E0969 HCPCS code: Narrowing device, wheelchair

E0969 is the HCPCS Level II code for narrowing device, wheelchair. The 2026 Medicare DMEPOS fee schedule pays $189.74 to $288.15 (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. Its average fee ranks 28 of 30 E09 codes billed NU (family range $20.79–$817.33).

Code details

2026 Medicare DMEPOS fee schedule for E0969

How the E0969 fee compares

What changed for E0969

• 2026-01-01: Average state fee (NU) rose 2.0%: $213.20 to $217.47
• 2026-01-01: Average state fee (RR) rose 2.0%: $21.14 to $21.56
• 2026-01-01: Average state fee (UE) rose 2.0%: $159.96 to $163.16
• 1986-01-01: E0969 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 E0969?

E0969 is the HCPCS Level II code for narrowing device, wheelchair. Short descriptor: "Wheelchair narrowing device".

How much does Medicare pay for E0969?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $189.74–$288.15; RR (rental (monthly)): $18.79–$36.03; UE (used equipment, purchased): $142.31–$216.11. Rural fees can be higher.

Does Medicare cover E0969?

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

Did the Medicare fee for E0969 change in 2026?

The average non-rural state fee for NU moved from $213.20 in 2025 to $217.47 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

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 E0969
• Watch E0969 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for E0969

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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