E1008 HCPCS code: Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction
E1008 is the HCPCS Level II code for wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction. The 2026 Medicare DMEPOS fee schedule pays $1,023.89 to $1,249.63 (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. Medicare volume rose 35% from 2022 to 2024 (79 to 107 services). In 2024, 51 suppliers billed Medicare for E1008 (purchases), serving 107 beneficiaries. Its average fee ranks 33 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 E1008
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $1,023.89 | $1,249.63 | — | — |
| RR | rental (monthly) | $1,073.79 | $1,288.57 | $1,073.79 | $912.72 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $1,126.69 | — |
| AL | RR | $1,073.79 | $1,126.69 |
| AR | RR | $1,073.79 | $1,126.69 |
| AZ | RR | $1,073.79 | $1,126.69 |
| CA | RR | $1,073.79 | $1,126.69 |
| CO | RR | $1,073.79 | $1,126.69 |
| CT | RR | $1,073.79 | $1,126.69 |
| DC | RR | $1,073.79 | $1,126.69 |
| DE | RR | $1,073.79 | $1,126.69 |
| FL | RR | $1,073.79 | $1,126.69 |
| GA | RR | $1,073.79 | $1,126.69 |
| HI | RR | $1,126.69 | — |
| IA | RR | $1,073.79 | $1,126.69 |
| ID | RR | $1,073.79 | $1,126.69 |
| IL | RR | $1,073.79 | $1,126.69 |
| IN | RR | $1,073.79 | $1,126.69 |
| KS | RR | $1,073.79 | $1,126.69 |
| KY | RR | $1,073.79 | $1,126.69 |
| LA | RR | $1,073.79 | $1,126.69 |
| MA | RR | $1,073.79 | $1,126.69 |
| MD | RR | $1,073.79 | $1,126.69 |
| ME | RR | $1,073.79 | $1,126.69 |
| MI | RR | $1,073.79 | $1,126.69 |
| MN | RR | $1,073.79 | $1,126.69 |
| MO | RR | $1,073.79 | $1,126.69 |
| MS | RR | $1,073.79 | $1,126.69 |
| MT | RR | $1,073.79 | $1,126.69 |
| NC | RR | $1,073.79 | $1,126.69 |
| ND | RR | $1,073.79 | $1,126.69 |
| NE | RR | $1,073.79 | $1,126.69 |
| NH | RR | $1,073.79 | $1,126.69 |
| NJ | RR | $1,073.79 | $1,126.69 |
| NM | RR | $1,073.79 | $1,126.69 |
| NV | RR | $1,073.79 | $1,126.69 |
| NY | RR | $1,073.79 | $1,126.69 |
| OH | RR | $1,073.79 | $1,126.69 |
| OK | RR | $1,073.79 | $1,126.69 |
| OR | RR | $1,073.79 | $1,126.69 |
| PA | RR | $1,073.79 | $1,126.69 |
| PR | RR | $1,288.57 | — |
| RI | RR | $1,073.79 | $1,126.69 |
| SC | RR | $1,073.79 | $1,126.69 |
| SD | RR | $1,073.79 | $1,126.69 |
| TN | RR | $1,073.79 | $1,126.69 |
| TX | RR | $1,073.79 | $1,126.69 |
| UT | RR | $1,073.79 | $1,126.69 |
| VA | RR | $1,073.79 | $1,126.69 |
| VI | RR | $1,126.69 | — |
| VT | RR | $1,073.79 | $1,126.69 |
| WA | RR | $1,073.79 | $1,126.69 |
| WI | RR | $1,073.79 | $1,126.69 |
| WV | RR | $1,073.79 | $1,126.69 |
| WY | RR | $1,073.79 | $1,126.69 |
How the E1008 fee compares
| Measure | Value |
|---|---|
| Rank among 34 E10 codes billed RR (lowest = 1) | 33 |
| Family fee range (average of state fees) | $15.15–$1,062.94 |
| Rural fee uplift | 2.9% |
Who bills E1008 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 51 |
| Referring clinicians | 102 |
| Medicare beneficiaries | 107 |
| States with claims | 3 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 53 | 79 |
| 2023 | 49 | 89 |
| 2024 | 51 | 107 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E1008, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 79 | 79 | $9,127.10 | $7,202.55 |
| 2023 | 89 | 89 | $9,833.19 | $7,709.23 |
| 2024 | 107 | 107 | $9,609.49 | $7,533.84 |
States with the most E1008 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 25 | $7,009.62 |
| Georgia | 12 | $8,060.07 |
| North Carolina | 11 | $7,606.17 |
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 E1008
- 2026-01-01: Average state fee (RR) rose 2.3%: $1,032.86 to $1,056.62
- 2004-01-01: E1008 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 E1008?
E1008 is the HCPCS Level II code for wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction. Short descriptor: "Pwr seat combo pwr shear".
How much does Medicare pay for E1008?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $1,023.89–$1,249.63; RR (rental (monthly)): $1,073.79–$1,288.57. Rural fees can be higher.
Does Medicare cover E1008?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E1008 change in 2026?
The average non-rural state fee for RR moved from $1,032.86 in 2025 to $1,056.62 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E1008 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)
- E1003 — Wheelchair accessory, power seating system, recline only, without shear reduction ($539.40–$647.25)
- 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)
- 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)
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 E1008
- Watch E1008 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E1008
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.