E1085 HCPCS code: Hemi-wheelchair, fixed full length arms, swing away detachable foot rests
E1085 is the HCPCS Level II code for hemi-wheelchair, fixed full length arms, swing away detachable foot rests. Its Medicare coverage code is I (Not payable by Medicare): Medicare does not pay separately under this code; another code applies. The NCCI unit limit is 1 per day on DME suppliers.
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | I — Not payable by Medicare |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | D1D — Wheelchairs |
| Added | 1986-01-01 |
| Last action effective | 2001-04-01 |
Related codes Medicare does pay
Medicare does not pay under E1085. These codes in the same E10 family carry a current DMEPOS fee:
- 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
- E1010 — Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair: $139.14–$168.59
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
What changed for E1085
- 1986-01-01: E1085 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 E1085?
E1085 is the HCPCS Level II code for hemi-wheelchair, fixed full length arms, swing away detachable foot rests. Short descriptor: "Hemi-wheelchair fixed arms".
Does Medicare cover E1085?
Coverage code I — Not payable by Medicare. Medicare does not pay separately under this code; another code applies.
Which related codes does Medicare pay instead of E1085?
Codes in the same E10 family with a DMEPOS fee include E1002 ($463.44–$597.42), E1003 ($539.40–$647.25), E1004 ($596.22–$717.70). Check the item matches the code's descriptor before billing.
How many units of E1085 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)
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Next steps
- Run a reimbursement report for a device billed under E1085
- Watch E1085 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E1085
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; 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.