E1230 HCPCS code: Power operated vehicle (three or four wheel nonhighway) specify brand name and model number

E1230 is the HCPCS Level II code for power operated vehicle (three or four wheel nonhighway) specify brand name and model number. The 2026 Medicare DMEPOS fee schedule pays $2,618.37 to $3,830.63 (NU, new equipment, purchased) 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 6 of 6 E12 codes billed NU (family range $139.52–$3,060.71).

Code details

2026 Medicare DMEPOS fee schedule for E1230

How the E1230 fee compares

NCCI unit limits (MUE)

What changed for E1230

• 2026-01-01: Average state fee (NU) rose 2.0%: $3,000.70 to $3,060.71
• 2026-01-01: Average state fee (RR) rose 2.0%: $296.24 to $302.17
• 2026-01-01: Average state fee (UE) rose 2.0%: $2,344.04 to $2,390.92
• 1986-01-01: E1230 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 E1230?

E1230 is the HCPCS Level II code for power operated vehicle (three or four wheel nonhighway) specify brand name and model number. Short descriptor: "Power operated vehicle".

How much does Medicare pay for E1230?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $2,618.37–$3,830.63; RR (rental (monthly)): $269.48–$478.84; UE (used equipment, purchased): $1,955.76–$2,872.91. Rural fees can be higher.

Does Medicare cover E1230?

Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.

Did the Medicare fee for E1230 change in 2026?

The average non-rural state fee for NU moved from $3,000.70 in 2025 to $3,060.71 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of E1230 can be billed per day?

1 on DME suppliers (NCCI medically unlikely edits).

Related E12 codes

• E1200 — Amputee wheelchair, fixed full length arms, swing away detachable footrest ($105.40–$179.59)
• E1220 — Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification
• E1221 — Wheelchair with fixed arm, footrests ($57.56–$87.75)
• E1222 — Wheelchair with fixed arm, elevating legrests ($82.09–$129.73)
• E1223 — Wheelchair with detachable arms, footrests ($89.66–$122.59)
• E1224 — Wheelchair with detachable arms, elevating legrests ($98.31–$139.00)
• E1225 — Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each ($43.15–$70.60)
• E1226 — Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each ($41.94–$1,539.67)
• E1227 — Special height arms for wheelchair ($17.79–$474.54)
• E1228 — Special back height for wheelchair ($33.95–$41.50)
• E1229 — Wheelchair, pediatric size, not otherwise specified
• E1231 — Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating system

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Next steps

• Run a reimbursement report for a device billed under E1230
• Watch E1230 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for E1230

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.

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