E0992 HCPCS code: Manual wheelchair accessory, solid seat insert

E0992 is the HCPCS Level II code for manual wheelchair accessory, solid seat insert. The 2026 Medicare DMEPOS fee schedule pays $115.29 to $349.39 (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 1 per day on DME suppliers. Medicare volume rose 119% from 2022 to 2024 (83 to 182 services). In 2024, 76 suppliers billed Medicare for E0992 (purchases), serving 142 beneficiaries. Its average fee ranks 25 of 30 E09 codes billed NU (family range $20.79–$817.33).

Code details

2026 Medicare DMEPOS fee schedule for E0992

How the E0992 fee compares

Who bills E0992 (2024)

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

Medicare utilization for E0992, 2022–2024

States with the most E0992 services (2024)

NCCI unit limits (MUE)

Medicare policy articles for this code

• A52505: Wheelchair Seating - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance

What changed for E0992

• 2026-01-01: Average state fee (NU) rose 2.3%: $118.65 to $121.35
• 2026-01-01: Average state fee (RR) rose 2.3%: $11.77 to $12.04
• 2026-01-01: Average state fee (UE) rose 2.3%: $88.99 to $91.01
• 1986-01-01: E0992 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 E0992?

E0992 is the HCPCS Level II code for manual wheelchair accessory, solid seat insert. Short descriptor: "Wheelchair solid seat insert".

How much does Medicare pay for E0992?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $115.29–$349.39; NU (new equipment, purchased): $85.29–$231.68; RR (rental (monthly)): $8.53–$27.52; RR (rental (monthly)): $11.19–$43.64; UE (used equipment, purchased): $63.97–$173.77; UE (used equipment, purchased): $86.46–$262.06. Rural fees can be higher.

Does Medicare cover E0992?

Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.

Did the Medicare fee for E0992 change in 2026?

The average non-rural state fee for NU moved from $118.65 in 2025 to $121.35 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of E0992 can be billed per day?

1 on DME suppliers; 1 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)

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Next steps

• Run a reimbursement report for a device billed under E0992
• Watch E0992 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for E0992

Sources: CMS HCPCS Level II release October 2026; 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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