E2221 HCPCS code: Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

E2221 is the HCPCS Level II code for manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each. The 2026 Medicare DMEPOS fee schedule pays $30.52 to $39.60 (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. Medicare volume rose 55% from 2022 to 2024 (639 to 989 services). In 2024, 193 suppliers billed Medicare for E2221 (purchases), serving 496 beneficiaries; California, Missouri, Illinois accounted for 39% of services. Its average fee ranks 6 of 26 E22 codes billed NU (family range $7.38–$1,039.53); rural fees run 4% higher.

Code details

2026 Medicare DMEPOS fee schedule for E2221

How the E2221 fee compares

Who bills E2221 (2024)

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

Medicare utilization for E2221, 2022–2024

States with the most E2221 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 E2221

• 2026-01-01: Average state fee (NU) rose 2.3%: $33.72 to $34.50
• 2026-01-01: Average state fee (RR) rose 2.3%: $3.39 to $3.47
• 2026-01-01: Average state fee (UE) rose 2.3%: $25.29 to $25.88
• 2006-01-01: E2221 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 E2221?

E2221 is the HCPCS Level II code for manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each. Short descriptor: "Solid caster tire repl, each".

How much does Medicare pay for E2221?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $30.52–$39.60; NU (new equipment, purchased): $35.79–$43.69; RR (rental (monthly)): $3.56–$4.39; RR (rental (monthly)): $3.05–$3.96; UE (used equipment, purchased): $22.89–$29.71; UE (used equipment, purchased): $26.73–$32.80. Rural fees can be higher.

Does Medicare cover E2221?

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

Did the Medicare fee for E2221 change in 2026?

The average non-rural state fee for NU moved from $33.72 in 2025 to $34.50 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of E2221 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)

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Next steps

• Run a reimbursement report for a device billed under E2221
• Watch E2221 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for E2221

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.

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