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E2632 — Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control

HCPCS Level II E-code · short descriptor: “Offset/lat rocker arm w/ela”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
DMEPOS payment category
Inexpensive or routinely purchased
Prior authorization
Not on Medicare required-PA 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.

E2632 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $202.58 to $317.16 depending on state and rural status.

StateNon-ruralRural
AK$242.46
AL$207.15$207.15
AR$203.58$203.58
AZ$207.76$233.02
CA$202.58$235.06
CO$212.61$235.06
CT$224.54$235.06
DC$210.05$235.06
DE$210.05$235.06
FL$207.43$235.06
GA$207.43$235.06
HI$251.27
IA$202.79$222.23
ID$203.58$203.58
IL$210.48$235.06
IN$210.48$235.06
KS$202.79$203.58
KY$207.43$235.06
LA$207.43$230.01
MA$224.54$235.06
MD$210.05$235.06
ME$224.54$235.06
MI$210.48$235.06
MN$202.79$216.67
MO$202.79$203.58
MS$207.43$220.01
MT$203.58$203.58
NC$207.43$227.80
ND$202.79$203.58
NE$202.79$203.58
NH$224.54$235.06
NJ$210.05$235.06
NM$203.58$203.58
NV$202.58$233.02
NY$210.05$235.06
OH$203.58$203.58
OK$207.76$235.06
OR$202.58$203.58
PA$210.05$235.06
PR$317.16
RI$224.54$235.06
SC$207.43$235.06
SD$202.79$203.58
TN$207.43$233.96
TX$207.76$235.06
UT$212.61$235.06
VA$207.43$235.06
VI$235.06
VT$224.54$235.06
WA$202.58$203.58
WI$210.48$222.23
WV$203.58$203.58
WY$203.58$203.58

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $203.58 to $403.71 depending on state and rural status.

Former-CBA payment limits: ceiling $239.51 · floor $203.58

StateNon-ruralRural
AK$254.30
AL$207.15
AR$203.58
AZ$235.42
CA$239.51
CO$239.51
CT$239.51
DC$239.51
DE$239.51
FL$239.51
GA$239.51
HI$271.94
IA$222.25
ID$203.58
IL$239.51
IN$239.51
KS$203.58
KY$239.51
LA$230.02
MA$239.51
MD$239.51
ME$239.51
MI$239.51
MN$216.69
MO$203.58
MS$220.00
MT$203.58
NC$227.81
ND$203.58
NE$203.58
NH$239.51
NJ$239.51
NM$203.58
NV$235.42
NY$239.51
OH$203.58
OK$239.51
OR$203.58
PA$239.51
PR$403.71
RI$239.51
SC$239.51
SD$203.58
TN$237.31
TX$239.51
UT$239.51
VA$239.51
VI$239.51
VT$239.51
WA$203.58
WI$222.25
WV$203.58
WY$203.58

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $20.26 to $31.73 depending on state and rural status.

StateNon-ruralRural
AK$24.24
AL$20.71$20.71
AR$20.35$20.35
AZ$20.78$23.30
CA$20.26$23.50
CO$21.26$23.50
CT$22.45$23.50
DC$21.01$23.50
DE$21.01$23.50
FL$20.74$23.50
GA$20.74$23.50
HI$25.13
IA$20.28$22.20
ID$20.35$20.35
IL$21.05$23.50
IN$21.05$23.50
KS$20.28$20.35
KY$20.74$23.50
LA$20.74$23.00
MA$22.45$23.50
MD$21.01$23.50
ME$22.45$23.50
MI$21.05$23.50
MN$20.28$21.65
MO$20.28$20.35
MS$20.74$22.02
MT$20.35$20.35
NC$20.74$22.76
ND$20.28$20.35
NE$20.28$20.35
NH$22.45$23.50
NJ$21.01$23.50
NM$20.35$20.35
NV$20.26$23.30
NY$21.01$23.50
OH$20.35$20.35
OK$20.78$23.50
OR$20.26$20.35
PA$21.01$23.50
PR$31.73
RI$22.45$23.50
SC$20.74$23.50
SD$20.28$20.35
TN$20.74$23.39
TX$20.78$23.50
UT$21.26$23.50
VA$20.74$23.50
VI$23.50
VT$22.45$23.50
WA$20.26$20.35
WI$21.05$22.20
WV$20.35$20.35
WY$20.35$20.35

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $20.37 to $40.40 depending on state and rural status.

Former-CBA payment limits: ceiling $23.96 · floor $20.37

StateNon-ruralRural
AK$25.41
AL$20.72
AR$20.37
AZ$23.54
CA$23.96
CO$23.96
CT$23.96
DC$23.96
DE$23.96
FL$23.96
GA$23.96
HI$27.18
IA$22.20
ID$20.37
IL$23.96
IN$23.96
KS$20.37
KY$23.96
LA$23.01
MA$23.96
MD$23.96
ME$23.96
MI$23.96
MN$21.66
MO$20.37
MS$22.03
MT$20.37
NC$22.77
ND$20.37
NE$20.37
NH$23.96
NJ$23.96
NM$20.37
NV$23.54
NY$23.96
OH$20.37
OK$23.96
OR$20.37
PA$23.96
PR$40.40
RI$23.96
SC$23.96
SD$20.37
TN$23.73
TX$23.96
UT$23.96
VA$23.96
VI$23.96
VT$23.96
WA$20.37
WI$22.20
WV$20.37
WY$20.37

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $151.94 to $237.88 depending on state and rural status.

StateNon-ruralRural
AK$181.86
AL$155.38$155.38
AR$152.69$152.69
AZ$155.82$174.76
CA$151.94$176.30
CO$159.46$176.30
CT$168.40$176.30
DC$157.54$176.30
DE$157.54$176.30
FL$155.57$176.30
GA$155.57$176.30
HI$188.47
IA$152.09$166.66
ID$152.69$152.69
IL$157.86$176.30
IN$157.86$176.30
KS$152.09$152.69
KY$155.57$176.30
LA$155.57$172.47
MA$168.40$176.30
MD$157.54$176.30
ME$168.40$176.30
MI$157.86$176.30
MN$152.09$162.50
MO$152.09$152.69
MS$155.57$164.99
MT$152.69$152.69
NC$155.57$170.88
ND$152.09$152.69
NE$152.09$152.69
NH$168.40$176.30
NJ$157.54$176.30
NM$152.69$152.69
NV$151.94$174.76
NY$157.54$176.30
OH$152.69$152.69
OK$155.82$176.30
OR$151.94$152.69
PA$157.54$176.30
PR$237.88
RI$168.40$176.30
SC$155.57$176.30
SD$152.09$152.69
TN$155.57$175.47
TX$155.82$176.30
UT$159.46$176.30
VA$155.57$176.30
VI$176.30
VT$168.40$176.30
WA$151.94$152.69
WI$157.86$166.66
WV$152.69$152.69
WY$152.69$152.69

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $152.69 to $302.79 depending on state and rural status.

Former-CBA payment limits: ceiling $179.63 · floor $152.69

StateNon-ruralRural
AK$190.76
AL$155.38
AR$152.69
AZ$176.55
CA$179.63
CO$179.63
CT$179.63
DC$179.63
DE$179.63
FL$179.63
GA$179.63
HI$203.96
IA$166.65
ID$152.69
IL$179.63
IN$179.63
KS$152.69
KY$179.63
LA$172.45
MA$179.63
MD$179.63
ME$179.63
MI$179.63
MN$162.49
MO$152.69
MS$165.00
MT$152.69
NC$170.89
ND$152.69
NE$152.69
NH$179.63
NJ$179.63
NM$152.69
NV$176.55
NY$179.63
OH$152.69
OK$179.63
OR$152.69
PA$179.63
PR$302.79
RI$179.63
SC$179.63
SD$152.69
TN$177.97
TX$179.63
UT$179.63
VA$179.63
VI$179.63
VT$179.63
WA$152.69
WI$166.65
WV$152.69
WY$152.69
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

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