E1037 HCPCS code: Transport chair, pediatric size
E1037 is the HCPCS Level II code for transport chair, pediatric size. The 2026 Medicare DMEPOS fee schedule pays $120.03 to $169.86 (RR, rental (monthly)) 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 1 per day on DME suppliers. Medicare volume rose 12% from 2022 to 2024 (32 to 36 services). In 2024, 4 suppliers billed Medicare for E1037 (rentals), serving 0 beneficiaries. Its average fee ranks 14 of 34 E10 codes billed RR (family range $15.15–$1,062.94); rural fees run 12% higher.
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 36 — DMEPOS: capped rental item |
| BETOS category | D1D — Wheelchairs |
| Added | 2003-01-01 |
| Last action effective | 2003-01-01 |
2026 Medicare DMEPOS fee schedule for E1037
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $120.03 | $169.86 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $154.39 | — |
| AL | RR | $129.67 | $149.46 |
| AR | RR | $129.67 | $149.46 |
| AZ | RR | $125.69 | $149.46 |
| CA | RR | $120.03 | $149.46 |
| CO | RR | $128.64 | $149.46 |
| CT | RR | $135.83 | $149.46 |
| DC | RR | $129.13 | $149.46 |
| DE | RR | $129.13 | $149.46 |
| FL | RR | $129.67 | $149.46 |
| GA | RR | $129.67 | $149.46 |
| HI | RR | $154.39 | — |
| IA | RR | $138.02 | $149.46 |
| ID | RR | $128.64 | $149.46 |
| IL | RR | $138.16 | $149.46 |
| IN | RR | $138.16 | $149.46 |
| KS | RR | $138.02 | $149.46 |
| KY | RR | $129.67 | $149.46 |
| LA | RR | $129.67 | $149.46 |
| MA | RR | $135.83 | $149.46 |
| MD | RR | $129.13 | $149.46 |
| ME | RR | $135.83 | $149.46 |
| MI | RR | $138.16 | $149.46 |
| MN | RR | $138.02 | $149.46 |
| MO | RR | $138.02 | $149.46 |
| MS | RR | $129.67 | $149.46 |
| MT | RR | $128.64 | $149.46 |
| NC | RR | $129.67 | $149.46 |
| ND | RR | $138.02 | $149.46 |
| NE | RR | $138.02 | $149.46 |
| NH | RR | $135.83 | $149.46 |
| NJ | RR | $129.13 | $149.46 |
| NM | RR | $125.69 | $149.46 |
| NV | RR | $120.03 | $149.46 |
| NY | RR | $129.13 | $149.46 |
| OH | RR | $138.16 | $149.46 |
| OK | RR | $125.69 | $149.46 |
| OR | RR | $120.03 | $149.46 |
| PA | RR | $129.13 | $149.46 |
| PR | RR | $169.86 | — |
| RI | RR | $135.83 | $149.46 |
| SC | RR | $129.67 | $149.46 |
| SD | RR | $138.02 | $149.46 |
| TN | RR | $129.67 | $149.46 |
| TX | RR | $125.69 | $149.46 |
| UT | RR | $128.64 | $149.46 |
| VA | RR | $129.67 | $149.46 |
| VI | RR | $154.39 | — |
| VT | RR | $135.83 | $149.46 |
| WA | RR | $120.03 | $149.46 |
| WI | RR | $138.16 | $149.46 |
| WV | RR | $129.67 | $149.46 |
| WY | RR | $128.64 | $149.46 |
How the E1037 fee compares
| Measure | Value |
|---|---|
| Rank among 34 E10 codes billed RR (lowest = 1) | 14 |
| Family fee range (average of state fees) | $15.15–$1,062.94 |
| Rural fee uplift | 12.2% |
Who bills E1037 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 4 |
| Suppliers billing purchases | — |
| Referring clinicians | 5 |
| Medicare beneficiaries | 0 |
| States with claims | 1 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 6 | 0 |
| 2023 | 4 | 0 |
| 2024 | 4 | 0 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E1037, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 32 | 0 | $96.35 | $73.08 |
| 2023 | 25 | 0 | $106.21 | $69.85 |
| 2024 | 36 | 0 | $98.83 | $67.61 |
States with the most E1037 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 20 | $60.65 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
Medicare policy articles for this code
- A52497: Manual Wheelchair Bases - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- 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 E1037
- 2026-01-01: Average state fee (RR) rose 2.7%: $129.78 to $133.24
- 2003-01-01: E1037 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 E1037?
E1037 is the HCPCS Level II code for transport chair, pediatric size. Short descriptor: "Transport chair, ped size".
How much does Medicare pay for E1037?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $120.03–$169.86. Rural fees can be higher.
Does Medicare cover E1037?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E1037 change in 2026?
The average non-rural state fee for RR moved from $129.78 in 2025 to $133.24 in 2026 (+2.7%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E1037 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)
- 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 E1037
- Watch E1037 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E1037
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.