E1003 HCPCS code: Wheelchair accessory, power seating system, recline only, without shear reduction
E1003 is the HCPCS Level II code for wheelchair accessory, power seating system, recline only, without shear reduction. The 2026 Medicare DMEPOS fee schedule pays $539.41 to $647.25 (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. In 2022, 11 suppliers billed Medicare for E1003 (purchases), serving 14 beneficiaries. Its average fee ranks 27 of 34 E10 codes billed RR (family range $15.15–$1,062.94); rural fees run 3% higher.
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 | 2014-04-01 |
2026 Medicare DMEPOS fee schedule for E1003
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $539.41 | $647.25 | $539.41 | $458.50 |
| RR | rental (monthly) | $539.40 | $641.78 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $580.03 | — |
| AL | RR | $539.41 | $580.03 |
| AR | RR | $539.41 | $580.03 |
| AZ | RR | $539.41 | $580.03 |
| CA | RR | $539.41 | $580.03 |
| CO | RR | $539.41 | $580.03 |
| CT | RR | $539.41 | $580.03 |
| DC | RR | $539.41 | $580.03 |
| DE | RR | $539.41 | $580.03 |
| FL | RR | $539.41 | $580.03 |
| GA | RR | $539.41 | $580.03 |
| HI | RR | $580.03 | — |
| IA | RR | $539.41 | $580.03 |
| ID | RR | $539.41 | $580.03 |
| IL | RR | $539.41 | $580.03 |
| IN | RR | $539.41 | $580.03 |
| KS | RR | $539.41 | $580.03 |
| KY | RR | $539.41 | $580.03 |
| LA | RR | $539.41 | $580.03 |
| MA | RR | $539.41 | $580.03 |
| MD | RR | $539.41 | $580.03 |
| ME | RR | $539.41 | $580.03 |
| MI | RR | $539.41 | $580.03 |
| MN | RR | $539.41 | $580.03 |
| MO | RR | $539.41 | $580.03 |
| MS | RR | $539.41 | $580.03 |
| MT | RR | $539.41 | $580.03 |
| NC | RR | $539.41 | $580.03 |
| ND | RR | $539.41 | $580.03 |
| NE | RR | $539.41 | $580.03 |
| NH | RR | $539.41 | $580.03 |
| NJ | RR | $539.41 | $580.03 |
| NM | RR | $539.41 | $580.03 |
| NV | RR | $539.41 | $580.03 |
| NY | RR | $539.41 | $580.03 |
| OH | RR | $539.41 | $580.03 |
| OK | RR | $539.41 | $580.03 |
| OR | RR | $539.41 | $580.03 |
| PA | RR | $539.41 | $580.03 |
| PR | RR | $647.25 | — |
| RI | RR | $539.41 | $580.03 |
| SC | RR | $539.41 | $580.03 |
| SD | RR | $539.41 | $580.03 |
| TN | RR | $539.41 | $580.03 |
| TX | RR | $539.41 | $580.03 |
| UT | RR | $539.41 | $580.03 |
| VA | RR | $539.41 | $580.03 |
| VI | RR | $580.03 | — |
| VT | RR | $539.41 | $580.03 |
| WA | RR | $539.41 | $580.03 |
| WI | RR | $539.41 | $580.03 |
| WV | RR | $539.41 | $580.03 |
| WY | RR | $539.41 | $580.03 |
How the E1003 fee compares
| Measure | Value |
|---|---|
| Rank among 34 E10 codes billed RR (lowest = 1) | 27 |
| Family fee range (average of state fees) | $15.15–$1,062.94 |
| Rural fee uplift | 3.1% |
Who bills E1003 (2022)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 11 |
| Referring clinicians | 14 |
| Medicare beneficiaries | 14 |
| States with claims | 0 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E1003, 2022–2022
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 14 | 14 | $2,976.63 | $2,356.80 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
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 E1003
- 2026-01-01: Average state fee (RR) rose 2.1%: $532.00 to $542.93
- 2004-01-01: E1003 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 E1003?
E1003 is the HCPCS Level II code for wheelchair accessory, power seating system, recline only, without shear reduction. Short descriptor: "Pwr seat recline".
How much does Medicare pay for E1003?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $539.41–$647.25; RR (rental (monthly)): $539.40–$641.78. Rural fees can be higher.
Does Medicare cover E1003?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E1003 change in 2026?
The average non-rural state fee for RR moved from $532.00 in 2025 to $542.93 in 2026 (+2.1%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E1003 can be billed per day?
1 on DME suppliers (NCCI medically unlikely edits).
Related E10 codes
- E1002 — Wheelchair accessory, power seating system, tilt only ($463.44–$597.42)
- E1004 — Wheelchair accessory, power seating system, recline only, with mechanical shear reduction ($596.22–$717.70)
- E1005 — Wheelchair accessory, power seating system, recline only, with power shear reduction ($647.36–$776.87)
- E1006 — Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction ($792.95–$951.60)
- E1007 — Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction ($998.21–$1,288.46)
- E1008 — Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction ($1,023.89–$1,288.57)
- E1009 — Wheelchair accessory, addition to power seating system, mechanically linked leg elevation system, including pushrod and leg rest, each
- E1010 — Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair ($139.14–$168.59)
- E1011 — Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair)
- E1012 — Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each ($139.14–$168.59)
- E1014 — Reclining back, addition to pediatric size wheelchair ($52.06–$62.41)
- E1015 — Shock absorber for manual wheelchair, each ($13.63–$196.14)
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Next steps
- Run a reimbursement report for a device billed under E1003
- Watch E1003 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E1003
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.