E1130 HCPCS code: Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests
E1130 is the HCPCS Level II code for standard wheelchair, fixed full length arms, fixed or swing away detachable footrests. 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 E1130. These codes in the same E11 family carry a current DMEPOS fee:
- E1100 — Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests: $125.74–$182.77
- E1110 — Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest: $122.69–$152.19
- E1150 — Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests: $98.81–$145.99
- E1160 — Wheelchair, fixed full length arms, swing away detachable elevating legrests: $75.73–$112.63
- E1161 — Manual adult size wheelchair, includes tilt in space: $337.19–$404.64
- E1170 — Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests: $108.21–$210.73
- E1171 — Amputee wheelchair, fixed full length arms, without footrests or legrest: $97.09–$168.26
- E1172 — Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest: $118.69–$180.66
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
What changed for E1130
- 1986-01-01: E1130 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 E1130?
E1130 is the HCPCS Level II code for standard wheelchair, fixed full length arms, fixed or swing away detachable footrests. Short descriptor: "Whlchr stand fxd arm ft rest".
Does Medicare cover E1130?
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 E1130?
Codes in the same E11 family with a DMEPOS fee include E1100 ($125.74–$182.77), E1110 ($122.69–$152.19), E1150 ($98.81–$145.99). Check the item matches the code's descriptor before billing.
How many units of E1130 can be billed per day?
1 on DME suppliers (NCCI medically unlikely edits).
Related E11 codes
- E1100 — Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ($125.74–$182.77)
- E1110 — Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest ($122.69–$152.19)
- E1140 — Wheelchair, detachable arms, desk or full length, swing away detachable footrests
- E1150 — Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests ($98.81–$145.99)
- E1160 — Wheelchair, fixed full length arms, swing away detachable elevating legrests ($75.73–$112.63)
- E1161 — Manual adult size wheelchair, includes tilt in space ($337.19–$404.64)
- E1170 — Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests ($108.21–$210.73)
- E1171 — Amputee wheelchair, fixed full length arms, without footrests or legrest ($97.09–$168.26)
- E1172 — Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest ($118.69–$180.66)
- E1180 — Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests ($122.76–$173.78)
- E1190 — Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests ($141.81–$217.43)
- E1195 — Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests ($152.17–$210.59)
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Next steps
- Run a reimbursement report for a device billed under E1130
- Watch E1130 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E1130
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.