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
- 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 2026-10-25; 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.
E2632 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $202.58 to $317.16 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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.
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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.
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E2632 at 2 units per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Anatomic Consideration.
Common denial codes to watch
Related E-codes
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