E0971 HCPCS code: Manual wheelchair accessory, anti-tipping device, each
E0971 is the HCPCS Level II code for manual wheelchair accessory, anti-tipping device, each. The 2026 Medicare DMEPOS fee schedule pays $61.83 to $74.22 (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. Medicare volume rose 20% from 2022 to 2024 (341,791 to 411,330 services). In 2024, 2,050 suppliers billed Medicare for E0971 (purchases), serving 136,953 beneficiaries; California, Florida, Texas accounted for 23% of services. Its average fee ranks 9 of 30 E09 codes billed NU (family range $20.79–$817.33); rural fees run 2% higher.
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | D1D — Wheelchairs |
| Added | 1986-01-01 |
| Last action effective | 2006-01-01 |
2026 Medicare DMEPOS fee schedule for E0971
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $61.83 | $74.22 | $61.83 | $52.56 |
| NU | new equipment, purchased | $35.00 | $57.44 | — | — |
| RR | rental (monthly) | $3.50 | $5.73 | — | — |
| RR | rental (monthly) | $6.19 | $7.38 | $6.19 | $5.26 |
| UE | used equipment, purchased | $26.25 | $43.08 | — | — |
| UE | used equipment, purchased | $46.42 | $55.65 | $46.42 | $39.46 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $61.83 | — |
| AL | NU | $61.83 | $51.25 |
| AR | NU | $61.83 | $51.25 |
| AZ | NU | $61.83 | $51.25 |
| CA | NU | $61.83 | $51.25 |
| CO | NU | $61.83 | $51.25 |
| CT | NU | $61.83 | $51.25 |
| DC | NU | $61.83 | $51.25 |
| DE | NU | $61.83 | $51.25 |
| FL | NU | $61.83 | $51.25 |
| GA | NU | $61.83 | $51.25 |
| HI | NU | $61.83 | — |
| IA | NU | $61.83 | $51.25 |
| ID | NU | $61.83 | $51.25 |
| IL | NU | $61.83 | $51.25 |
| IN | NU | $61.83 | $51.25 |
| KS | NU | $61.83 | $51.25 |
| KY | NU | $61.83 | $51.25 |
| LA | NU | $61.83 | $51.25 |
| MA | NU | $61.83 | $51.25 |
| MD | NU | $61.83 | $51.25 |
| ME | NU | $61.83 | $51.25 |
| MI | NU | $61.83 | $51.25 |
| MN | NU | $61.83 | $51.25 |
| MO | NU | $61.83 | $51.25 |
| MS | NU | $61.83 | $51.25 |
| MT | NU | $61.83 | $51.25 |
| NC | NU | $61.83 | $51.25 |
| ND | NU | $61.83 | $51.25 |
| NE | NU | $61.83 | $51.25 |
| NH | NU | $61.83 | $51.25 |
| NJ | NU | $61.83 | $51.25 |
| NM | NU | $61.83 | $51.25 |
| NV | NU | $61.83 | $51.25 |
| NY | NU | $61.83 | $51.25 |
| OH | NU | $61.83 | $51.25 |
| OK | NU | $61.83 | $51.25 |
| OR | NU | $61.83 | $51.25 |
| PA | NU | $61.83 | $51.25 |
| PR | NU | $74.22 | — |
| RI | NU | $61.83 | $51.25 |
| SC | NU | $61.83 | $51.25 |
| SD | NU | $61.83 | $51.25 |
| TN | NU | $61.83 | $51.25 |
| TX | NU | $61.83 | $51.25 |
| UT | NU | $61.83 | $51.25 |
| VA | NU | $61.83 | $51.25 |
| VI | NU | $61.83 | — |
| VT | NU | $61.83 | $51.25 |
| WA | NU | $61.83 | $51.25 |
| WI | NU | $61.83 | $51.25 |
| WV | NU | $61.83 | $51.25 |
| WY | NU | $61.83 | $51.25 |
| AK | RR | $6.19 | — |
| AL | RR | $6.19 | $5.13 |
| AR | RR | $6.19 | $5.13 |
| AZ | RR | $6.19 | $5.13 |
| CA | RR | $6.19 | $5.13 |
| CO | RR | $6.19 | $5.13 |
| CT | RR | $6.19 | $5.13 |
| DC | RR | $6.19 | $5.13 |
| DE | RR | $6.19 | $5.13 |
| FL | RR | $6.19 | $5.13 |
| GA | RR | $6.19 | $5.13 |
| HI | RR | $6.19 | — |
| IA | RR | $6.19 | $5.13 |
| ID | RR | $6.19 | $5.13 |
| IL | RR | $6.19 | $5.13 |
| IN | RR | $6.19 | $5.13 |
| KS | RR | $6.19 | $5.13 |
| KY | RR | $6.19 | $5.13 |
| LA | RR | $6.19 | $5.13 |
| MA | RR | $6.19 | $5.13 |
| MD | RR | $6.19 | $5.13 |
| ME | RR | $6.19 | $5.13 |
| MI | RR | $6.19 | $5.13 |
| MN | RR | $6.19 | $5.13 |
| MO | RR | $6.19 | $5.13 |
| MS | RR | $6.19 | $5.13 |
| MT | RR | $6.19 | $5.13 |
| NC | RR | $6.19 | $5.13 |
| ND | RR | $6.19 | $5.13 |
| NE | RR | $6.19 | $5.13 |
| NH | RR | $6.19 | $5.13 |
| NJ | RR | $6.19 | $5.13 |
| NM | RR | $6.19 | $5.13 |
| NV | RR | $6.19 | $5.13 |
| NY | RR | $6.19 | $5.13 |
| OH | RR | $6.19 | $5.13 |
| OK | RR | $6.19 | $5.13 |
| OR | RR | $6.19 | $5.13 |
| PA | RR | $6.19 | $5.13 |
| PR | RR | $7.38 | — |
| RI | RR | $6.19 | $5.13 |
| SC | RR | $6.19 | $5.13 |
| SD | RR | $6.19 | $5.13 |
| TN | RR | $6.19 | $5.13 |
| TX | RR | $6.19 | $5.13 |
| UT | RR | $6.19 | $5.13 |
| VA | RR | $6.19 | $5.13 |
| VI | RR | $6.19 | — |
| VT | RR | $6.19 | $5.13 |
| WA | RR | $6.19 | $5.13 |
| WI | RR | $6.19 | $5.13 |
| WV | RR | $6.19 | $5.13 |
| WY | RR | $6.19 | $5.13 |
| AK | UE | $46.42 | — |
| AL | UE | $46.42 | $38.46 |
| AR | UE | $46.42 | $38.46 |
| AZ | UE | $46.42 | $38.46 |
| CA | UE | $46.42 | $38.46 |
| CO | UE | $46.42 | $38.46 |
| CT | UE | $46.42 | $38.46 |
| DC | UE | $46.42 | $38.46 |
| DE | UE | $46.42 | $38.46 |
| FL | UE | $46.42 | $38.46 |
| GA | UE | $46.42 | $38.46 |
| HI | UE | $46.42 | — |
| IA | UE | $46.42 | $38.46 |
| ID | UE | $46.42 | $38.46 |
| IL | UE | $46.42 | $38.46 |
| IN | UE | $46.42 | $38.46 |
| KS | UE | $46.42 | $38.46 |
| KY | UE | $46.42 | $38.46 |
| LA | UE | $46.42 | $38.46 |
| MA | UE | $46.42 | $38.46 |
| MD | UE | $46.42 | $38.46 |
| ME | UE | $46.42 | $38.46 |
| MI | UE | $46.42 | $38.46 |
| MN | UE | $46.42 | $38.46 |
| MO | UE | $46.42 | $38.46 |
| MS | UE | $46.42 | $38.46 |
| MT | UE | $46.42 | $38.46 |
| NC | UE | $46.42 | $38.46 |
| ND | UE | $46.42 | $38.46 |
| NE | UE | $46.42 | $38.46 |
| NH | UE | $46.42 | $38.46 |
| NJ | UE | $46.42 | $38.46 |
| NM | UE | $46.42 | $38.46 |
| NV | UE | $46.42 | $38.46 |
| NY | UE | $46.42 | $38.46 |
| OH | UE | $46.42 | $38.46 |
| OK | UE | $46.42 | $38.46 |
| OR | UE | $46.42 | $38.46 |
| PA | UE | $46.42 | $38.46 |
| PR | UE | $55.65 | — |
| RI | UE | $46.42 | $38.46 |
| SC | UE | $46.42 | $38.46 |
| SD | UE | $46.42 | $38.46 |
| TN | UE | $46.42 | $38.46 |
| TX | UE | $46.42 | $38.46 |
| UT | UE | $46.42 | $38.46 |
| VA | UE | $46.42 | $38.46 |
| VI | UE | $46.42 | — |
| VT | UE | $46.42 | $38.46 |
| WA | UE | $46.42 | $38.46 |
| WI | UE | $46.42 | $38.46 |
| WV | UE | $46.42 | $38.46 |
| WY | UE | $46.42 | $38.46 |
How the E0971 fee compares
| Measure | Value |
|---|---|
| Rank among 30 E09 codes billed NU (lowest = 1) | 9 |
| Family fee range (average of state fees) | $20.79–$817.33 |
| Rural fee uplift | 2.3% |
Who bills E0971 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 1,155 |
| Suppliers billing purchases | 2,050 |
| Referring clinicians | 38,749 |
| Medicare beneficiaries | 136,953 |
| States with claims | 53 |
| Share of services in top 3 states (California, Florida, Texas) | 23% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 1,982 | 118,786 |
| 2023 | 2,061 | 129,386 |
| 2024 | 2,050 | 136,953 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0971, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 341,791 | 118,786 | $22.78 | $17.73 |
| 2023 | 379,283 | 129,386 | $24.11 | $18.67 |
| 2024 | 411,330 | 136,953 | $23.98 | $18.57 |
States with the most E0971 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 32,134 | $22.93 |
| Florida | 31,223 | $22.12 |
| Texas | 29,393 | $23.88 |
| New York | 27,379 | $25.86 |
| Maryland | 26,027 | $9.44 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Nature of Equipment |
| outpatient hospital claims | 2 | Nature of Equipment |
Medicare policy articles for this code
- A52504: Wheelchair Options/Accessories - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
What changed for E0971
- 2026-01-01: Average state fee (NU) rose 2.2%: $49.02 to $50.12
- 2026-01-01: Average state fee (RR) rose 2.2%: $4.91 to $5.02
- 2026-01-01: Average state fee (UE) rose 2.2%: $36.79 to $37.61
- 1986-01-01: E0971 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 E0971?
E0971 is the HCPCS Level II code for manual wheelchair accessory, anti-tipping device, each. Short descriptor: "Wheelchair anti-tipping devi".
How much does Medicare pay for E0971?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $61.83–$74.22; NU (new equipment, purchased): $35.00–$57.44; RR (rental (monthly)): $3.50–$5.73; RR (rental (monthly)): $6.19–$7.38; UE (used equipment, purchased): $26.25–$43.08; UE (used equipment, purchased): $46.42–$55.65. Rural fees can be higher.
Does Medicare cover E0971?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E0971 change in 2026?
The average non-rural state fee for NU moved from $49.02 in 2025 to $50.12 in 2026 (+2.2%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0971 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)
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 E0971
- Watch E0971 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0971
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.