E1028 HCPCS code: Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other
E1028 is the HCPCS Level II code for wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other. The 2026 Medicare DMEPOS fee schedule pays $15.68 to $26.47 (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 6 per day on DME suppliers. Medicare volume rose 12% from 2022 to 2024 (232,632 to 261,188 services). In 2024, 846 suppliers billed Medicare for E1028 (purchases), serving 53,184 beneficiaries; California, New York, Florida accounted for 19% of services. Its average fee ranks 4 of 34 E10 codes billed RR (family range $15.15–$1,062.94); rural fees run 6% 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 | 2025-04-01 |
2026 Medicare DMEPOS fee schedule for E1028
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $15.68 | $26.47 | — | — |
| RR | rental (monthly) | $25.36 | $30.44 | $25.36 | $21.56 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $25.36 | — |
| AL | RR | $25.36 | $23.57 |
| AR | RR | $25.36 | $23.57 |
| AZ | RR | $25.36 | $23.57 |
| CA | RR | $25.36 | $23.57 |
| CO | RR | $25.36 | $23.57 |
| CT | RR | $25.36 | $23.57 |
| DC | RR | $25.36 | $23.57 |
| DE | RR | $25.36 | $23.57 |
| FL | RR | $25.36 | $23.57 |
| GA | RR | $25.36 | $23.57 |
| HI | RR | $25.36 | — |
| IA | RR | $25.36 | $23.57 |
| ID | RR | $25.36 | $23.57 |
| IL | RR | $25.36 | $23.57 |
| IN | RR | $25.36 | $23.57 |
| KS | RR | $25.36 | $23.57 |
| KY | RR | $25.36 | $23.57 |
| LA | RR | $25.36 | $23.57 |
| MA | RR | $25.36 | $23.57 |
| MD | RR | $25.36 | $23.57 |
| ME | RR | $25.36 | $23.57 |
| MI | RR | $25.36 | $23.57 |
| MN | RR | $25.36 | $23.57 |
| MO | RR | $25.36 | $23.57 |
| MS | RR | $25.36 | $23.57 |
| MT | RR | $25.36 | $23.57 |
| NC | RR | $25.36 | $23.57 |
| ND | RR | $25.36 | $23.57 |
| NE | RR | $25.36 | $23.57 |
| NH | RR | $25.36 | $23.57 |
| NJ | RR | $25.36 | $23.57 |
| NM | RR | $25.36 | $23.57 |
| NV | RR | $25.36 | $23.57 |
| NY | RR | $25.36 | $23.57 |
| OH | RR | $25.36 | $23.57 |
| OK | RR | $25.36 | $23.57 |
| OR | RR | $25.36 | $23.57 |
| PA | RR | $25.36 | $23.57 |
| PR | RR | $30.44 | — |
| RI | RR | $25.36 | $23.57 |
| SC | RR | $25.36 | $23.57 |
| SD | RR | $25.36 | $23.57 |
| TN | RR | $25.36 | $23.57 |
| TX | RR | $25.36 | $23.57 |
| UT | RR | $25.36 | $23.57 |
| VA | RR | $25.36 | $23.57 |
| VI | RR | $25.36 | — |
| VT | RR | $25.36 | $23.57 |
| WA | RR | $25.36 | $23.57 |
| WI | RR | $25.36 | $23.57 |
| WV | RR | $25.36 | $23.57 |
| WY | RR | $25.36 | $23.57 |
How the E1028 fee compares
| Measure | Value |
|---|---|
| Rank among 34 E10 codes billed RR (lowest = 1) | 4 |
| Family fee range (average of state fees) | $15.15–$1,062.94 |
| Rural fee uplift | 6.4% |
Who bills E1028 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 771 |
| Suppliers billing purchases | 846 |
| Referring clinicians | 19,771 |
| Medicare beneficiaries | 53,184 |
| States with claims | 51 |
| Share of services in top 3 states (California, New York, Florida) | 19% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 842 | 48,404 |
| 2023 | 831 | 51,293 |
| 2024 | 846 | 53,184 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E1028, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 232,632 | 48,404 | $72.02 | $56.20 |
| 2023 | 249,412 | 51,293 | $77.35 | $60.05 |
| 2024 | 261,188 | 53,184 | $77.32 | $60.05 |
States with the most E1028 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 17,947 | $75.66 |
| New York | 15,955 | $49.49 |
| Florida | 14,586 | $66.86 |
| Texas | 14,506 | $65.44 |
| Ohio | 13,062 | $49.14 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 6 | Clinical: Data |
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
- 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 E1028
- April 2025: Descriptor revised (Was: Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory)
- 2026-01-01: Average state fee (RR) rose 2.3%: $20.82 to $21.29
- 2004-01-01: E1028 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 E1028?
E1028 is the HCPCS Level II code for wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other. Short descriptor: "W/c manual swingaway".
How much does Medicare pay for E1028?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $15.68–$26.47; RR (rental (monthly)): $25.36–$30.44. Rural fees can be higher.
Does Medicare cover E1028?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E1028 change in 2026?
The average non-rural state fee for RR moved from $20.82 in 2025 to $21.29 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E1028 can be billed per day?
6 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 E1028
- Watch E1028 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E1028
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.