E2203 HCPCS code: Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches

E2203 is the HCPCS Level II code for manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches. The 2026 Medicare DMEPOS fee schedule pays $682.72 to $819.21 (NU, new equipment, purchased) 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 9% from 2022 to 2024 (5,838 to 6,389 services). In 2024, 631 suppliers billed Medicare for E2203 (purchases), serving 4,976 beneficiaries; Florida, Texas, New York accounted for 19% of services. Its average fee ranks 24 of 26 E22 codes billed NU (family range $7.38–$1,039.53); rural fees run 3% higher.

Code details

2026 Medicare DMEPOS fee schedule for E2203

How the E2203 fee compares

Who bills E2203 (2024)

Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.

Medicare utilization for E2203, 2022–2024

States with the most E2203 services (2024)

NCCI unit limits (MUE)

Medicare policy articles for this code

• 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 E2203

• 2026-01-01: Average state fee (NU) rose 2.3%: $591.47 to $605.00
• 2026-01-01: Average state fee (RR) rose 2.3%: $59.15 to $60.50
• 2026-01-01: Average state fee (UE) rose 2.3%: $443.58 to $453.73
• 2004-01-01: E2203 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 E2203?

E2203 is the HCPCS Level II code for manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches. Short descriptor: "Frame depth less than 22 in".

How much does Medicare pay for E2203?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $682.72–$819.21; NU (new equipment, purchased): $476.30–$750.05; RR (rental (monthly)): $68.27–$81.90; RR (rental (monthly)): $47.63–$75.00; UE (used equipment, purchased): $357.23–$562.55; UE (used equipment, purchased): $511.99–$614.45. Rural fees can be higher.

Does Medicare cover E2203?

Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.

Did the Medicare fee for E2203 change in 2026?

The average non-rural state fee for NU moved from $591.47 in 2025 to $605.00 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of E2203 can be billed per day?

1 on DME suppliers (NCCI medically unlikely edits).

Related E22 codes

• E2201 — Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches ($32.96–$638.07)
• E2202 — Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches ($48.36–$810.59)
• E2204 — Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches ($82.59–$1,391.06)
• E2205 — Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each ($3.85–$55.87)
• E2206 — Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each ($4.34–$69.59)
• E2207 — Wheelchair accessory, crutch and cane holder, each ($5.23–$74.15)
• E2208 — Wheelchair accessory, cylinder tank carrier, each ($8.31–$175.04)
• E2209 — Accessory, arm trough, with or without hand support, each ($9.54–$157.98)
• E2210 — Wheelchair accessory, bearings, any type, replacement only, each ($0.58–$8.89)
• E2211 — Manual wheelchair accessory, pneumatic propulsion tire, any size, each ($3.97–$178.90)
• E2212 — Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each ($0.70–$10.06)
• E2213 — Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each ($3.38–$51.96)

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Next steps

• Run a reimbursement report for a device billed under E2203
• Watch E2203 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for E2203

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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