E1160 HCPCS code: Wheelchair, fixed full length arms, swing away detachable elevating legrests
E1160 is the HCPCS Level II code for wheelchair, fixed full length arms, swing away detachable elevating legrests. The 2026 Medicare DMEPOS fee schedule pays $75.73 to $112.63 (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. Its average fee ranks 1 of 11 E11 codes billed RR (family range $85.93–$338.46).
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 | 1986-01-01 |
| Last action effective | 1989-01-01 |
2026 Medicare DMEPOS fee schedule for E1160
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $75.73 | $112.63 | $89.09 | $75.73 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $89.29 | — |
| AL | RR | $75.73 | — |
| AR | RR | $89.09 | — |
| AZ | RR | $89.09 | — |
| CA | RR | $88.37 | — |
| CO | RR | $89.09 | — |
| CT | RR | $89.09 | — |
| DC | RR | $89.09 | — |
| DE | RR | $89.09 | — |
| FL | RR | $76.34 | — |
| GA | RR | $75.73 | — |
| HI | RR | $95.49 | — |
| IA | RR | $77.76 | — |
| ID | RR | $82.11 | — |
| IL | RR | $89.09 | — |
| IN | RR | $86.47 | — |
| KS | RR | $89.09 | — |
| KY | RR | $81.10 | — |
| LA | RR | $88.11 | — |
| MA | RR | $89.09 | — |
| MD | RR | $89.09 | — |
| ME | RR | $79.18 | — |
| MI | RR | $88.18 | — |
| MN | RR | $80.17 | — |
| MO | RR | $78.74 | — |
| MS | RR | $75.73 | — |
| MT | RR | $89.09 | — |
| NC | RR | $75.73 | — |
| ND | RR | $89.09 | — |
| NE | RR | $89.09 | — |
| NH | RR | $75.73 | — |
| NJ | RR | $87.61 | — |
| NM | RR | $82.37 | — |
| NV | RR | $89.09 | — |
| NY | RR | $89.09 | — |
| OH | RR | $89.09 | — |
| OK | RR | $85.62 | — |
| OR | RR | $89.09 | — |
| PA | RR | $89.09 | — |
| PR | RR | $112.63 | — |
| RI | RR | $89.09 | — |
| SC | RR | $82.80 | — |
| SD | RR | $89.09 | — |
| TN | RR | $75.73 | — |
| TX | RR | $89.09 | — |
| UT | RR | $75.88 | — |
| VA | RR | $87.08 | — |
| VI | RR | $89.09 | — |
| VT | RR | $78.42 | — |
| WA | RR | $89.09 | — |
| WI | RR | $89.09 | — |
| WV | RR | $89.09 | — |
| WY | RR | $89.09 | — |
How the E1160 fee compares
| Measure | Value |
|---|---|
| Rank among 11 E11 codes billed RR (lowest = 1) | 1 |
| Family fee range (average of state fees) | $85.93–$338.46 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
What changed for E1160
- 2026-01-01: Average state fee (RR) rose 2.0%: $84.25 to $85.93
- 1986-01-01: E1160 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 E1160?
E1160 is the HCPCS Level II code for wheelchair, fixed full length arms, swing away detachable elevating legrests. Short descriptor: "Wheelchair fixed arms".
How much does Medicare pay for E1160?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $75.73–$112.63. Rural fees can be higher.
Does Medicare cover E1160?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E1160 change in 2026?
The average non-rural state fee for RR moved from $84.25 in 2025 to $85.93 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E1160 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)
- E1130 — Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests
- 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)
- 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 E1160
- Watch E1160 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E1160
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.