E0986 HCPCS code: Manual wheelchair accessory, power assist system
E0986 is the HCPCS Level II code for manual wheelchair accessory, power assist system. The 2026 Medicare DMEPOS fee schedule pays $693.24 to $831.87 (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. Its average fee ranks 47 of 47 E09 codes billed RR (family range $2.12–$695.86).
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 | 2025-10-01 |
2026 Medicare DMEPOS fee schedule for E0986
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $693.24 | $831.87 | $693.24 | $589.25 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $693.24 | — |
| AL | RR | $693.24 | — |
| AR | RR | $693.24 | — |
| AZ | RR | $693.24 | — |
| CA | RR | $693.24 | — |
| CO | RR | $693.24 | — |
| CT | RR | $693.24 | — |
| DC | RR | $693.24 | — |
| DE | RR | $693.24 | — |
| FL | RR | $693.24 | — |
| GA | RR | $693.24 | — |
| HI | RR | $693.24 | — |
| IA | RR | $693.24 | — |
| ID | RR | $693.24 | — |
| IL | RR | $693.24 | — |
| IN | RR | $693.24 | — |
| KS | RR | $693.24 | — |
| KY | RR | $693.24 | — |
| LA | RR | $693.24 | — |
| MA | RR | $693.24 | — |
| MD | RR | $693.24 | — |
| ME | RR | $693.24 | — |
| MI | RR | $693.24 | — |
| MN | RR | $693.24 | — |
| MO | RR | $693.24 | — |
| MS | RR | $693.24 | — |
| MT | RR | $693.24 | — |
| NC | RR | $693.24 | — |
| ND | RR | $693.24 | — |
| NE | RR | $693.24 | — |
| NH | RR | $693.24 | — |
| NJ | RR | $693.24 | — |
| NM | RR | $693.24 | — |
| NV | RR | $693.24 | — |
| NY | RR | $693.24 | — |
| OH | RR | $693.24 | — |
| OK | RR | $693.24 | — |
| OR | RR | $693.24 | — |
| PA | RR | $693.24 | — |
| PR | RR | $831.87 | — |
| RI | RR | $693.24 | — |
| SC | RR | $693.24 | — |
| SD | RR | $693.24 | — |
| TN | RR | $693.24 | — |
| TX | RR | $693.24 | — |
| UT | RR | $693.24 | — |
| VA | RR | $693.24 | — |
| VI | RR | $693.24 | — |
| VT | RR | $693.24 | — |
| WA | RR | $693.24 | — |
| WI | RR | $693.24 | — |
| WV | RR | $693.24 | — |
| WY | RR | $693.24 | — |
How the E0986 fee compares
| Measure | Value |
|---|---|
| Rank among 47 E09 codes billed RR (lowest = 1) | 47 |
| Family fee range (average of state fees) | $2.12–$695.86 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
What changed for E0986
- October 2025: Descriptor revised (Was: Manual wheelchair accessory, push-rim activated power assist system)
- 2026-01-01: Average state fee (RR) rose 2.0%: $682.21 to $695.86
- 2025-10-01: Last CMS action: long description changed
- 2004-01-01: E0986 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 E0986?
E0986 is the HCPCS Level II code for manual wheelchair accessory, power assist system. Short descriptor: "Man w/c powr assist syst".
How much does Medicare pay for E0986?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $693.24–$831.87. Rural fees can be higher.
Does Medicare cover E0986?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E0986 change in 2026?
The average non-rural state fee for RR moved from $682.21 in 2025 to $695.86 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0986 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)
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Next steps
- Run a reimbursement report for a device billed under E0986
- Watch E0986 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0986
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.