E1161 HCPCS code: Manual adult size wheelchair, includes tilt in space
E1161 is the HCPCS Level II code for manual adult size wheelchair, includes tilt in space. The 2026 Medicare DMEPOS fee schedule pays $337.19 to $404.64 (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 10% from 2022 to 2024 (72,900 to 80,383 services). In 2024, 687 suppliers billed Medicare for E1161 (rentals), serving 13,723 beneficiaries; New York, California, Ohio accounted for 24% of services. Its average fee ranks 11 of 11 E11 codes billed RR (family range $85.93–$338.46).
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 | 2003-01-01 |
| Last action effective | 2014-04-01 |
2026 Medicare DMEPOS fee schedule for E1161
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $337.19 | $404.64 | $337.19 | $286.61 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $337.19 | — |
| AL | RR | $337.19 | — |
| AR | RR | $337.19 | — |
| AZ | RR | $337.19 | — |
| CA | RR | $337.19 | — |
| CO | RR | $337.19 | — |
| CT | RR | $337.19 | — |
| DC | RR | $337.19 | — |
| DE | RR | $337.19 | — |
| FL | RR | $337.19 | — |
| GA | RR | $337.19 | — |
| HI | RR | $337.19 | — |
| IA | RR | $337.19 | — |
| ID | RR | $337.19 | — |
| IL | RR | $337.19 | — |
| IN | RR | $337.19 | — |
| KS | RR | $337.19 | — |
| KY | RR | $337.19 | — |
| LA | RR | $337.19 | — |
| MA | RR | $337.19 | — |
| MD | RR | $337.19 | — |
| ME | RR | $337.19 | — |
| MI | RR | $337.19 | — |
| MN | RR | $337.19 | — |
| MO | RR | $337.19 | — |
| MS | RR | $337.19 | — |
| MT | RR | $337.19 | — |
| NC | RR | $337.19 | — |
| ND | RR | $337.19 | — |
| NE | RR | $337.19 | — |
| NH | RR | $337.19 | — |
| NJ | RR | $337.19 | — |
| NM | RR | $337.19 | — |
| NV | RR | $337.19 | — |
| NY | RR | $337.19 | — |
| OH | RR | $337.19 | — |
| OK | RR | $337.19 | — |
| OR | RR | $337.19 | — |
| PA | RR | $337.19 | — |
| PR | RR | $404.64 | — |
| RI | RR | $337.19 | — |
| SC | RR | $337.19 | — |
| SD | RR | $337.19 | — |
| TN | RR | $337.19 | — |
| TX | RR | $337.19 | — |
| UT | RR | $337.19 | — |
| VA | RR | $337.19 | — |
| VI | RR | $337.19 | — |
| VT | RR | $337.19 | — |
| WA | RR | $337.19 | — |
| WI | RR | $337.19 | — |
| WV | RR | $337.19 | — |
| WY | RR | $337.19 | — |
How the E1161 fee compares
| Measure | Value |
|---|---|
| Rank among 11 E11 codes billed RR (lowest = 1) | 11 |
| Family fee range (average of state fees) | $85.93–$338.46 |
| Rural fee uplift | — |
Who bills E1161 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 687 |
| Suppliers billing purchases | — |
| Referring clinicians | 9,000 |
| Medicare beneficiaries | 13,723 |
| States with claims | 52 |
| Share of services in top 3 states (New York, California, Ohio) | 24% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 693 | 12,495 |
| 2023 | 675 | 13,080 |
| 2024 | 687 | 13,723 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E1161, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 72,900 | 12,495 | $236.56 | $178.90 |
| 2023 | 77,576 | 13,080 | $256.56 | $193.49 |
| 2024 | 80,383 | 13,723 | $263.80 | $199.19 |
States with the most E1161 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 8,568 | $198.92 |
| California | 6,170 | $199.10 |
| Ohio | 4,770 | $198.16 |
| Massachusetts | 4,631 | $199.18 |
| Texas | 4,465 | $200.12 |
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 E1161
- 2026-01-01: Average state fee (RR) rose 2.0%: $331.83 to $338.46
- 2003-01-01: E1161 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 E1161?
E1161 is the HCPCS Level II code for manual adult size wheelchair, includes tilt in space. Short descriptor: "Manual adult wc w tiltinspac".
How much does Medicare pay for E1161?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $337.19–$404.64. Rural fees can be higher.
Does Medicare cover E1161?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E1161 change in 2026?
The average non-rural state fee for RR moved from $331.83 in 2025 to $338.46 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E1161 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)
- E1160 — Wheelchair, fixed full length arms, swing away detachable elevating legrests ($75.73–$112.63)
- 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)
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 E1161
- Watch E1161 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E1161
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.