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

FieldValue
SectionE codes — Durable medical equipment
Coverage codeC — Carrier judgment
Pricing indicator00 — Not separately priced by Medicare
BETOS categoryD1D — Wheelchairs
Added1986-01-01
Last action effective2004-01-01

2026 Medicare DMEPOS fee schedule for E0990

ModifierMeaningLowest state feeHighest state feeCeilingFloor
NUnew equipment, purchased$79.35$175.16——
NUnew equipment, purchased$122.60$223.44$144.24$122.60
RRrental (monthly)$7.94$20.70——
RRrental (monthly)$13.81$27.91$16.25$13.81
UEused equipment, purchased$59.52$131.34——
UEused equipment, purchased$95.80$167.54$112.71$95.80
StateModifierFeeRural fee
AKNU$207.64—
ALNU$144.24$129.80
ARNU$122.60$117.42
AZNU$144.24$129.80
CANU$134.41$124.17
CONU$144.24$129.80
CTNU$144.24$129.80
DCNU$122.60$117.42
DENU$144.24$129.80
FLNU$144.24$129.80
GANU$144.24$129.80
HINU$205.31—
IANU$122.60$117.42
IDNU$144.24$129.80
ILNU$128.23$120.64
INNU$122.60$117.42
KSNU$144.24$129.80
KYNU$144.24$129.80
LANU$144.24$129.80
MANU$144.24$129.80
MDNU$144.24$129.80
MENU$144.24$129.80
MINU$122.60$117.42
MNNU$126.97$119.92
MONU$122.60$117.42
MSNU$122.60$117.42
MTNU$144.24$129.80
NCNU$135.33$124.71
NDNU$144.24$129.80
NENU$144.24$129.80
NHNU$122.60$117.42
NJNU$122.60$117.42
NMNU$143.04$129.12
NVNU$144.24$129.80
NYNU$144.24$129.80
OHNU$122.60$117.42
OKNU$144.24$129.80
ORNU$123.23$117.77
PANU$144.24$129.80
PRNU$223.44—
RINU$144.24$129.80
SCNU$139.22$126.91
SDNU$144.24$129.80
TNNU$135.33$124.71
TXNU$137.88$126.17
UTNU$122.60$117.42
VANU$136.01$125.08
VINU$144.24—
VTNU$122.60$117.42
WANU$122.60$117.42
WINU$144.24$129.80
WVNU$122.60$117.42
WYNU$144.24$129.80
AKRR$20.76—
ALRR$16.25$14.02
ARRR$13.81$12.63
AZRR$16.25$14.02
CARR$16.25$14.02
CORR$16.25$14.02
CTRR$16.25$14.02
DCRR$16.25$14.02
DERR$16.25$14.02
FLRR$15.98$13.86
GARR$14.42$12.99
HIRR$20.51—
IARR$13.81$12.63
IDRR$16.25$14.02
ILRR$16.25$14.02
INRR$13.81$12.63
KSRR$16.25$14.02
KYRR$16.25$14.02
LARR$16.11$13.94
MARR$16.25$14.02
MDRR$16.25$14.02
MERR$16.25$14.02
MIRR$13.81$12.63
MNRR$16.10$13.93
MORR$16.25$14.02
MSRR$13.81$12.63
MTRR$16.25$14.02
NCRR$13.81$12.63
NDRR$16.25$14.02
NERR$16.25$14.02
NHRR$16.25$14.02
NJRR$16.25$14.02
NMRR$14.30$12.90
NVRR$16.25$14.02
NYRR$14.98$13.32
OHRR$13.81$12.63
OKRR$16.25$14.02
ORRR$13.81$12.63
PARR$16.25$14.02
PRRR$27.91—
RIRR$15.98$13.86
SCRR$13.91$12.68
SDRR$16.25$14.02
TNRR$13.81$12.63
TXRR$13.81$12.63
UTRR$13.81$12.63
VARR$15.35$13.51
VIRR$14.98—
VTRR$13.81$12.63
WARR$16.25$14.02
WIRR$16.25$14.02
WVRR$13.81$12.63
WYRR$16.25$14.02
AKUE$155.73—
ALUE$112.71$99.94
ARUE$95.80$90.26
AZUE$112.71$99.94
CAUE$97.37$91.15
COUE$112.71$99.94
CTUE$112.71$99.94
DCUE$95.80$90.26
DEUE$112.71$99.94
FLUE$112.71$99.94
GAUE$112.71$99.94
HIUE$153.99—
IAUE$95.80$90.26
IDUE$112.71$99.94
ILUE$95.80$90.26
INUE$95.80$90.26
KSUE$112.71$99.94
KYUE$112.71$99.94
LAUE$112.71$99.94
MAUE$112.71$99.94
MDUE$112.71$99.94
MEUE$112.71$99.94
MIUE$95.80$90.26
MNUE$95.80$90.26
MOUE$95.80$90.26
MSUE$95.80$90.26
MTUE$112.71$99.94
NCUE$101.50$93.53
NDUE$112.71$99.94
NEUE$112.71$99.94
NHUE$95.80$90.26
NJUE$95.80$90.26
NMUE$107.24$96.82
NVUE$112.71$99.94
NYUE$112.71$99.94
OHUE$95.80$90.26
OKUE$112.71$99.94
ORUE$95.80$90.26
PAUE$112.71$99.94
PRUE$167.54—
RIUE$112.71$99.94
SCUE$104.41$95.19
SDUE$112.71$99.94
TNUE$101.50$93.53
TXUE$103.45$94.64
UTUE$95.80$90.26
VAUE$101.96$93.79
VIUE$112.71—
VTUE$95.80$90.26
WAUE$95.80$90.26
WIUE$112.71$99.94
WVUE$95.80$90.26
WYUE$112.71$99.94

How the E0990 fee compares

MeasureValue
Rank among 30 E09 codes billed NU (lowest = 1)24
Family fee range (average of state fees)$20.79–$817.33
Rural fee uplift2.7%

Who bills E0990 (2024)

MeasureValue
Suppliers billing rentals217
Suppliers billing purchases543
Referring clinicians2,640
Medicare beneficiaries7,301
States with claims36
Share of services in top 3 states (California, Texas, Arizona)51%
YearSuppliersBeneficiaries
20226086,385
20235916,387
20245437,301

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

Medicare utilization for E0990, 2022–2024

YearServicesBeneficiariesAvg. allowedAvg. paid
202215,1606,385$60.81$47.58
202314,5206,387$73.70$57.39
202415,6557,301$88.56$69.12

States with the most E0990 services (2024)

StateServicesAvg. paid
California3,273$91.00
Texas3,069$59.10
Arizona1,491$104.53
Ohio858$48.93
Utah771$48.14

NCCI unit limits (MUE)

Claim typeMax units per dayRationale
DME suppliers2Anatomic Consideration
outpatient hospital claims2Anatomic Consideration

Medicare policy articles for this code

What changed for E0990

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

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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