E2392 — Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each
HCPCS Level II E-code · short descriptor: “Solid caster tire, integrate”
- 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.
E2392 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $48.65 to $72.36 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $65.74 | — |
| AL | $51.22 | $61.32 |
| AR | $51.22 | $61.32 |
| AZ | $49.26 | $61.32 |
| CA | $50.26 | $61.32 |
| CO | $50.43 | $61.32 |
| CT | $48.65 | $61.32 |
| DC | $52.21 | $61.32 |
| DE | $52.21 | $61.32 |
| FL | $51.22 | $61.32 |
| GA | $51.22 | $61.32 |
| HI | $65.74 | — |
| IA | $51.75 | $61.32 |
| ID | $50.43 | $61.32 |
| IL | $56.47 | $61.32 |
| IN | $56.47 | $61.32 |
| KS | $51.75 | $61.32 |
| KY | $51.22 | $61.32 |
| LA | $51.22 | $61.32 |
| MA | $48.65 | $61.32 |
| MD | $52.21 | $61.32 |
| ME | $48.65 | $61.32 |
| MI | $56.47 | $61.32 |
| MN | $51.75 | $61.32 |
| MO | $51.75 | $61.32 |
| MS | $51.22 | $61.32 |
| MT | $50.43 | $61.32 |
| NC | $51.22 | $61.32 |
| ND | $51.75 | $61.32 |
| NE | $51.75 | $61.32 |
| NH | $48.65 | $61.32 |
| NJ | $52.21 | $61.32 |
| NM | $49.26 | $61.32 |
| NV | $50.26 | $61.32 |
| NY | $52.21 | $61.32 |
| OH | $56.47 | $61.32 |
| OK | $49.26 | $61.32 |
| OR | $50.26 | $61.32 |
| PA | $52.21 | $61.32 |
| PR | $72.36 | — |
| RI | $48.65 | $61.32 |
| SC | $51.22 | $61.32 |
| SD | $51.75 | $61.32 |
| TN | $51.22 | $61.32 |
| TX | $49.26 | $61.32 |
| UT | $50.43 | $61.32 |
| VA | $51.22 | $61.32 |
| VI | $65.74 | — |
| VT | $48.65 | $61.32 |
| WA | $50.26 | $61.32 |
| WI | $56.47 | $61.32 |
| WV | $51.22 | $61.32 |
| WY | $50.43 | $61.32 |
NU + KE — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $66.12 to $78.12 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $70.54 | — |
| AL | — | $66.12 |
| AR | — | $66.12 |
| AZ | — | $66.12 |
| CA | — | $66.12 |
| CO | — | $66.12 |
| CT | — | $66.12 |
| DC | — | $66.12 |
| DE | — | $66.12 |
| FL | — | $66.12 |
| GA | — | $66.12 |
| HI | $70.54 | — |
| IA | — | $66.12 |
| ID | — | $66.12 |
| IL | — | $66.12 |
| IN | — | $66.12 |
| KS | — | $66.12 |
| KY | — | $66.12 |
| LA | — | $66.12 |
| MA | — | $66.12 |
| MD | — | $66.12 |
| ME | — | $66.12 |
| MI | — | $66.12 |
| MN | — | $66.12 |
| MO | — | $66.12 |
| MS | — | $66.12 |
| MT | — | $66.12 |
| NC | — | $66.12 |
| ND | — | $66.12 |
| NE | — | $66.12 |
| NH | — | $66.12 |
| NJ | — | $66.12 |
| NM | — | $66.12 |
| NV | — | $66.12 |
| NY | — | $66.12 |
| OH | — | $66.12 |
| OK | — | $66.12 |
| OR | — | $66.12 |
| PA | — | $66.12 |
| PR | $78.12 | — |
| RI | — | $66.12 |
| SC | — | $66.12 |
| SD | — | $66.12 |
| TN | — | $66.12 |
| TX | — | $66.12 |
| UT | — | $66.12 |
| VA | — | $66.12 |
| VI | $70.54 | — |
| VT | — | $66.12 |
| WA | — | $66.12 |
| WI | — | $66.12 |
| WV | — | $66.12 |
| WY | — | $66.12 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $66.18 to $79.41 depending on state and rural status.
Former-CBA payment limits: ceiling $66.18 · floor $56.25
| State | Non-rural | Rural |
|---|---|---|
| AK | $66.18 | — |
| AL | $66.18 | — |
| AR | $66.18 | — |
| AZ | $66.18 | — |
| CA | $66.18 | — |
| CO | $66.18 | — |
| CT | $66.18 | — |
| DC | $66.18 | — |
| DE | $66.18 | — |
| FL | $66.18 | — |
| GA | $66.18 | — |
| HI | $66.18 | — |
| IA | $66.18 | — |
| ID | $66.18 | — |
| IL | $66.18 | — |
| IN | $66.18 | — |
| KS | $66.18 | — |
| KY | $66.18 | — |
| LA | $66.18 | — |
| MA | $66.18 | — |
| MD | $66.18 | — |
| ME | $66.18 | — |
| MI | $66.18 | — |
| MN | $66.18 | — |
| MO | $66.18 | — |
| MS | $66.18 | — |
| MT | $66.18 | — |
| NC | $66.18 | — |
| ND | $66.18 | — |
| NE | $66.18 | — |
| NH | $66.18 | — |
| NJ | $66.18 | — |
| NM | $66.18 | — |
| NV | $66.18 | — |
| NY | $66.18 | — |
| OH | $66.18 | — |
| OK | $66.18 | — |
| OR | $66.18 | — |
| PA | $66.18 | — |
| PR | $79.41 | — |
| RI | $66.18 | — |
| SC | $66.18 | — |
| SD | $66.18 | — |
| TN | $66.18 | — |
| TX | $66.18 | — |
| UT | $66.18 | — |
| VA | $66.18 | — |
| VI | $66.18 | — |
| VT | $66.18 | — |
| WA | $66.18 | — |
| WI | $66.18 | — |
| WV | $66.18 | — |
| WY | $66.18 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $4.87 to $7.24 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $6.59 | — |
| AL | $5.12 | $6.15 |
| AR | $5.12 | $6.15 |
| AZ | $4.93 | $6.15 |
| CA | $5.03 | $6.15 |
| CO | $5.05 | $6.15 |
| CT | $4.87 | $6.15 |
| DC | $5.22 | $6.15 |
| DE | $5.22 | $6.15 |
| FL | $5.12 | $6.15 |
| GA | $5.12 | $6.15 |
| HI | $6.59 | — |
| IA | $5.17 | $6.15 |
| ID | $5.05 | $6.15 |
| IL | $5.65 | $6.15 |
| IN | $5.65 | $6.15 |
| KS | $5.17 | $6.15 |
| KY | $5.12 | $6.15 |
| LA | $5.12 | $6.15 |
| MA | $4.87 | $6.15 |
| MD | $5.22 | $6.15 |
| ME | $4.87 | $6.15 |
| MI | $5.65 | $6.15 |
| MN | $5.17 | $6.15 |
| MO | $5.17 | $6.15 |
| MS | $5.12 | $6.15 |
| MT | $5.05 | $6.15 |
| NC | $5.12 | $6.15 |
| ND | $5.17 | $6.15 |
| NE | $5.17 | $6.15 |
| NH | $4.87 | $6.15 |
| NJ | $5.22 | $6.15 |
| NM | $4.93 | $6.15 |
| NV | $5.03 | $6.15 |
| NY | $5.22 | $6.15 |
| OH | $5.65 | $6.15 |
| OK | $4.93 | $6.15 |
| OR | $5.03 | $6.15 |
| PA | $5.22 | $6.15 |
| PR | $7.24 | — |
| RI | $4.87 | $6.15 |
| SC | $5.12 | $6.15 |
| SD | $5.17 | $6.15 |
| TN | $5.12 | $6.15 |
| TX | $4.93 | $6.15 |
| UT | $5.05 | $6.15 |
| VA | $5.12 | $6.15 |
| VI | $6.59 | — |
| VT | $4.87 | $6.15 |
| WA | $5.03 | $6.15 |
| WI | $5.65 | $6.15 |
| WV | $5.12 | $6.15 |
| WY | $5.05 | $6.15 |
RR + KE — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $6.63 to $7.82 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $7.07 | — |
| AL | — | $6.63 |
| AR | — | $6.63 |
| AZ | — | $6.63 |
| CA | — | $6.63 |
| CO | — | $6.63 |
| CT | — | $6.63 |
| DC | — | $6.63 |
| DE | — | $6.63 |
| FL | — | $6.63 |
| GA | — | $6.63 |
| HI | $7.07 | — |
| IA | — | $6.63 |
| ID | — | $6.63 |
| IL | — | $6.63 |
| IN | — | $6.63 |
| KS | — | $6.63 |
| KY | — | $6.63 |
| LA | — | $6.63 |
| MA | — | $6.63 |
| MD | — | $6.63 |
| ME | — | $6.63 |
| MI | — | $6.63 |
| MN | — | $6.63 |
| MO | — | $6.63 |
| MS | — | $6.63 |
| MT | — | $6.63 |
| NC | — | $6.63 |
| ND | — | $6.63 |
| NE | — | $6.63 |
| NH | — | $6.63 |
| NJ | — | $6.63 |
| NM | — | $6.63 |
| NV | — | $6.63 |
| NY | — | $6.63 |
| OH | — | $6.63 |
| OK | — | $6.63 |
| OR | — | $6.63 |
| PA | — | $6.63 |
| PR | $7.82 | — |
| RI | — | $6.63 |
| SC | — | $6.63 |
| SD | — | $6.63 |
| TN | — | $6.63 |
| TX | — | $6.63 |
| UT | — | $6.63 |
| VA | — | $6.63 |
| VI | $7.07 | — |
| VT | — | $6.63 |
| WA | — | $6.63 |
| WI | — | $6.63 |
| WV | — | $6.63 |
| WY | — | $6.63 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $6.66 to $7.94 depending on state and rural status.
Former-CBA payment limits: ceiling $6.66 · floor $5.66
| State | Non-rural | Rural |
|---|---|---|
| AK | $6.66 | — |
| AL | $6.66 | — |
| AR | $6.66 | — |
| AZ | $6.66 | — |
| CA | $6.66 | — |
| CO | $6.66 | — |
| CT | $6.66 | — |
| DC | $6.66 | — |
| DE | $6.66 | — |
| FL | $6.66 | — |
| GA | $6.66 | — |
| HI | $6.66 | — |
| IA | $6.66 | — |
| ID | $6.66 | — |
| IL | $6.66 | — |
| IN | $6.66 | — |
| KS | $6.66 | — |
| KY | $6.66 | — |
| LA | $6.66 | — |
| MA | $6.66 | — |
| MD | $6.66 | — |
| ME | $6.66 | — |
| MI | $6.66 | — |
| MN | $6.66 | — |
| MO | $6.66 | — |
| MS | $6.66 | — |
| MT | $6.66 | — |
| NC | $6.66 | — |
| ND | $6.66 | — |
| NE | $6.66 | — |
| NH | $6.66 | — |
| NJ | $6.66 | — |
| NM | $6.66 | — |
| NV | $6.66 | — |
| NY | $6.66 | — |
| OH | $6.66 | — |
| OK | $6.66 | — |
| OR | $6.66 | — |
| PA | $6.66 | — |
| PR | $7.94 | — |
| RI | $6.66 | — |
| SC | $6.66 | — |
| SD | $6.66 | — |
| TN | $6.66 | — |
| TX | $6.66 | — |
| UT | $6.66 | — |
| VA | $6.66 | — |
| VI | $6.66 | — |
| VT | $6.66 | — |
| WA | $6.66 | — |
| WI | $6.66 | — |
| WV | $6.66 | — |
| WY | $6.66 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $36.49 to $54.27 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $49.31 | — |
| AL | $38.41 | $46.00 |
| AR | $38.41 | $46.00 |
| AZ | $36.95 | $46.00 |
| CA | $37.70 | $46.00 |
| CO | $37.82 | $46.00 |
| CT | $36.49 | $46.00 |
| DC | $39.16 | $46.00 |
| DE | $39.16 | $46.00 |
| FL | $38.41 | $46.00 |
| GA | $38.41 | $46.00 |
| HI | $49.31 | — |
| IA | $38.81 | $46.00 |
| ID | $37.82 | $46.00 |
| IL | $42.36 | $46.00 |
| IN | $42.36 | $46.00 |
| KS | $38.81 | $46.00 |
| KY | $38.41 | $46.00 |
| LA | $38.41 | $46.00 |
| MA | $36.49 | $46.00 |
| MD | $39.16 | $46.00 |
| ME | $36.49 | $46.00 |
| MI | $42.36 | $46.00 |
| MN | $38.81 | $46.00 |
| MO | $38.81 | $46.00 |
| MS | $38.41 | $46.00 |
| MT | $37.82 | $46.00 |
| NC | $38.41 | $46.00 |
| ND | $38.81 | $46.00 |
| NE | $38.81 | $46.00 |
| NH | $36.49 | $46.00 |
| NJ | $39.16 | $46.00 |
| NM | $36.95 | $46.00 |
| NV | $37.70 | $46.00 |
| NY | $39.16 | $46.00 |
| OH | $42.36 | $46.00 |
| OK | $36.95 | $46.00 |
| OR | $37.70 | $46.00 |
| PA | $39.16 | $46.00 |
| PR | $54.27 | — |
| RI | $36.49 | $46.00 |
| SC | $38.41 | $46.00 |
| SD | $38.81 | $46.00 |
| TN | $38.41 | $46.00 |
| TX | $36.95 | $46.00 |
| UT | $37.82 | $46.00 |
| VA | $38.41 | $46.00 |
| VI | $49.31 | — |
| VT | $36.49 | $46.00 |
| WA | $37.70 | $46.00 |
| WI | $42.36 | $46.00 |
| WV | $38.41 | $46.00 |
| WY | $37.82 | $46.00 |
UE + KE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $49.60 to $58.59 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $52.91 | — |
| AL | — | $49.60 |
| AR | — | $49.60 |
| AZ | — | $49.60 |
| CA | — | $49.60 |
| CO | — | $49.60 |
| CT | — | $49.60 |
| DC | — | $49.60 |
| DE | — | $49.60 |
| FL | — | $49.60 |
| GA | — | $49.60 |
| HI | $52.91 | — |
| IA | — | $49.60 |
| ID | — | $49.60 |
| IL | — | $49.60 |
| IN | — | $49.60 |
| KS | — | $49.60 |
| KY | — | $49.60 |
| LA | — | $49.60 |
| MA | — | $49.60 |
| MD | — | $49.60 |
| ME | — | $49.60 |
| MI | — | $49.60 |
| MN | — | $49.60 |
| MO | — | $49.60 |
| MS | — | $49.60 |
| MT | — | $49.60 |
| NC | — | $49.60 |
| ND | — | $49.60 |
| NE | — | $49.60 |
| NH | — | $49.60 |
| NJ | — | $49.60 |
| NM | — | $49.60 |
| NV | — | $49.60 |
| NY | — | $49.60 |
| OH | — | $49.60 |
| OK | — | $49.60 |
| OR | — | $49.60 |
| PA | — | $49.60 |
| PR | $58.59 | — |
| RI | — | $49.60 |
| SC | — | $49.60 |
| SD | — | $49.60 |
| TN | — | $49.60 |
| TX | — | $49.60 |
| UT | — | $49.60 |
| VA | — | $49.60 |
| VI | $52.91 | — |
| VT | — | $49.60 |
| WA | — | $49.60 |
| WI | — | $49.60 |
| WV | — | $49.60 |
| WY | — | $49.60 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $49.64 to $59.55 depending on state and rural status.
Former-CBA payment limits: ceiling $49.64 · floor $42.19
| State | Non-rural | Rural |
|---|---|---|
| AK | $49.64 | — |
| AL | $49.64 | — |
| AR | $49.64 | — |
| AZ | $49.64 | — |
| CA | $49.64 | — |
| CO | $49.64 | — |
| CT | $49.64 | — |
| DC | $49.64 | — |
| DE | $49.64 | — |
| FL | $49.64 | — |
| GA | $49.64 | — |
| HI | $49.64 | — |
| IA | $49.64 | — |
| ID | $49.64 | — |
| IL | $49.64 | — |
| IN | $49.64 | — |
| KS | $49.64 | — |
| KY | $49.64 | — |
| LA | $49.64 | — |
| MA | $49.64 | — |
| MD | $49.64 | — |
| ME | $49.64 | — |
| MI | $49.64 | — |
| MN | $49.64 | — |
| MO | $49.64 | — |
| MS | $49.64 | — |
| MT | $49.64 | — |
| NC | $49.64 | — |
| ND | $49.64 | — |
| NE | $49.64 | — |
| NH | $49.64 | — |
| NJ | $49.64 | — |
| NM | $49.64 | — |
| NV | $49.64 | — |
| NY | $49.64 | — |
| OH | $49.64 | — |
| OK | $49.64 | — |
| OR | $49.64 | — |
| PA | $49.64 | — |
| PR | $59.55 | — |
| RI | $49.64 | — |
| SC | $49.64 | — |
| SD | $49.64 | — |
| TN | $49.64 | — |
| TX | $49.64 | — |
| UT | $49.64 | — |
| VA | $49.64 | — |
| VI | $49.64 | — |
| VT | $49.64 | — |
| WA | $49.64 | — |
| WI | $49.64 | — |
| WV | $49.64 | — |
| WY | $49.64 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E2392 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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