E1016 HCPCS code: Shock absorber for power wheelchair, each
E1016 is the HCPCS Level II code for shock absorber for power wheelchair, each. The 2026 Medicare DMEPOS fee schedule pays $161.31 to $193.56 (NU, new equipment, purchased) depending on the state. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 2 per day on DME suppliers. Medicare volume fell 4% from 2022 to 2024 (1,386 to 1,332 services). In 2024, 219 suppliers billed Medicare for E1016 (purchases), serving 679 beneficiaries; California, Texas, Colorado accounted for 55% of services.
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 32 — DMEPOS: inexpensive or routinely purchased item |
| BETOS category | D1D — Wheelchairs |
| Added | 2003-01-01 |
| Last action effective | 2003-01-01 |
2026 Medicare DMEPOS fee schedule for E1016
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $161.31 | $193.56 | $161.31 | $137.11 |
| NU | new equipment, purchased | $129.22 | $190.83 | — | — |
| RR | rental (monthly) | $16.16 | $19.39 | $16.16 | $13.74 |
| RR | rental (monthly) | $12.92 | $19.10 | — | — |
| UE | used equipment, purchased | $96.91 | $143.13 | — | — |
| UE | used equipment, purchased | $120.96 | $145.19 | $120.96 | $102.82 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $172.38 | — |
| AL | NU | $161.31 | $167.53 |
| AR | NU | $161.31 | $167.53 |
| AZ | NU | $161.31 | $167.53 |
| CA | NU | $161.31 | $167.53 |
| CO | NU | $161.31 | $167.53 |
| CT | NU | $161.31 | $167.53 |
| DC | NU | $161.31 | $167.53 |
| DE | NU | $161.31 | $167.53 |
| FL | NU | $161.31 | $167.53 |
| GA | NU | $161.31 | $167.53 |
| HI | NU | $172.38 | — |
| IA | NU | $161.31 | $167.53 |
| ID | NU | $161.31 | $167.53 |
| IL | NU | $161.31 | $167.53 |
| IN | NU | $161.31 | $167.53 |
| KS | NU | $161.31 | $167.53 |
| KY | NU | $161.31 | $167.53 |
| LA | NU | $161.31 | $167.53 |
| MA | NU | $161.31 | $167.53 |
| MD | NU | $161.31 | $167.53 |
| ME | NU | $161.31 | $167.53 |
| MI | NU | $161.31 | $167.53 |
| MN | NU | $161.31 | $167.53 |
| MO | NU | $161.31 | $167.53 |
| MS | NU | $161.31 | $167.53 |
| MT | NU | $161.31 | $167.53 |
| NC | NU | $161.31 | $167.53 |
| ND | NU | $161.31 | $167.53 |
| NE | NU | $161.31 | $167.53 |
| NH | NU | $161.31 | $167.53 |
| NJ | NU | $161.31 | $167.53 |
| NM | NU | $161.31 | $167.53 |
| NV | NU | $161.31 | $167.53 |
| NY | NU | $161.31 | $167.53 |
| OH | NU | $161.31 | $167.53 |
| OK | NU | $161.31 | $167.53 |
| OR | NU | $161.31 | $167.53 |
| PA | NU | $161.31 | $167.53 |
| PR | NU | $193.56 | — |
| RI | NU | $161.31 | $167.53 |
| SC | NU | $161.31 | $167.53 |
| SD | NU | $161.31 | $167.53 |
| TN | NU | $161.31 | $167.53 |
| TX | NU | $161.31 | $167.53 |
| UT | NU | $161.31 | $167.53 |
| VA | NU | $161.31 | $167.53 |
| VI | NU | $172.38 | — |
| VT | NU | $161.31 | $167.53 |
| WA | NU | $161.31 | $167.53 |
| WI | NU | $161.31 | $167.53 |
| WV | NU | $161.31 | $167.53 |
| WY | NU | $161.31 | $167.53 |
| AK | RR | $17.25 | — |
| AL | RR | $16.16 | $16.77 |
| AR | RR | $16.16 | $16.77 |
| AZ | RR | $16.16 | $16.77 |
| CA | RR | $16.16 | $16.77 |
| CO | RR | $16.16 | $16.77 |
| CT | RR | $16.16 | $16.77 |
| DC | RR | $16.16 | $16.77 |
| DE | RR | $16.16 | $16.77 |
| FL | RR | $16.16 | $16.77 |
| GA | RR | $16.16 | $16.77 |
| HI | RR | $17.25 | — |
| IA | RR | $16.16 | $16.77 |
| ID | RR | $16.16 | $16.77 |
| IL | RR | $16.16 | $16.77 |
| IN | RR | $16.16 | $16.77 |
| KS | RR | $16.16 | $16.77 |
| KY | RR | $16.16 | $16.77 |
| LA | RR | $16.16 | $16.77 |
| MA | RR | $16.16 | $16.77 |
| MD | RR | $16.16 | $16.77 |
| ME | RR | $16.16 | $16.77 |
| MI | RR | $16.16 | $16.77 |
| MN | RR | $16.16 | $16.77 |
| MO | RR | $16.16 | $16.77 |
| MS | RR | $16.16 | $16.77 |
| MT | RR | $16.16 | $16.77 |
| NC | RR | $16.16 | $16.77 |
| ND | RR | $16.16 | $16.77 |
| NE | RR | $16.16 | $16.77 |
| NH | RR | $16.16 | $16.77 |
| NJ | RR | $16.16 | $16.77 |
| NM | RR | $16.16 | $16.77 |
| NV | RR | $16.16 | $16.77 |
| NY | RR | $16.16 | $16.77 |
| OH | RR | $16.16 | $16.77 |
| OK | RR | $16.16 | $16.77 |
| OR | RR | $16.16 | $16.77 |
| PA | RR | $16.16 | $16.77 |
| PR | RR | $19.39 | — |
| RI | RR | $16.16 | $16.77 |
| SC | RR | $16.16 | $16.77 |
| SD | RR | $16.16 | $16.77 |
| TN | RR | $16.16 | $16.77 |
| TX | RR | $16.16 | $16.77 |
| UT | RR | $16.16 | $16.77 |
| VA | RR | $16.16 | $16.77 |
| VI | RR | $17.25 | — |
| VT | RR | $16.16 | $16.77 |
| WA | RR | $16.16 | $16.77 |
| WI | RR | $16.16 | $16.77 |
| WV | RR | $16.16 | $16.77 |
| WY | RR | $16.16 | $16.77 |
| AK | UE | $129.28 | — |
| AL | UE | $120.96 | $125.64 |
| AR | UE | $120.96 | $125.64 |
| AZ | UE | $120.96 | $125.64 |
| CA | UE | $120.96 | $125.64 |
| CO | UE | $120.96 | $125.64 |
| CT | UE | $120.96 | $125.64 |
| DC | UE | $120.96 | $125.64 |
| DE | UE | $120.96 | $125.64 |
| FL | UE | $120.96 | $125.64 |
| GA | UE | $120.96 | $125.64 |
| HI | UE | $129.28 | — |
| IA | UE | $120.96 | $125.64 |
| ID | UE | $120.96 | $125.64 |
| IL | UE | $120.96 | $125.64 |
| IN | UE | $120.96 | $125.64 |
| KS | UE | $120.96 | $125.64 |
| KY | UE | $120.96 | $125.64 |
| LA | UE | $120.96 | $125.64 |
| MA | UE | $120.96 | $125.64 |
| MD | UE | $120.96 | $125.64 |
| ME | UE | $120.96 | $125.64 |
| MI | UE | $120.96 | $125.64 |
| MN | UE | $120.96 | $125.64 |
| MO | UE | $120.96 | $125.64 |
| MS | UE | $120.96 | $125.64 |
| MT | UE | $120.96 | $125.64 |
| NC | UE | $120.96 | $125.64 |
| ND | UE | $120.96 | $125.64 |
| NE | UE | $120.96 | $125.64 |
| NH | UE | $120.96 | $125.64 |
| NJ | UE | $120.96 | $125.64 |
| NM | UE | $120.96 | $125.64 |
| NV | UE | $120.96 | $125.64 |
| NY | UE | $120.96 | $125.64 |
| OH | UE | $120.96 | $125.64 |
| OK | UE | $120.96 | $125.64 |
| OR | UE | $120.96 | $125.64 |
| PA | UE | $120.96 | $125.64 |
| PR | UE | $145.19 | — |
| RI | UE | $120.96 | $125.64 |
| SC | UE | $120.96 | $125.64 |
| SD | UE | $120.96 | $125.64 |
| TN | UE | $120.96 | $125.64 |
| TX | UE | $120.96 | $125.64 |
| UT | UE | $120.96 | $125.64 |
| VA | UE | $120.96 | $125.64 |
| VI | UE | $129.28 | — |
| VT | UE | $120.96 | $125.64 |
| WA | UE | $120.96 | $125.64 |
| WI | UE | $120.96 | $125.64 |
| WV | UE | $120.96 | $125.64 |
| WY | UE | $120.96 | $125.64 |
How the E1016 fee compares
| Measure | Value |
|---|---|
| Rank among 2 E10 codes billed NU (lowest = 1) | 1 |
| Family fee range (average of state fees) | $151.33–$155.68 |
| Rural fee uplift | 6.8% |
Who bills E1016 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 219 |
| Referring clinicians | 637 |
| Medicare beneficiaries | 679 |
| States with claims | 17 |
| Share of services in top 3 states (California, Texas, Colorado) | 55% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 186 | 494 |
| 2023 | 212 | 648 |
| 2024 | 219 | 679 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E1016, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 1,386 | 494 | $124.86 | $97.92 |
| 2023 | 1,254 | 648 | $136.86 | $106.31 |
| 2024 | 1,332 | 679 | $140.42 | $108.45 |
States with the most E1016 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 448 | $107.94 |
| Texas | 91 | $109.31 |
| Colorado | 60 | $118.49 |
| Oklahoma | 54 | $96.28 |
| Washington | 48 | $99.34 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Nature of Equipment |
What changed for E1016
- 2026-01-01: Average state fee (NU) rose 2.3%: $147.92 to $151.33
- 2026-01-01: Average state fee (RR) rose 2.3%: $14.80 to $15.15
- 2026-01-01: Average state fee (UE) rose 2.3%: $110.93 to $113.49
- 2003-01-01: E1016 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 E1016?
E1016 is the HCPCS Level II code for shock absorber for power wheelchair, each. Short descriptor: "Shock absorber for power w/c".
How much does Medicare pay for E1016?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $161.31–$193.56; NU (new equipment, purchased): $129.22–$190.83; RR (rental (monthly)): $16.16–$19.39; RR (rental (monthly)): $12.92–$19.10; UE (used equipment, purchased): $96.91–$143.13; UE (used equipment, purchased): $120.96–$145.19. Rural fees can be higher.
Does Medicare cover E1016?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E1016 change in 2026?
The average non-rural state fee for NU moved from $147.92 in 2025 to $151.33 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E1016 can be billed per day?
2 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)
- 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)
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 E1016
- Watch E1016 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E1016
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.