E1012 HCPCS code: Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each
E1012 is the HCPCS Level II code for wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each. The 2026 Medicare DMEPOS fee schedule pays $139.14 to $153.87 (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 10% from 2022 to 2024 (19,639 to 21,538 services). In 2024, 796 suppliers billed Medicare for E1012 (purchases), serving 20,293 beneficiaries; California, Nevada, Texas accounted for 23% of services. Its average fee ranks 16 of 34 E10 codes billed RR (family range $15.15–$1,062.94).
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 | 2016-01-01 |
| Last action effective | 2016-01-01 |
2026 Medicare DMEPOS fee schedule for E1012
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $139.14 | $153.87 | — | — |
| RR | rental (monthly) | $140.49 | $168.59 | $140.49 | $119.42 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $140.49 | — |
| AL | RR | $140.49 | $139.82 |
| AR | RR | $140.49 | $139.82 |
| AZ | RR | $140.49 | $139.82 |
| CA | RR | $140.49 | $139.82 |
| CO | RR | $140.49 | $139.82 |
| CT | RR | $140.49 | $139.82 |
| DC | RR | $140.49 | $139.82 |
| DE | RR | $140.49 | $139.82 |
| FL | RR | $140.49 | $139.82 |
| GA | RR | $140.49 | $139.82 |
| HI | RR | $140.49 | — |
| IA | RR | $140.49 | $139.82 |
| ID | RR | $140.49 | $139.82 |
| IL | RR | $140.49 | $139.82 |
| IN | RR | $140.49 | $139.82 |
| KS | RR | $140.49 | $139.82 |
| KY | RR | $140.49 | $139.82 |
| LA | RR | $140.49 | $139.82 |
| MA | RR | $140.49 | $139.82 |
| MD | RR | $140.49 | $139.82 |
| ME | RR | $140.49 | $139.82 |
| MI | RR | $140.49 | $139.82 |
| MN | RR | $140.49 | $139.82 |
| MO | RR | $140.49 | $139.82 |
| MS | RR | $140.49 | $139.82 |
| MT | RR | $140.49 | $139.82 |
| NC | RR | $140.49 | $139.82 |
| ND | RR | $140.49 | $139.82 |
| NE | RR | $140.49 | $139.82 |
| NH | RR | $140.49 | $139.82 |
| NJ | RR | $140.49 | $139.82 |
| NM | RR | $140.49 | $139.82 |
| NV | RR | $140.49 | $139.82 |
| NY | RR | $140.49 | $139.82 |
| OH | RR | $140.49 | $139.82 |
| OK | RR | $140.49 | $139.82 |
| OR | RR | $140.49 | $139.82 |
| PA | RR | $140.49 | $139.82 |
| PR | RR | $168.59 | — |
| RI | RR | $140.49 | $139.82 |
| SC | RR | $140.49 | $139.82 |
| SD | RR | $140.49 | $139.82 |
| TN | RR | $140.49 | $139.82 |
| TX | RR | $140.49 | $139.82 |
| UT | RR | $140.49 | $139.82 |
| VA | RR | $140.49 | $139.82 |
| VI | RR | $140.49 | — |
| VT | RR | $140.49 | $139.82 |
| WA | RR | $140.49 | $139.82 |
| WI | RR | $140.49 | $139.82 |
| WV | RR | $140.49 | $139.82 |
| WY | RR | $140.49 | $139.82 |
How the E1012 fee compares
| Measure | Value |
|---|---|
| Rank among 34 E10 codes billed RR (lowest = 1) | 16 |
| Family fee range (average of state fees) | $15.15–$1,062.94 |
| Rural fee uplift | -0.3% |
Who bills E1012 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 117 |
| Suppliers billing purchases | 796 |
| Referring clinicians | 13,425 |
| Medicare beneficiaries | 20,293 |
| States with claims | 51 |
| Share of services in top 3 states (California, Nevada, Texas) | 23% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 774 | 17,837 |
| 2023 | 785 | 19,143 |
| 2024 | 796 | 20,293 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E1012, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 19,639 | 17,837 | $1,076.16 | $844.43 |
| 2023 | 20,302 | 19,143 | $1,216.37 | $948.42 |
| 2024 | 21,538 | 20,293 | $1,249.83 | $975.60 |
States with the most E1012 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 1,960 | $1,009.13 |
| Nevada | 1,501 | $1,007.06 |
| Texas | 1,455 | $975.13 |
| Florida | 1,333 | $986.32 |
| Illinois | 1,010 | $976.20 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Nature of Equipment |
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 E1012
- 2026-01-01: Average state fee (RR) rose 2.3%: $137.06 to $140.24
- 2016-01-01: E1012 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 E1012?
E1012 is the HCPCS Level II code for wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each. Short descriptor: "Ctr mount pwr elev leg rest".
How much does Medicare pay for E1012?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $139.14–$153.87; RR (rental (monthly)): $140.49–$168.59. Rural fees can be higher.
Does Medicare cover E1012?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E1012 change in 2026?
The average non-rural state fee for RR moved from $137.06 in 2025 to $140.24 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E1012 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)
- 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)
- 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 E1012
- Watch E1012 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E1012
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.