E1285 HCPCS code: Heavy duty wheelchair, fixed full length arms, swing away detachable footrest
E1285 is the HCPCS Level II code for heavy duty wheelchair, fixed full length arms, swing away detachable footrest. 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 E1285. These codes in the same E12 family carry a current DMEPOS fee:
- E1200 — Amputee wheelchair, fixed full length arms, swing away detachable footrest: $105.40–$179.59
- 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
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
What changed for E1285
- 1986-01-01: E1285 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 E1285?
E1285 is the HCPCS Level II code for heavy duty wheelchair, fixed full length arms, swing away detachable footrest. Short descriptor: "Wheelchair heavy duty fixed".
Does Medicare cover E1285?
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 E1285?
Codes in the same E12 family with a DMEPOS fee include E1200 ($105.40–$179.59), E1221 ($57.56–$87.75), E1222 ($82.09–$129.73). Check the item matches the code's descriptor before billing.
How many units of E1285 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
- E1230 — Power operated vehicle (three or four wheel nonhighway) specify brand name and model number ($269.48–$3,830.63)
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 E1285
- Watch E1285 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E1285
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.