E0990 HCPCS code: Wheelchair accessory, elevating leg rest, complete assembly, each
E0990 is the HCPCS Level II code for wheelchair accessory, elevating leg rest, complete assembly, each. The 2026 Medicare DMEPOS fee schedule pays $79.35 to $175.16 (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 3% from 2022 to 2024 (15,160 to 15,655 services). In 2024, 543 suppliers billed Medicare for E0990 (purchases), serving 7,301 beneficiaries; California, Texas, Arizona accounted for 51% of services. Its average fee ranks 24 of 30 E09 codes billed NU (family range $20.79–$817.33); rural fees run 3% 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 | 2004-01-01 |
2026 Medicare DMEPOS fee schedule for E0990
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $79.35 | $175.16 | — | — |
| NU | new equipment, purchased | $122.60 | $223.44 | $144.24 | $122.60 |
| RR | rental (monthly) | $7.94 | $20.70 | — | — |
| RR | rental (monthly) | $13.81 | $27.91 | $16.25 | $13.81 |
| UE | used equipment, purchased | $59.52 | $131.34 | — | — |
| UE | used equipment, purchased | $95.80 | $167.54 | $112.71 | $95.80 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $207.64 | — |
| AL | NU | $144.24 | $129.80 |
| AR | NU | $122.60 | $117.42 |
| AZ | NU | $144.24 | $129.80 |
| CA | NU | $134.41 | $124.17 |
| CO | NU | $144.24 | $129.80 |
| CT | NU | $144.24 | $129.80 |
| DC | NU | $122.60 | $117.42 |
| DE | NU | $144.24 | $129.80 |
| FL | NU | $144.24 | $129.80 |
| GA | NU | $144.24 | $129.80 |
| HI | NU | $205.31 | — |
| IA | NU | $122.60 | $117.42 |
| ID | NU | $144.24 | $129.80 |
| IL | NU | $128.23 | $120.64 |
| IN | NU | $122.60 | $117.42 |
| KS | NU | $144.24 | $129.80 |
| KY | NU | $144.24 | $129.80 |
| LA | NU | $144.24 | $129.80 |
| MA | NU | $144.24 | $129.80 |
| MD | NU | $144.24 | $129.80 |
| ME | NU | $144.24 | $129.80 |
| MI | NU | $122.60 | $117.42 |
| MN | NU | $126.97 | $119.92 |
| MO | NU | $122.60 | $117.42 |
| MS | NU | $122.60 | $117.42 |
| MT | NU | $144.24 | $129.80 |
| NC | NU | $135.33 | $124.71 |
| ND | NU | $144.24 | $129.80 |
| NE | NU | $144.24 | $129.80 |
| NH | NU | $122.60 | $117.42 |
| NJ | NU | $122.60 | $117.42 |
| NM | NU | $143.04 | $129.12 |
| NV | NU | $144.24 | $129.80 |
| NY | NU | $144.24 | $129.80 |
| OH | NU | $122.60 | $117.42 |
| OK | NU | $144.24 | $129.80 |
| OR | NU | $123.23 | $117.77 |
| PA | NU | $144.24 | $129.80 |
| PR | NU | $223.44 | — |
| RI | NU | $144.24 | $129.80 |
| SC | NU | $139.22 | $126.91 |
| SD | NU | $144.24 | $129.80 |
| TN | NU | $135.33 | $124.71 |
| TX | NU | $137.88 | $126.17 |
| UT | NU | $122.60 | $117.42 |
| VA | NU | $136.01 | $125.08 |
| VI | NU | $144.24 | — |
| VT | NU | $122.60 | $117.42 |
| WA | NU | $122.60 | $117.42 |
| WI | NU | $144.24 | $129.80 |
| WV | NU | $122.60 | $117.42 |
| WY | NU | $144.24 | $129.80 |
| AK | RR | $20.76 | — |
| AL | RR | $16.25 | $14.02 |
| AR | RR | $13.81 | $12.63 |
| AZ | RR | $16.25 | $14.02 |
| CA | RR | $16.25 | $14.02 |
| CO | RR | $16.25 | $14.02 |
| CT | RR | $16.25 | $14.02 |
| DC | RR | $16.25 | $14.02 |
| DE | RR | $16.25 | $14.02 |
| FL | RR | $15.98 | $13.86 |
| GA | RR | $14.42 | $12.99 |
| HI | RR | $20.51 | — |
| IA | RR | $13.81 | $12.63 |
| ID | RR | $16.25 | $14.02 |
| IL | RR | $16.25 | $14.02 |
| IN | RR | $13.81 | $12.63 |
| KS | RR | $16.25 | $14.02 |
| KY | RR | $16.25 | $14.02 |
| LA | RR | $16.11 | $13.94 |
| MA | RR | $16.25 | $14.02 |
| MD | RR | $16.25 | $14.02 |
| ME | RR | $16.25 | $14.02 |
| MI | RR | $13.81 | $12.63 |
| MN | RR | $16.10 | $13.93 |
| MO | RR | $16.25 | $14.02 |
| MS | RR | $13.81 | $12.63 |
| MT | RR | $16.25 | $14.02 |
| NC | RR | $13.81 | $12.63 |
| ND | RR | $16.25 | $14.02 |
| NE | RR | $16.25 | $14.02 |
| NH | RR | $16.25 | $14.02 |
| NJ | RR | $16.25 | $14.02 |
| NM | RR | $14.30 | $12.90 |
| NV | RR | $16.25 | $14.02 |
| NY | RR | $14.98 | $13.32 |
| OH | RR | $13.81 | $12.63 |
| OK | RR | $16.25 | $14.02 |
| OR | RR | $13.81 | $12.63 |
| PA | RR | $16.25 | $14.02 |
| PR | RR | $27.91 | — |
| RI | RR | $15.98 | $13.86 |
| SC | RR | $13.91 | $12.68 |
| SD | RR | $16.25 | $14.02 |
| TN | RR | $13.81 | $12.63 |
| TX | RR | $13.81 | $12.63 |
| UT | RR | $13.81 | $12.63 |
| VA | RR | $15.35 | $13.51 |
| VI | RR | $14.98 | — |
| VT | RR | $13.81 | $12.63 |
| WA | RR | $16.25 | $14.02 |
| WI | RR | $16.25 | $14.02 |
| WV | RR | $13.81 | $12.63 |
| WY | RR | $16.25 | $14.02 |
| AK | UE | $155.73 | — |
| AL | UE | $112.71 | $99.94 |
| AR | UE | $95.80 | $90.26 |
| AZ | UE | $112.71 | $99.94 |
| CA | UE | $97.37 | $91.15 |
| CO | UE | $112.71 | $99.94 |
| CT | UE | $112.71 | $99.94 |
| DC | UE | $95.80 | $90.26 |
| DE | UE | $112.71 | $99.94 |
| FL | UE | $112.71 | $99.94 |
| GA | UE | $112.71 | $99.94 |
| HI | UE | $153.99 | — |
| IA | UE | $95.80 | $90.26 |
| ID | UE | $112.71 | $99.94 |
| IL | UE | $95.80 | $90.26 |
| IN | UE | $95.80 | $90.26 |
| KS | UE | $112.71 | $99.94 |
| KY | UE | $112.71 | $99.94 |
| LA | UE | $112.71 | $99.94 |
| MA | UE | $112.71 | $99.94 |
| MD | UE | $112.71 | $99.94 |
| ME | UE | $112.71 | $99.94 |
| MI | UE | $95.80 | $90.26 |
| MN | UE | $95.80 | $90.26 |
| MO | UE | $95.80 | $90.26 |
| MS | UE | $95.80 | $90.26 |
| MT | UE | $112.71 | $99.94 |
| NC | UE | $101.50 | $93.53 |
| ND | UE | $112.71 | $99.94 |
| NE | UE | $112.71 | $99.94 |
| NH | UE | $95.80 | $90.26 |
| NJ | UE | $95.80 | $90.26 |
| NM | UE | $107.24 | $96.82 |
| NV | UE | $112.71 | $99.94 |
| NY | UE | $112.71 | $99.94 |
| OH | UE | $95.80 | $90.26 |
| OK | UE | $112.71 | $99.94 |
| OR | UE | $95.80 | $90.26 |
| PA | UE | $112.71 | $99.94 |
| PR | UE | $167.54 | — |
| RI | UE | $112.71 | $99.94 |
| SC | UE | $104.41 | $95.19 |
| SD | UE | $112.71 | $99.94 |
| TN | UE | $101.50 | $93.53 |
| TX | UE | $103.45 | $94.64 |
| UT | UE | $95.80 | $90.26 |
| VA | UE | $101.96 | $93.79 |
| VI | UE | $112.71 | — |
| VT | UE | $95.80 | $90.26 |
| WA | UE | $95.80 | $90.26 |
| WI | UE | $112.71 | $99.94 |
| WV | UE | $95.80 | $90.26 |
| WY | UE | $112.71 | $99.94 |
How the E0990 fee compares
| Measure | Value |
|---|---|
| Rank among 30 E09 codes billed NU (lowest = 1) | 24 |
| Family fee range (average of state fees) | $20.79–$817.33 |
| Rural fee uplift | 2.7% |
Who bills E0990 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 217 |
| Suppliers billing purchases | 543 |
| Referring clinicians | 2,640 |
| Medicare beneficiaries | 7,301 |
| States with claims | 36 |
| Share of services in top 3 states (California, Texas, Arizona) | 51% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 608 | 6,385 |
| 2023 | 591 | 6,387 |
| 2024 | 543 | 7,301 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0990, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 15,160 | 6,385 | $60.81 | $47.58 |
| 2023 | 14,520 | 6,387 | $73.70 | $57.39 |
| 2024 | 15,655 | 7,301 | $88.56 | $69.12 |
States with the most E0990 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 3,273 | $91.00 |
| Texas | 3,069 | $59.10 |
| Arizona | 1,491 | $104.53 |
| Ohio | 858 | $48.93 |
| Utah | 771 | $48.14 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Anatomic Consideration |
| outpatient hospital claims | 2 | Anatomic Consideration |
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 E0990
- 2026-01-01: Average state fee (NU) rose 2.2%: $114.39 to $116.96
- 2026-01-01: Average state fee (RR) rose 2.2%: $12.35 to $12.62
- 2026-01-01: Average state fee (UE) rose 2.2%: $87.36 to $89.32
- 1986-01-01: E0990 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 E0990?
E0990 is the HCPCS Level II code for wheelchair accessory, elevating leg rest, complete assembly, each. Short descriptor: "Wheelchair elevating leg res".
How much does Medicare pay for E0990?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $79.35–$175.16; NU (new equipment, purchased): $122.60–$223.44; RR (rental (monthly)): $7.94–$20.70; RR (rental (monthly)): $13.81–$27.91; UE (used equipment, purchased): $59.52–$131.34; UE (used equipment, purchased): $95.80–$167.54. Rural fees can be higher.
Does Medicare cover E0990?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E0990 change in 2026?
The average non-rural state fee for NU moved from $114.39 in 2025 to $116.96 in 2026 (+2.2%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0990 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 E0990
- Watch E0990 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0990
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.