E1039 HCPCS code: Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds
E1039 is the HCPCS Level II code for transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds. The 2026 Medicare DMEPOS fee schedule pays $38.51 to $52.61 (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 11% from 2022 to 2024 (2,721 to 3,033 services). In 2024, 263 suppliers billed Medicare for E1039 (rentals), serving 579 beneficiaries; New York, Pennsylvania, New Jersey accounted for 38% of services. Its average fee ranks 9 of 34 E10 codes billed RR (family range $15.15–$1,062.94); rural fees run 14% 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 | 2005-01-01 |
| Last action effective | 2006-01-01 |
2026 Medicare DMEPOS fee schedule for E1039
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $38.51 | $52.61 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $47.73 | — |
| AL | RR | $40.46 | $46.55 |
| AR | RR | $40.46 | $46.55 |
| AZ | RR | $39.09 | $46.55 |
| CA | RR | $38.51 | $46.55 |
| CO | RR | $40.78 | $46.55 |
| CT | RR | $39.31 | $46.55 |
| DC | RR | $38.98 | $46.55 |
| DE | RR | $38.98 | $46.55 |
| FL | RR | $40.46 | $46.55 |
| GA | RR | $40.46 | $46.55 |
| HI | RR | $47.73 | — |
| IA | RR | $43.00 | $46.55 |
| ID | RR | $40.78 | $46.55 |
| IL | RR | $41.13 | $46.55 |
| IN | RR | $41.13 | $46.55 |
| KS | RR | $43.00 | $46.55 |
| KY | RR | $40.46 | $46.55 |
| LA | RR | $40.46 | $46.55 |
| MA | RR | $39.31 | $46.55 |
| MD | RR | $38.98 | $46.55 |
| ME | RR | $39.31 | $46.55 |
| MI | RR | $41.13 | $46.55 |
| MN | RR | $43.00 | $46.55 |
| MO | RR | $43.00 | $46.55 |
| MS | RR | $40.46 | $46.55 |
| MT | RR | $40.78 | $46.55 |
| NC | RR | $40.46 | $46.55 |
| ND | RR | $43.00 | $46.55 |
| NE | RR | $43.00 | $46.55 |
| NH | RR | $39.31 | $46.55 |
| NJ | RR | $38.98 | $46.55 |
| NM | RR | $39.09 | $46.55 |
| NV | RR | $38.51 | $46.55 |
| NY | RR | $38.98 | $46.55 |
| OH | RR | $41.13 | $46.55 |
| OK | RR | $39.09 | $46.55 |
| OR | RR | $38.51 | $46.55 |
| PA | RR | $38.98 | $46.55 |
| PR | RR | $52.61 | — |
| RI | RR | $39.31 | $46.55 |
| SC | RR | $40.46 | $46.55 |
| SD | RR | $43.00 | $46.55 |
| TN | RR | $40.46 | $46.55 |
| TX | RR | $39.09 | $46.55 |
| UT | RR | $40.78 | $46.55 |
| VA | RR | $40.46 | $46.55 |
| VI | RR | $47.73 | — |
| VT | RR | $39.31 | $46.55 |
| WA | RR | $38.51 | $46.55 |
| WI | RR | $41.13 | $46.55 |
| WV | RR | $40.46 | $46.55 |
| WY | RR | $40.78 | $46.55 |
How the E1039 fee compares
| Measure | Value |
|---|---|
| Rank among 34 E10 codes billed RR (lowest = 1) | 9 |
| Family fee range (average of state fees) | $15.15–$1,062.94 |
| Rural fee uplift | 13.6% |
Who bills E1039 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 263 |
| Suppliers billing purchases | — |
| Referring clinicians | 531 |
| Medicare beneficiaries | 579 |
| States with claims | 28 |
| Share of services in top 3 states (New York, Pennsylvania, New Jersey) | 38% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 257 | 537 |
| 2023 | 241 | 525 |
| 2024 | 263 | 579 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E1039, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 2,721 | 537 | $28.51 | $20.39 |
| 2023 | 2,781 | 525 | $30.38 | $22.17 |
| 2024 | 3,033 | 579 | $31.31 | $22.69 |
States with the most E1039 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 626 | $22.69 |
| Pennsylvania | 282 | $20.34 |
| New Jersey | 213 | $21.91 |
| Ohio | 195 | $24.64 |
| Virginia | 175 | $23.69 |
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 E1039
- 2026-01-01: Average state fee (RR) rose 2.7%: $39.92 to $40.98
- 2005-01-01: E1039 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 E1039?
E1039 is the HCPCS Level II code for transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds. Short descriptor: "Transport chair pt wt >300lb".
How much does Medicare pay for E1039?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $38.51–$52.61. Rural fees can be higher.
Does Medicare cover E1039?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E1039 change in 2026?
The average non-rural state fee for RR moved from $39.92 in 2025 to $40.98 in 2026 (+2.7%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E1039 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 E1039
- Watch E1039 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E1039
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.