E2208 HCPCS code: Wheelchair accessory, cylinder tank carrier, each
E2208 is the HCPCS Level II code for wheelchair accessory, cylinder tank carrier, each. The 2026 Medicare DMEPOS fee schedule pays $142.72 to $175.04 (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 fell 16% from 2022 to 2024 (5,651 to 4,738 services). In 2024, 632 suppliers billed Medicare for E2208 (purchases), serving 3,053 beneficiaries; Maryland, Michigan, New York accounted for 23% of services. Its average fee ranks 20 of 26 E22 codes billed NU (family range $7.38–$1,039.53); rural fees run 6% higher.
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 32 — DMEPOS: inexpensive or routinely purchased item |
| BETOS category | D1D — Wheelchairs |
| Added | 2006-01-01 |
| Last action effective | 2006-01-01 |
2026 Medicare DMEPOS fee schedule for E2208
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $142.72 | $175.04 | $145.91 | $124.02 |
| NU | new equipment, purchased | $83.12 | $151.38 | — | — |
| RR | rental (monthly) | $8.31 | $15.13 | — | — |
| RR | rental (monthly) | $14.35 | $17.49 | $14.59 | $12.40 |
| UE | used equipment, purchased | $62.35 | $113.54 | — | — |
| UE | used equipment, purchased | $107.57 | $131.28 | $109.44 | $93.02 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $143.44 | — |
| AL | NU | $145.91 | $134.70 |
| AR | NU | $145.91 | $134.70 |
| AZ | NU | $143.44 | $133.29 |
| CA | NU | $143.44 | $133.29 |
| CO | NU | $145.91 | $134.70 |
| CT | NU | $145.91 | $134.70 |
| DC | NU | $145.91 | $134.70 |
| DE | NU | $145.91 | $134.70 |
| FL | NU | $145.91 | $134.70 |
| GA | NU | $145.91 | $134.70 |
| HI | NU | $143.44 | — |
| IA | NU | $143.44 | $133.29 |
| ID | NU | $143.44 | $133.29 |
| IL | NU | $145.91 | $134.70 |
| IN | NU | $145.91 | $134.70 |
| KS | NU | $143.44 | $133.29 |
| KY | NU | $145.91 | $134.70 |
| LA | NU | $145.91 | $134.70 |
| MA | NU | $145.91 | $134.70 |
| MD | NU | $145.91 | $134.70 |
| ME | NU | $145.91 | $134.70 |
| MI | NU | $145.91 | $134.70 |
| MN | NU | $145.91 | $134.70 |
| MO | NU | $145.91 | $134.70 |
| MS | NU | $145.91 | $134.70 |
| MT | NU | $143.44 | $133.29 |
| NC | NU | $145.91 | $134.70 |
| ND | NU | $143.44 | $133.29 |
| NE | NU | $143.44 | $133.29 |
| NH | NU | $145.91 | $134.70 |
| NJ | NU | $145.91 | $134.70 |
| NM | NU | $145.91 | $134.70 |
| NV | NU | $142.72 | $132.87 |
| NY | NU | $145.91 | $134.70 |
| OH | NU | $145.91 | $134.70 |
| OK | NU | $145.91 | $134.70 |
| OR | NU | $143.44 | $133.29 |
| PA | NU | $145.91 | $134.70 |
| PR | NU | $175.04 | — |
| RI | NU | $145.91 | $134.70 |
| SC | NU | $145.91 | $134.70 |
| SD | NU | $143.44 | $133.29 |
| TN | NU | $145.91 | $134.70 |
| TX | NU | $145.91 | $134.70 |
| UT | NU | $145.91 | $134.70 |
| VA | NU | $145.91 | $134.70 |
| VI | NU | $145.91 | — |
| VT | NU | $145.91 | $134.70 |
| WA | NU | $145.91 | $134.70 |
| WI | NU | $145.91 | $134.70 |
| WV | NU | $145.91 | $134.70 |
| WY | NU | $143.44 | $133.29 |
| AK | RR | $14.35 | — |
| AL | RR | $14.59 | $13.47 |
| AR | RR | $14.59 | $13.47 |
| AZ | RR | $14.35 | $13.34 |
| CA | RR | $14.35 | $13.34 |
| CO | RR | $14.59 | $13.47 |
| CT | RR | $14.59 | $13.47 |
| DC | RR | $14.59 | $13.47 |
| DE | RR | $14.59 | $13.47 |
| FL | RR | $14.59 | $13.47 |
| GA | RR | $14.59 | $13.47 |
| HI | RR | $14.35 | — |
| IA | RR | $14.35 | $13.34 |
| ID | RR | $14.35 | $13.34 |
| IL | RR | $14.59 | $13.47 |
| IN | RR | $14.59 | $13.47 |
| KS | RR | $14.35 | $13.34 |
| KY | RR | $14.59 | $13.47 |
| LA | RR | $14.59 | $13.47 |
| MA | RR | $14.59 | $13.47 |
| MD | RR | $14.59 | $13.47 |
| ME | RR | $14.59 | $13.47 |
| MI | RR | $14.59 | $13.47 |
| MN | RR | $14.59 | $13.47 |
| MO | RR | $14.59 | $13.47 |
| MS | RR | $14.59 | $13.47 |
| MT | RR | $14.35 | $13.34 |
| NC | RR | $14.59 | $13.47 |
| ND | RR | $14.35 | $13.34 |
| NE | RR | $14.35 | $13.34 |
| NH | RR | $14.59 | $13.47 |
| NJ | RR | $14.59 | $13.47 |
| NM | RR | $14.59 | $13.47 |
| NV | RR | $14.35 | $13.34 |
| NY | RR | $14.59 | $13.47 |
| OH | RR | $14.59 | $13.47 |
| OK | RR | $14.59 | $13.47 |
| OR | RR | $14.35 | $13.34 |
| PA | RR | $14.59 | $13.47 |
| PR | RR | $17.49 | — |
| RI | RR | $14.59 | $13.47 |
| SC | RR | $14.59 | $13.47 |
| SD | RR | $14.35 | $13.34 |
| TN | RR | $14.59 | $13.47 |
| TX | RR | $14.59 | $13.47 |
| UT | RR | $14.59 | $13.47 |
| VA | RR | $14.59 | $13.47 |
| VI | RR | $14.59 | — |
| VT | RR | $14.59 | $13.47 |
| WA | RR | $14.59 | $13.47 |
| WI | RR | $14.59 | $13.47 |
| WV | RR | $14.59 | $13.47 |
| WY | RR | $14.35 | $13.34 |
| AK | UE | $107.57 | — |
| AL | UE | $109.44 | $101.02 |
| AR | UE | $109.44 | $101.02 |
| AZ | UE | $107.57 | $99.97 |
| CA | UE | $107.57 | $99.97 |
| CO | UE | $109.44 | $101.02 |
| CT | UE | $109.44 | $101.02 |
| DC | UE | $109.44 | $101.02 |
| DE | UE | $109.44 | $101.02 |
| FL | UE | $109.44 | $101.02 |
| GA | UE | $109.44 | $101.02 |
| HI | UE | $107.57 | — |
| IA | UE | $107.57 | $99.97 |
| ID | UE | $107.57 | $99.97 |
| IL | UE | $109.44 | $101.02 |
| IN | UE | $109.44 | $101.02 |
| KS | UE | $107.57 | $99.97 |
| KY | UE | $109.44 | $101.02 |
| LA | UE | $109.44 | $101.02 |
| MA | UE | $109.44 | $101.02 |
| MD | UE | $109.44 | $101.02 |
| ME | UE | $109.44 | $101.02 |
| MI | UE | $109.44 | $101.02 |
| MN | UE | $109.44 | $101.02 |
| MO | UE | $109.44 | $101.02 |
| MS | UE | $109.44 | $101.02 |
| MT | UE | $107.57 | $99.97 |
| NC | UE | $109.44 | $101.02 |
| ND | UE | $107.57 | $99.97 |
| NE | UE | $107.57 | $99.97 |
| NH | UE | $109.44 | $101.02 |
| NJ | UE | $109.44 | $101.02 |
| NM | UE | $109.44 | $101.02 |
| NV | UE | $107.57 | $99.97 |
| NY | UE | $109.44 | $101.02 |
| OH | UE | $109.44 | $101.02 |
| OK | UE | $109.44 | $101.02 |
| OR | UE | $107.57 | $99.97 |
| PA | UE | $109.44 | $101.02 |
| PR | UE | $131.28 | — |
| RI | UE | $109.44 | $101.02 |
| SC | UE | $109.44 | $101.02 |
| SD | UE | $107.57 | $99.97 |
| TN | UE | $109.44 | $101.02 |
| TX | UE | $109.44 | $101.02 |
| UT | UE | $109.44 | $101.02 |
| VA | UE | $109.44 | $101.02 |
| VI | UE | $109.44 | — |
| VT | UE | $109.44 | $101.02 |
| WA | UE | $109.44 | $101.02 |
| WI | UE | $109.44 | $101.02 |
| WV | UE | $109.44 | $101.02 |
| WY | UE | $107.57 | $99.97 |
How the E2208 fee compares
| Measure | Value |
|---|---|
| Rank among 26 E22 codes billed NU (lowest = 1) | 20 |
| Family fee range (average of state fees) | $7.38–$1,039.53 |
| Rural fee uplift | 6.4% |
Who bills E2208 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 230 |
| Suppliers billing purchases | 632 |
| Referring clinicians | 2,166 |
| Medicare beneficiaries | 3,053 |
| States with claims | 42 |
| Share of services in top 3 states (Maryland, Michigan, New York) | 23% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 638 | 3,357 |
| 2023 | 645 | 3,214 |
| 2024 | 632 | 3,053 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E2208, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 5,651 | 3,357 | $47.54 | $37.09 |
| 2023 | 5,413 | 3,214 | $51.94 | $40.28 |
| 2024 | 4,738 | 3,053 | $57.63 | $44.71 |
States with the most E2208 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Maryland | 369 | $18.92 |
| Michigan | 349 | $31.43 |
| New York | 334 | $51.45 |
| Illinois | 295 | $35.01 |
| Ohio | 258 | $36.59 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Nature of Equipment |
What changed for E2208
- 2026-01-01: Average state fee (NU) rose 2.3%: $118.65 to $121.33
- 2026-01-01: Average state fee (RR) rose 2.3%: $11.86 to $12.13
- 2026-01-01: Average state fee (UE) rose 2.3%: $88.99 to $91.01
- 2006-01-01: E2208 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 E2208?
E2208 is the HCPCS Level II code for wheelchair accessory, cylinder tank carrier, each. Short descriptor: "Cylinder tank carrier".
How much does Medicare pay for E2208?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $142.72–$175.04; NU (new equipment, purchased): $83.12–$151.38; RR (rental (monthly)): $8.31–$15.13; RR (rental (monthly)): $14.35–$17.49; UE (used equipment, purchased): $62.35–$113.54; UE (used equipment, purchased): $107.57–$131.28. Rural fees can be higher.
Does Medicare cover E2208?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E2208 change in 2026?
The average non-rural state fee for NU moved from $118.65 in 2025 to $121.33 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E2208 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)
- E2203 — Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches ($47.63–$819.21)
- 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)
- 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)
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 E2208
- Watch E2208 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E2208
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.