E0959 HCPCS code: Manual wheelchair accessory, adapter for amputee, each

E0959 is the HCPCS Level II code for manual wheelchair accessory, adapter for amputee, each. The 2026 Medicare DMEPOS fee schedule pays $52.33 to $84.74 (NU, new equipment, purchased) 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 2 per day on DME suppliers. Its average fee ranks 11 of 30 E09 codes billed NU (family range $20.79–$817.33); rural fees run 1% higher.

Code details

2026 Medicare DMEPOS fee schedule for E0959

How the E0959 fee compares

NCCI unit limits (MUE)

What changed for E0959

• 2026-01-01: Average state fee (NU) rose 2.3%: $57.18 to $58.49
• 2026-01-01: Average state fee (RR) rose 2.2%: $5.75 to $5.88
• 2026-01-01: Average state fee (UE) rose 2.3%: $43.08 to $44.07
• 1986-01-01: E0959 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 E0959?

E0959 is the HCPCS Level II code for manual wheelchair accessory, adapter for amputee, each. Short descriptor: "Amputee adapter".

How much does Medicare pay for E0959?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $52.33–$84.74; NU (new equipment, purchased): $53.54–$107.11; RR (rental (monthly)): $5.38–$10.72; RR (rental (monthly)): $5.23–$8.47; UE (used equipment, purchased): $39.25–$63.56; UE (used equipment, purchased): $40.55–$80.35. Rural fees can be higher.

Does Medicare cover E0959?

Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.

Did the Medicare fee for E0959 change in 2026?

The average non-rural state fee for NU moved from $57.18 in 2025 to $58.49 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of E0959 can be billed per day?

2 on DME suppliers; 2 on outpatient hospital claims (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)

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Next steps

• Run a reimbursement report for a device billed under E0959
• Watch E0959 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for E0959

Sources: CMS HCPCS Level II release October 2025; 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.

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