E0967 HCPCS code: Manual wheelchair accessory, hand rim with projections, any type, replacement only, each

E0967 is the HCPCS Level II code for manual wheelchair accessory, hand rim with projections, any type, replacement only, each. The 2026 Medicare DMEPOS fee schedule pays $92.03 to $112.32 (NU, new equipment, purchased) depending on the state. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 2 per day on DME suppliers. Medicare volume rose 198% from 2022 to 2024 (63 to 188 services). In 2024, 68 suppliers billed Medicare for E0967 (purchases), serving 98 beneficiaries. Its average fee ranks 16 of 30 E09 codes billed NU (family range $20.79–$817.33); rural fees run 2% higher.

Code details

FieldValue
SectionE codes — Durable medical equipment
Coverage codeD — Special coverage instructions apply
Pricing indicator32 — DMEPOS: inexpensive or routinely purchased item
BETOS categoryD1D — Wheelchairs
Added1986-01-01
Last action effective2017-01-01

2026 Medicare DMEPOS fee schedule for E0967

ModifierMeaningLowest state feeHighest state feeCeilingFloor
NUnew equipment, purchased$92.03$112.32$93.60$79.56
NUnew equipment, purchased$83.53$105.02——
RRrental (monthly)$9.21$11.21$9.38$7.97
RRrental (monthly)$8.35$10.49——
UEused equipment, purchased$62.65$78.79——
UEused equipment, purchased$68.99$84.26$70.16$59.64
StateModifierFeeRural fee
AKNU$92.06—
ALNU$93.60$93.60
ARNU$93.60$93.60
AZNU$92.03$92.06
CANU$92.03$92.06
CONU$93.60$93.60
CTNU$93.60$93.60
DCNU$93.60$93.60
DENU$93.56$93.56
FLNU$93.56$93.56
GANU$93.60$93.60
HINU$92.06—
IANU$92.03$92.06
IDNU$92.03$92.06
ILNU$93.60$93.60
INNU$93.60$93.60
KSNU$92.03$92.06
KYNU$93.60$93.60
LANU$93.60$93.60
MANU$93.60$93.60
MDNU$93.60$93.60
MENU$93.60$93.60
MINU$93.60$93.60
MNNU$93.60$93.60
MONU$93.60$93.60
MSNU$93.60$93.60
MTNU$92.03$92.06
NCNU$93.60$93.60
NDNU$92.03$92.06
NENU$92.03$92.06
NHNU$93.56$93.56
NJNU$93.56$93.56
NMNU$93.60$93.60
NVNU$92.03$92.06
NYNU$93.56$93.56
OHNU$93.60$93.60
OKNU$93.60$93.60
ORNU$92.03$92.06
PANU$93.56$93.56
PRNU$112.32—
RINU$93.56$93.56
SCNU$93.60$93.60
SDNU$92.03$92.06
TNNU$93.60$93.60
TXNU$93.56$93.56
UTNU$93.60$93.60
VANU$93.60$93.60
VINU$93.56—
VTNU$93.60$93.60
WANU$93.60$93.60
WINU$93.60$93.60
WVNU$93.60$93.60
WYNU$92.03$92.06
AKRR$9.21—
ALRR$9.38$9.37
ARRR$9.38$9.37
AZRR$9.21$9.21
CARR$9.21$9.21
CORR$9.38$9.37
CTRR$9.38$9.37
DCRR$9.38$9.37
DERR$9.37$9.36
FLRR$9.37$9.36
GARR$9.38$9.37
HIRR$9.21—
IARR$9.21$9.21
IDRR$9.21$9.21
ILRR$9.38$9.37
INRR$9.38$9.37
KSRR$9.21$9.21
KYRR$9.38$9.37
LARR$9.38$9.37
MARR$9.38$9.37
MDRR$9.38$9.37
MERR$9.38$9.37
MIRR$9.38$9.37
MNRR$9.38$9.37
MORR$9.38$9.37
MSRR$9.38$9.37
MTRR$9.21$9.21
NCRR$9.38$9.37
NDRR$9.21$9.21
NERR$9.21$9.21
NHRR$9.37$9.36
NJRR$9.37$9.36
NMRR$9.38$9.37
NVRR$9.21$9.21
NYRR$9.37$9.36
OHRR$9.38$9.37
OKRR$9.38$9.37
ORRR$9.21$9.21
PARR$9.37$9.36
PRRR$11.21—
RIRR$9.37$9.36
SCRR$9.38$9.37
SDRR$9.21$9.21
TNRR$9.38$9.37
TXRR$9.37$9.36
UTRR$9.38$9.37
VARR$9.38$9.37
VIRR$9.37—
VTRR$9.38$9.37
WARR$9.38$9.37
WIRR$9.38$9.37
WVRR$9.38$9.37
WYRR$9.21$9.21
AKUE$69.01—
ALUE$70.16$70.18
ARUE$70.16$70.18
AZUE$68.99$69.01
CAUE$68.99$69.01
COUE$70.16$70.18
CTUE$70.16$70.18
DCUE$70.16$70.18
DEUE$70.16$70.18
FLUE$70.16$70.18
GAUE$70.16$70.18
HIUE$69.01—
IAUE$68.99$69.01
IDUE$68.99$69.01
ILUE$70.16$70.18
INUE$70.16$70.18
KSUE$68.99$69.01
KYUE$70.16$70.18
LAUE$70.16$70.18
MAUE$70.16$70.18
MDUE$70.16$70.18
MEUE$70.16$70.18
MIUE$70.16$70.18
MNUE$70.16$70.18
MOUE$70.16$70.18
MSUE$70.16$70.18
MTUE$68.99$69.01
NCUE$70.16$70.18
NDUE$68.99$69.01
NEUE$68.99$69.01
NHUE$70.16$70.18
NJUE$70.16$70.18
NMUE$70.16$70.18
NVUE$68.99$69.01
NYUE$70.16$70.18
OHUE$70.16$70.18
OKUE$70.16$70.18
ORUE$68.99$69.01
PAUE$70.16$70.18
PRUE$84.26—
RIUE$70.16$70.18
SCUE$70.16$70.18
SDUE$68.99$69.01
TNUE$70.16$70.18
TXUE$70.16$70.18
UTUE$70.16$70.18
VAUE$70.16$70.18
VIUE$70.18—
VTUE$70.16$70.18
WAUE$70.16$70.18
WIUE$70.16$70.18
WVUE$70.16$70.18
WYUE$68.99$69.01

How the E0967 fee compares

MeasureValue
Rank among 30 E09 codes billed NU (lowest = 1)16
Family fee range (average of state fees)$20.79–$817.33
Rural fee uplift1.9%

Who bills E0967 (2024)

MeasureValue
Suppliers billing rentals—
Suppliers billing purchases68
Referring clinicians95
Medicare beneficiaries98
States with claims2
YearSuppliersBeneficiaries
20222533
20234059
20246898

Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.

Medicare utilization for E0967, 2022–2024

YearServicesBeneficiariesAvg. allowedAvg. paid
20226333$76.43$58.79
202311159$85.98$66.52
202418898$88.40$67.95

States with the most E0967 services (2024)

StateServicesAvg. paid
Massachusetts25$69.86
Florida23$68.97

NCCI unit limits (MUE)

Claim typeMax units per dayRationale
DME suppliers2Anatomic Consideration

Medicare policy articles for this code

What changed for E0967

Frequently asked questions

What is HCPCS code E0967?

E0967 is the HCPCS Level II code for manual wheelchair accessory, hand rim with projections, any type, replacement only, each. Short descriptor: "Man wc rim/projection rep ea".

How much does Medicare pay for E0967?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $92.03–$112.32; NU (new equipment, purchased): $83.53–$105.02; RR (rental (monthly)): $9.21–$11.21; RR (rental (monthly)): $8.35–$10.49; UE (used equipment, purchased): $62.65–$78.79; UE (used equipment, purchased): $68.99–$84.26. Rural fees can be higher.

Does Medicare cover E0967?

Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.

Did the Medicare fee for E0967 change in 2026?

The average non-rural state fee for NU moved from $89.38 in 2025 to $91.45 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of E0967 can be billed per day?

2 on DME suppliers (NCCI medically unlikely edits).

Related E09 codes

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

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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