E2213 HCPCS code: Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each
E2213 is the HCPCS Level II code for manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each. The 2026 Medicare DMEPOS fee schedule pays $42.63 to $51.96 (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 2 per day on DME suppliers. In 2024, 630 suppliers billed Medicare for E2213 (purchases), serving 11,090 beneficiaries; New York, Texas, California accounted for 23% of services. Its average fee ranks 8 of 26 E22 codes billed NU (family range $7.38–$1,039.53); rural fees run 4% 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 E2213
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $42.63 | $51.96 | $43.36 | $36.86 |
| NU | new equipment, purchased | $33.77 | $47.12 | — | — |
| RR | rental (monthly) | $4.30 | $5.20 | $4.37 | $3.71 |
| RR | rental (monthly) | $3.38 | $4.71 | — | — |
| UE | used equipment, purchased | $25.33 | $35.35 | — | — |
| UE | used equipment, purchased | $31.91 | $39.00 | $32.50 | $27.63 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $42.63 | — |
| AL | NU | $43.36 | $41.52 |
| AR | NU | $43.36 | $41.52 |
| AZ | NU | $42.63 | $41.16 |
| CA | NU | $42.63 | $41.16 |
| CO | NU | $43.36 | $41.52 |
| CT | NU | $43.36 | $41.52 |
| DC | NU | $43.36 | $41.52 |
| DE | NU | $43.36 | $41.51 |
| FL | NU | $43.36 | $41.51 |
| GA | NU | $43.36 | $41.52 |
| HI | NU | $42.63 | — |
| IA | NU | $42.63 | $41.16 |
| ID | NU | $42.63 | $41.16 |
| IL | NU | $43.36 | $41.52 |
| IN | NU | $43.36 | $41.52 |
| KS | NU | $42.63 | $41.16 |
| KY | NU | $43.36 | $41.52 |
| LA | NU | $43.36 | $41.52 |
| MA | NU | $43.36 | $41.52 |
| MD | NU | $43.36 | $41.52 |
| ME | NU | $43.36 | $41.52 |
| MI | NU | $43.36 | $41.52 |
| MN | NU | $43.36 | $41.52 |
| MO | NU | $43.36 | $41.52 |
| MS | NU | $43.36 | $41.52 |
| MT | NU | $42.63 | $41.16 |
| NC | NU | $43.36 | $41.52 |
| ND | NU | $42.63 | $41.16 |
| NE | NU | $42.63 | $41.16 |
| NH | NU | $43.36 | $41.51 |
| NJ | NU | $43.36 | $41.51 |
| NM | NU | $43.36 | $41.52 |
| NV | NU | $42.63 | $41.16 |
| NY | NU | $43.36 | $41.51 |
| OH | NU | $43.36 | $41.52 |
| OK | NU | $43.36 | $41.52 |
| OR | NU | $42.63 | $41.16 |
| PA | NU | $43.36 | $41.51 |
| PR | NU | $51.96 | — |
| RI | NU | $43.36 | $41.51 |
| SC | NU | $43.36 | $41.52 |
| SD | NU | $42.63 | $41.16 |
| TN | NU | $43.36 | $41.52 |
| TX | NU | $43.36 | $41.51 |
| UT | NU | $43.36 | $41.52 |
| VA | NU | $43.36 | $41.52 |
| VI | NU | $43.36 | — |
| VT | NU | $43.36 | $41.52 |
| WA | NU | $43.36 | $41.52 |
| WI | NU | $43.36 | $41.52 |
| WV | NU | $43.36 | $41.52 |
| WY | NU | $42.63 | $41.16 |
| AK | RR | $4.30 | — |
| AL | RR | $4.37 | $4.16 |
| AR | RR | $4.37 | $4.16 |
| AZ | RR | $4.30 | $4.14 |
| CA | RR | $4.30 | $4.14 |
| CO | RR | $4.37 | $4.16 |
| CT | RR | $4.37 | $4.16 |
| DC | RR | $4.37 | $4.16 |
| DE | RR | $4.37 | $4.16 |
| FL | RR | $4.37 | $4.16 |
| GA | RR | $4.37 | $4.16 |
| HI | RR | $4.30 | — |
| IA | RR | $4.30 | $4.14 |
| ID | RR | $4.30 | $4.14 |
| IL | RR | $4.37 | $4.16 |
| IN | RR | $4.37 | $4.16 |
| KS | RR | $4.30 | $4.14 |
| KY | RR | $4.37 | $4.16 |
| LA | RR | $4.37 | $4.16 |
| MA | RR | $4.37 | $4.16 |
| MD | RR | $4.37 | $4.16 |
| ME | RR | $4.37 | $4.16 |
| MI | RR | $4.37 | $4.16 |
| MN | RR | $4.37 | $4.16 |
| MO | RR | $4.37 | $4.16 |
| MS | RR | $4.37 | $4.16 |
| MT | RR | $4.30 | $4.14 |
| NC | RR | $4.37 | $4.16 |
| ND | RR | $4.30 | $4.14 |
| NE | RR | $4.30 | $4.14 |
| NH | RR | $4.37 | $4.16 |
| NJ | RR | $4.37 | $4.16 |
| NM | RR | $4.37 | $4.16 |
| NV | RR | $4.30 | $4.14 |
| NY | RR | $4.37 | $4.16 |
| OH | RR | $4.37 | $4.16 |
| OK | RR | $4.37 | $4.16 |
| OR | RR | $4.30 | $4.14 |
| PA | RR | $4.37 | $4.16 |
| PR | RR | $5.20 | — |
| RI | RR | $4.37 | $4.16 |
| SC | RR | $4.37 | $4.16 |
| SD | RR | $4.30 | $4.14 |
| TN | RR | $4.37 | $4.16 |
| TX | RR | $4.37 | $4.16 |
| UT | RR | $4.37 | $4.16 |
| VA | RR | $4.37 | $4.16 |
| VI | RR | $4.37 | — |
| VT | RR | $4.37 | $4.16 |
| WA | RR | $4.37 | $4.16 |
| WI | RR | $4.37 | $4.16 |
| WV | RR | $4.37 | $4.16 |
| WY | RR | $4.30 | $4.14 |
| AK | UE | $31.91 | — |
| AL | UE | $32.50 | $31.13 |
| AR | UE | $32.50 | $31.13 |
| AZ | UE | $31.91 | $30.85 |
| CA | UE | $31.91 | $30.85 |
| CO | UE | $32.50 | $31.13 |
| CT | UE | $32.50 | $31.13 |
| DC | UE | $32.50 | $31.13 |
| DE | UE | $32.49 | $31.12 |
| FL | UE | $32.49 | $31.12 |
| GA | UE | $32.50 | $31.13 |
| HI | UE | $31.91 | — |
| IA | UE | $31.91 | $30.85 |
| ID | UE | $31.91 | $30.85 |
| IL | UE | $32.50 | $31.13 |
| IN | UE | $32.50 | $31.13 |
| KS | UE | $31.91 | $30.85 |
| KY | UE | $32.50 | $31.13 |
| LA | UE | $32.50 | $31.13 |
| MA | UE | $32.50 | $31.13 |
| MD | UE | $32.50 | $31.13 |
| ME | UE | $32.50 | $31.13 |
| MI | UE | $32.50 | $31.13 |
| MN | UE | $32.50 | $31.13 |
| MO | UE | $32.50 | $31.13 |
| MS | UE | $32.50 | $31.13 |
| MT | UE | $31.91 | $30.85 |
| NC | UE | $32.50 | $31.13 |
| ND | UE | $31.91 | $30.85 |
| NE | UE | $31.91 | $30.85 |
| NH | UE | $32.49 | $31.12 |
| NJ | UE | $32.49 | $31.12 |
| NM | UE | $32.50 | $31.13 |
| NV | UE | $31.91 | $30.85 |
| NY | UE | $32.49 | $31.12 |
| OH | UE | $32.50 | $31.13 |
| OK | UE | $32.50 | $31.13 |
| OR | UE | $31.91 | $30.85 |
| PA | UE | $32.49 | $31.12 |
| PR | UE | $39.00 | — |
| RI | UE | $32.49 | $31.12 |
| SC | UE | $32.50 | $31.13 |
| SD | UE | $31.91 | $30.85 |
| TN | UE | $32.50 | $31.13 |
| TX | UE | $32.49 | $31.12 |
| UT | UE | $32.50 | $31.13 |
| VA | UE | $32.50 | $31.13 |
| VI | UE | $32.49 | — |
| VT | UE | $32.50 | $31.13 |
| WA | UE | $32.50 | $31.13 |
| WI | UE | $32.50 | $31.13 |
| WV | UE | $32.50 | $31.13 |
| WY | UE | $31.91 | $30.85 |
How the E2213 fee compares
| Measure | Value |
|---|---|
| Rank among 26 E22 codes billed NU (lowest = 1) | 8 |
| Family fee range (average of state fees) | $7.38–$1,039.53 |
| Rural fee uplift | 3.6% |
Who bills E2213 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 10 |
| Suppliers billing purchases | 630 |
| Referring clinicians | 7,806 |
| Medicare beneficiaries | 11,090 |
| States with claims | 48 |
| Share of services in top 3 states (New York, Texas, California) | 23% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 628 | 11,029 |
| 2023 | 618 | 10,884 |
| 2024 | 630 | 11,090 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E2213, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 22,742 | 11,029 | $35.02 | $27.31 |
| 2023 | 22,268 | 10,884 | $38.42 | $29.85 |
| 2024 | 22,698 | 11,090 | $39.54 | $30.74 |
States with the most E2213 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 2,261 | $32.04 |
| Texas | 1,530 | $31.57 |
| California | 1,425 | $31.26 |
| Illinois | 1,385 | $30.98 |
| Ohio | 1,329 | $31.22 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Code Descriptor / CPT Instruction |
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 E2213
- 2026-01-01: Average state fee (NU) rose 2.3%: $39.09 to $40.00
- 2026-01-01: Average state fee (RR) rose 2.3%: $3.93 to $4.02
- 2026-01-01: Average state fee (UE) rose 2.3%: $29.30 to $29.98
- 2006-01-01: E2213 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 E2213?
E2213 is the HCPCS Level II code for manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each. Short descriptor: "Pneumatic prop tire insert".
How much does Medicare pay for E2213?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $42.63–$51.96; NU (new equipment, purchased): $33.77–$47.12; RR (rental (monthly)): $4.30–$5.20; RR (rental (monthly)): $3.38–$4.71; UE (used equipment, purchased): $25.33–$35.35; UE (used equipment, purchased): $31.91–$39.00. Rural fees can be higher.
Does Medicare cover E2213?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E2213 change in 2026?
The average non-rural state fee for NU moved from $39.09 in 2025 to $40.00 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E2213 can be billed per day?
2 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)
- 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)
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 E2213
- Watch E2213 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E2213
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.