E1034 HCPCS code: Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type
E1034 is the HCPCS Level II code for wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type. 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 4 per day on DME suppliers. Its average fee ranks 5 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 | 2025-04-01 |
| Last action effective | 2025-04-01 |
2026 Medicare DMEPOS fee schedule for E1034
| 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 E1034 fee compares
| Measure | Value |
|---|---|
| Rank among 34 E10 codes billed RR (lowest = 1) | 5 |
| Family fee range (average of state fees) | $15.15–$1,062.94 |
| Rural fee uplift | 6.4% |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 4 | Nature of Equipment |
Medicare policy articles for this code
- 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 E1034
- April 2025: Code appears in this HCPCS release
- 2025-04-01: E1034 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 E1034?
E1034 is the HCPCS Level II code for wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type. Short descriptor: "Wheelchair trunk hip support".
How much does Medicare pay for E1034?
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 E1034?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of E1034 can be billed per day?
4 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)
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Next steps
- Run a reimbursement report for a device billed under E1034
- Watch E1034 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E1034
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.