $5.47 | $5.79 |
| FL | $5.47 | $5.79 |
| GA | $5.47 | $5.79 |
| HI | $5.73 | — |
| IA | $5.47 | $5.73 |
| ID | $5.47 | $5.73 |
| IL | $5.47 | $5.79 |
| IN | $5.47 | $5.79 |
| KS | $5.47 | $5.73 |
| KY | $5.47 | $5.79 |
| LA | $5.47 | $5.79 |
| MA | $5.47 | $5.79 |
| MD | $5.47 | $5.79 |
| ME | $5.47 | $5.79 |
| MI | $5.47 | $5.79 |
| MN | $5.47 | $5.79 |
| MO | $5.47 | $5.79 |
| MS | $5.47 | $5.79 |
| MT | $5.47 | $5.73 |
| NC | $5.47 | $5.79 |
| ND | $5.47 | $5.73 |
| NE | $5.47 | $5.73 |
| NH | $5.47 | $5.79 |
| NJ | $5.47 | $5.79 |
| NM | $5.47 | $5.79 |
| NV | $5.47 | $5.73 |
| NY | $5.47 | $5.79 |
| OH | $5.47 | $5.79 |
| OK | $5.47 | $5.79 |
| OR | $5.47 | $5.73 |
| PA | $5.47 | $5.79 |
| PR | $6.38 | — |
| RI | $5.47 | $5.79 |
| SC | $5.47 | $5.79 |
| SD | $5.47 | $5.73 |
| TN | $5.47 | $5.79 |
| TX | $5.47 | $5.79 |
| UT | $5.47 | $5.79 |
| VA | $5.47 | $5.79 |
| VI | $5.79 | — |
| VT | $5.47 | $5.79 |
| WA | $5.47 | $5.79 |
| WI | $5.47 | $5.79 |
| WV | $5.47 | $5.79 |
| WY | $5.47 | $5.73 |
RR + KE — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $6.16 to $6.90 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $6.16 | — |
| AL | — | $6.23 |
| AR | — | $6.23 |
| AZ | — | $6.16 |
| CA | — | $6.16 |
| CO | — | $6.23 |
| CT | — | $6.23 |
| DC | — | $6.23 |
| DE | — | $6.23 |
| FL | — | $6.23 |
| GA | — | $6.23 |
| HI | $6.16 | — |
| IA | — | $6.16 |
| ID | — | $6.16 |
| IL | — | $6.23 |
| IN | — | $6.23 |
| KS | — | $6.16 |
| KY | — | $6.23 |
| LA | — | $6.23 |
| MA | — | $6.23 |
| MD | — | $6.23 |
| ME | — | $6.23 |
| MI | — | $6.23 |
| MN | — | $6.23 |
| MO | — | $6.23 |
| MS | — | $6.23 |
| MT | — | $6.16 |
| NC | — | $6.23 |
| ND | — | $6.16 |
| NE | — | $6.16 |
| NH | — | $6.23 |
| NJ | — | $6.23 |
| NM | — | $6.23 |
| NV | — | $6.16 |
| NY | — | $6.23 |
| OH | — | $6.23 |
| OK | — | $6.23 |
| OR | — | $6.16 |
| PA | — | $6.23 |
| PR | $6.90 | — |
| RI | — | $6.23 |
| SC | — | $6.23 |
| SD | — | $6.16 |
| TN | — | $6.23 |
| TX | — | $6.23 |
| UT | — | $6.23 |
| VA | — | $6.23 |
| VI | $6.23 | — |
| VT | — | $6.23 |
| WA | — | $6.23 |
| WI | — | $6.23 |
| WV | — | $6.23 |
| WY | — | $6.16 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $5.99 to $7.27 depending on state and rural status.
Former-CBA payment limits: ceiling $6.10 · floor $5.19
| State | Non-rural | Rural |
|---|---|---|
| AK | $5.99 | — |
| AL | $6.10 | — |
| AR | $6.10 | — |
| AZ | $5.99 | — |
| CA | $5.99 | — |
| CO | $6.10 | — |
| CT | $6.10 | — |
| DC | $6.10 | — |
| DE | $6.10 | — |
| FL | $6.10 | — |
| GA | $6.10 | — |
| HI | $5.99 | — |
| IA | $5.99 | — |
| ID | $5.99 | — |
| IL | $6.10 | — |
| IN | $6.10 | — |
| KS | $5.99 | — |
| KY | $6.10 | — |
| LA | $6.10 | — |
| MA | $6.10 | — |
| MD | $6.10 | — |
| ME | $6.10 | — |
| MI | $6.10 | — |
| MN | $6.10 | — |
| MO | $6.10 | — |
| MS | $6.10 | — |
| MT | $5.99 | — |
| NC | $6.10 | — |
| ND | $5.99 | — |
| NE | $5.99 | — |
| NH | $6.10 | — |
| NJ | $6.10 | — |
| NM | $6.10 | — |
| NV | $5.99 | — |
| NY | $6.10 | — |
| OH | $6.10 | — |
| OK | $6.10 | — |
| OR | $5.99 | — |
| PA | $6.10 | — |
| PR | $7.27 | — |
| RI | $6.10 | — |
| SC | $6.10 | — |
| SD | $5.99 | — |
| TN | $6.10 | — |
| TX | $6.10 | — |
| UT | $6.10 | — |
| VA | $6.10 | — |
| VI | $6.10 | — |
| VT | $6.10 | — |
| WA | $6.10 | — |
| WI | $6.10 | — |
| WV | $6.10 | — |
| WY | $5.99 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $41.02 to $47.87 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $42.93 | — |
| AL | $41.02 | $43.30 |
| AR | $41.02 | $43.30 |
| AZ | $41.02 | $42.93 |
| CA | $41.02 | $42.93 |
| CO | $41.02 | $43.30 |
| CT | $41.02 | $43.30 |
| DC | $41.02 | $43.30 |
| DE | $41.02 | $43.30 |
| FL | $41.02 | $43.30 |
| GA | $41.02 | $43.30 |
| HI | $42.93 | — |
| IA | $41.02 | $42.93 |
| ID | $41.02 | $42.93 |
| IL | $41.02 | $43.30 |
| IN | $41.02 | $43.30 |
| KS | $41.02 | $42.93 |
| KY | $41.02 | $43.30 |
| LA | $41.02 | $43.30 |
| MA | $41.02 | $43.30 |
| MD | $41.02 | $43.30 |
| ME | $41.02 | $43.30 |
| MI | $41.02 | $43.30 |
| MN | $41.02 | $43.30 |
| MO | $41.02 | $43.30 |
| MS | $41.02 | $43.30 |
| MT | $41.02 | $42.93 |
| NC | $41.02 | $43.30 |
| ND | $41.02 | $42.93 |
| NE | $41.02 | $42.93 |
| NH | $41.02 | $43.30 |
| NJ | $41.02 | $43.30 |
| NM | $41.02 | $43.30 |
| NV | $41.02 | $42.93 |
| NY | $41.02 | $43.30 |
| OH | $41.02 | $43.30 |
| OK | $41.02 | $43.30 |
| OR | $41.02 | $42.93 |
| PA | $41.02 | $43.30 |
| PR | $47.87 | — |
| RI | $41.02 | $43.30 |
| SC | $41.02 | $43.30 |
| SD | $41.02 | $42.93 |
| TN | $41.02 | $43.30 |
| TX | $41.02 | $43.30 |
| UT | $41.02 | $43.30 |
| VA | $41.02 | $43.30 |
| VI | $43.30 | — |
| VT | $41.02 | $43.30 |
| WA | $41.02 | $43.30 |
| WI | $41.02 | $43.30 |
| WV | $41.02 | $43.30 |
| WY | $41.02 | $42.93 |
UE + KE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $46.18 to $51.84 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $46.18 | — |
| AL | — | $46.61 |
| AR | — | $46.61 |
| AZ | — | $46.18 |
| CA | — | $46.18 |
| CO | — | $46.61 |
| CT | — | $46.61 |
| DC | — | $46.61 |
| DE | — | $46.61 |
| FL | — | $46.61 |
| GA | — | $46.61 |
| HI | $46.18 | — |
| IA | — | $46.18 |
| ID | — | $46.18 |
| IL | — | $46.61 |
| IN | — | $46.61 |
| KS | — | $46.18 |
| KY | — | $46.61 |
| LA | — | $46.61 |
| MA | — | $46.61 |
| MD | — | $46.61 |
| ME | — | $46.61 |
| MI | — | $46.61 |
| MN | — | $46.61 |
| MO | — | $46.61 |
| MS | — | $46.61 |
| MT | — | $46.18 |
| NC | — | $46.61 |
| ND | — | $46.18 |
| NE | — | $46.18 |
| NH | — | $46.61 |
| NJ | — | $46.61 |
| NM | — | $46.61 |
| NV | — | $46.18 |
| NY | — | $46.61 |
| OH | — | $46.61 |
| OK | — | $46.61 |
| OR | — | $46.18 |
| PA | — | $46.61 |
| PR | $51.84 | — |
| RI | — | $46.61 |
| SC | — | $46.61 |
| SD | — | $46.18 |
| TN | — | $46.61 |
| TX | — | $46.61 |
| UT | — | $46.61 |
| VA | — | $46.61 |
| VI | $46.61 | — |
| VT | — | $46.61 |
| WA | — | $46.61 |
| WI | — | $46.61 |
| WV | — | $46.61 |
| WY | — | $46.18 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $44.84 to $54.73 depending on state and rural status.
Former-CBA payment limits: ceiling $45.58 · floor $38.74
| State | Non-rural | Rural |
|---|---|---|
| AK | $44.84 | — |
| AL | $45.58 | — |
| AR | $45.58 | — |
| AZ | $44.84 | — |
| CA | $44.84 | — |
| CO | $45.58 | — |
| CT | $45.58 | — |
| DC | $45.58 | — |
| DE | $45.58 | — |
| FL | $45.58 | — |
| GA | $45.58 | — |
| HI | $44.84 | — |
| IA | $44.84 | — |
| ID | $44.84 | — |
| IL | $45.58 | — |
| IN | $45.58 | — |
| KS | $44.84 | — |
| KY | $45.58 | — |
| LA | $45.58 | — |
| MA | $45.58 | — |
| MD | $45.58 | — |
| ME | $45.58 | — |
| MI | $45.58 | — |
| MN | $45.58 | — |
| MO | $45.58 | — |
| MS | $45.58 | — |
| MT | $44.84 | — |
| NC | $45.58 | — |
| ND | $44.84 | — |
| NE | $44.84 | — |
| NH | $45.58 | — |
| NJ | $45.58 | — |
| NM | $45.58 | — |
| NV | $44.84 | — |
| NY | $45.58 | — |
| OH | $45.58 | — |
| OK | $45.58 | — |
| OR | $44.84 | — |
| PA | $45.58 | — |
| PR | $54.73 | — |
| RI | $45.58 | — |
| SC | $45.58 | — |
| SD | $44.84 | — |
| TN | $45.58 | — |
| TX | $45.58 | — |
| UT | $45.58 | — |
| VA | $45.58 | — |
| VI | $45.58 | — |
| VT | $45.58 | — |
| WA | $45.58 | — |
| WI | $45.58 | — |
| WV | $45.58 | — |
| WY | $44.84 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E2385 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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