E0955 HCPCS code: Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each
E0955 is the HCPCS Level II code for wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each. The 2026 Medicare DMEPOS fee schedule pays $24.83 to $29.82 (RR, rental (monthly)) depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 1 per day on DME suppliers. Medicare volume rose 13% from 2022 to 2024 (99,937 to 113,279 services). In 2024, 831 suppliers billed Medicare for E0955 (purchases), serving 37,025 beneficiaries; New York, California, Illinois accounted for 25% of services. Its average fee ranks 29 of 47 E09 codes billed RR (family range $2.12–$695.86); rural fees run 7% higher.
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 36 — DMEPOS: capped rental item |
| BETOS category | D1D — Wheelchairs |
| Added | 2004-01-01 |
| Last action effective | 2016-07-01 |
2026 Medicare DMEPOS fee schedule for E0955
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $24.83 | $29.82 | $24.83 | $21.11 |
| RR | rental (monthly) | $17.12 | $26.82 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $24.83 | — |
| AL | RR | $24.83 | $23.98 |
| AR | RR | $24.83 | $23.98 |
| AZ | RR | $24.83 | $23.98 |
| CA | RR | $24.83 | $23.98 |
| CO | RR | $24.83 | $23.98 |
| CT | RR | $24.83 | $23.98 |
| DC | RR | $24.83 | $23.98 |
| DE | RR | $24.83 | $23.98 |
| FL | RR | $24.83 | $23.98 |
| GA | RR | $24.83 | $23.98 |
| HI | RR | $24.83 | — |
| IA | RR | $24.83 | $23.98 |
| ID | RR | $24.83 | $23.98 |
| IL | RR | $24.83 | $23.98 |
| IN | RR | $24.83 | $23.98 |
| KS | RR | $24.83 | $23.98 |
| KY | RR | $24.83 | $23.98 |
| LA | RR | $24.83 | $23.98 |
| MA | RR | $24.83 | $23.98 |
| MD | RR | $24.83 | $23.98 |
| ME | RR | $24.83 | $23.98 |
| MI | RR | $24.83 | $23.98 |
| MN | RR | $24.83 | $23.98 |
| MO | RR | $24.83 | $23.98 |
| MS | RR | $24.83 | $23.98 |
| MT | RR | $24.83 | $23.98 |
| NC | RR | $24.83 | $23.98 |
| ND | RR | $24.83 | $23.98 |
| NE | RR | $24.83 | $23.98 |
| NH | RR | $24.83 | $23.98 |
| NJ | RR | $24.83 | $23.98 |
| NM | RR | $24.83 | $23.98 |
| NV | RR | $24.83 | $23.98 |
| NY | RR | $24.83 | $23.98 |
| OH | RR | $24.83 | $23.98 |
| OK | RR | $24.83 | $23.98 |
| OR | RR | $24.83 | $23.98 |
| PA | RR | $24.83 | $23.98 |
| PR | RR | $29.82 | — |
| RI | RR | $24.83 | $23.98 |
| SC | RR | $24.83 | $23.98 |
| SD | RR | $24.83 | $23.98 |
| TN | RR | $24.83 | $23.98 |
| TX | RR | $24.83 | $23.98 |
| UT | RR | $24.83 | $23.98 |
| VA | RR | $24.83 | $23.98 |
| VI | RR | $24.83 | — |
| VT | RR | $24.83 | $23.98 |
| WA | RR | $24.83 | $23.98 |
| WI | RR | $24.83 | $23.98 |
| WV | RR | $24.83 | $23.98 |
| WY | RR | $24.83 | $23.98 |
How the E0955 fee compares
| Measure | Value |
|---|---|
| Rank among 47 E09 codes billed RR (lowest = 1) | 29 |
| Family fee range (average of state fees) | $2.12–$695.86 |
| Rural fee uplift | 6.7% |
Who bills E0955 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 726 |
| Suppliers billing purchases | 831 |
| Referring clinicians | 13,811 |
| Medicare beneficiaries | 37,025 |
| States with claims | 51 |
| Share of services in top 3 states (New York, California, Illinois) | 25% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 825 | 32,689 |
| 2023 | 810 | 34,983 |
| 2024 | 831 | 37,025 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0955, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 99,937 | 32,689 | $51.05 | $39.69 |
| 2023 | 106,510 | 34,983 | $55.78 | $43.26 |
| 2024 | 113,279 | 37,025 | $55.84 | $43.36 |
States with the most E0955 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 14,219 | $24.14 |
| California | 7,932 | $53.98 |
| Illinois | 6,711 | $38.17 |
| Florida | 6,591 | $43.07 |
| Texas | 6,089 | $50.44 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
Medicare policy articles for this code
- A52505: Wheelchair Seating - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
What changed for E0955
- 2026-01-01: Average state fee (RR) rose 2.3%: $21.15 to $21.64
- 2004-01-01: E0955 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code E0955?
E0955 is the HCPCS Level II code for wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each. Short descriptor: "Cushioned headrest".
How much does Medicare pay for E0955?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $24.83–$29.82; RR (rental (monthly)): $17.12–$26.82. Rural fees can be higher.
Does Medicare cover E0955?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E0955 change in 2026?
The average non-rural state fee for RR moved from $21.15 in 2025 to $21.64 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0955 can be billed per day?
1 on DME suppliers (NCCI medically unlikely edits).
Related E09 codes
- E0900 — Traction stand, free standing, pelvic traction, (e.g., buck's) ($21.75–$233.96)
- E0910 — Trapeze bars, a/k/a patient helper, attached to bed, with grab bar ($13.20–$19.86)
- E0911 — Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar ($50.56–$65.54)
- E0912 — Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar ($94.71–$145.86)
- E0920 — Fracture frame, attached to bed, includes weights ($55.91–$90.91)
- E0930 — Fracture frame, free standing, includes weights ($55.34–$67.27)
- E0935 — Continuous passive motion exercise device for use on knee only ($27.56–$34.49)
- E0936 — Continuous passive motion exercise device for use other than knee
- E0940 — Trapeze bar, free standing, complete with grab bar ($24.33–$39.42)
- E0941 — Gravity assisted traction device, any type ($52.57–$94.48)
- E0942 — Cervical head harness/halter ($0.78–$39.21)
- E0944 — Pelvic belt/harness/boot ($4.82–$79.09)
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under E0955
- Watch E0955 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0955
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.