E2222 HCPCS code: Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each
E2222 is the HCPCS Level II code for manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each. The 2026 Medicare DMEPOS fee schedule pays $30.03 to $36.03 (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. Its average fee ranks 5 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 | 2017-01-01 |
2026 Medicare DMEPOS fee schedule for E2222
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $30.03 | $36.03 | $30.03 | $25.53 |
| NU | new equipment, purchased | $25.43 | $32.85 | — | — |
| RR | rental (monthly) | $2.54 | $3.28 | — | — |
| RR | rental (monthly) | $2.96 | $3.61 | $2.96 | $2.52 |
| UE | used equipment, purchased | $19.07 | $24.64 | — | — |
| UE | used equipment, purchased | $22.53 | $27.05 | $22.53 | $19.15 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $30.03 | — |
| AL | NU | $30.03 | $29.84 |
| AR | NU | $30.03 | $29.84 |
| AZ | NU | $30.03 | $29.84 |
| CA | NU | $30.03 | $29.84 |
| CO | NU | $30.03 | $29.84 |
| CT | NU | $30.03 | $29.84 |
| DC | NU | $30.03 | $29.84 |
| DE | NU | $30.03 | $29.84 |
| FL | NU | $30.03 | $29.84 |
| GA | NU | $30.03 | $29.84 |
| HI | NU | $30.03 | — |
| IA | NU | $30.03 | $29.84 |
| ID | NU | $30.03 | $29.84 |
| IL | NU | $30.03 | $29.84 |
| IN | NU | $30.03 | $29.84 |
| KS | NU | $30.03 | $29.84 |
| KY | NU | $30.03 | $29.84 |
| LA | NU | $30.03 | $29.84 |
| MA | NU | $30.03 | $29.84 |
| MD | NU | $30.03 | $29.84 |
| ME | NU | $30.03 | $29.84 |
| MI | NU | $30.03 | $29.84 |
| MN | NU | $30.03 | $29.84 |
| MO | NU | $30.03 | $29.84 |
| MS | NU | $30.03 | $29.84 |
| MT | NU | $30.03 | $29.84 |
| NC | NU | $30.03 | $29.84 |
| ND | NU | $30.03 | $29.84 |
| NE | NU | $30.03 | $29.84 |
| NH | NU | $30.03 | $29.84 |
| NJ | NU | $30.03 | $29.84 |
| NM | NU | $30.03 | $29.84 |
| NV | NU | $30.03 | $29.84 |
| NY | NU | $30.03 | $29.84 |
| OH | NU | $30.03 | $29.84 |
| OK | NU | $30.03 | $29.84 |
| OR | NU | $30.03 | $29.84 |
| PA | NU | $30.03 | $29.84 |
| PR | NU | $36.03 | — |
| RI | NU | $30.03 | $29.84 |
| SC | NU | $30.03 | $29.84 |
| SD | NU | $30.03 | $29.84 |
| TN | NU | $30.03 | $29.84 |
| TX | NU | $30.03 | $29.84 |
| UT | NU | $30.03 | $29.84 |
| VA | NU | $30.03 | $29.84 |
| VI | NU | $30.03 | — |
| VT | NU | $30.03 | $29.84 |
| WA | NU | $30.03 | $29.84 |
| WI | NU | $30.03 | $29.84 |
| WV | NU | $30.03 | $29.84 |
| WY | NU | $30.03 | $29.84 |
| AK | RR | $2.97 | — |
| AL | RR | $2.96 | $2.97 |
| AR | RR | $2.96 | $2.97 |
| AZ | RR | $2.96 | $2.97 |
| CA | RR | $2.96 | $2.97 |
| CO | RR | $2.96 | $2.97 |
| CT | RR | $2.96 | $2.97 |
| DC | RR | $2.96 | $2.97 |
| DE | RR | $2.96 | $2.97 |
| FL | RR | $2.96 | $2.97 |
| GA | RR | $2.96 | $2.97 |
| HI | RR | $2.97 | — |
| IA | RR | $2.96 | $2.97 |
| ID | RR | $2.96 | $2.97 |
| IL | RR | $2.96 | $2.97 |
| IN | RR | $2.96 | $2.97 |
| KS | RR | $2.96 | $2.97 |
| KY | RR | $2.96 | $2.97 |
| LA | RR | $2.96 | $2.97 |
| MA | RR | $2.96 | $2.97 |
| MD | RR | $2.96 | $2.97 |
| ME | RR | $2.96 | $2.97 |
| MI | RR | $2.96 | $2.97 |
| MN | RR | $2.96 | $2.97 |
| MO | RR | $2.96 | $2.97 |
| MS | RR | $2.96 | $2.97 |
| MT | RR | $2.96 | $2.97 |
| NC | RR | $2.96 | $2.97 |
| ND | RR | $2.96 | $2.97 |
| NE | RR | $2.96 | $2.97 |
| NH | RR | $2.96 | $2.97 |
| NJ | RR | $2.96 | $2.97 |
| NM | RR | $2.96 | $2.97 |
| NV | RR | $2.96 | $2.97 |
| NY | RR | $2.96 | $2.97 |
| OH | RR | $2.96 | $2.97 |
| OK | RR | $2.96 | $2.97 |
| OR | RR | $2.96 | $2.97 |
| PA | RR | $2.96 | $2.97 |
| PR | RR | $3.61 | — |
| RI | RR | $2.96 | $2.97 |
| SC | RR | $2.96 | $2.97 |
| SD | RR | $2.96 | $2.97 |
| TN | RR | $2.96 | $2.97 |
| TX | RR | $2.96 | $2.97 |
| UT | RR | $2.96 | $2.97 |
| VA | RR | $2.96 | $2.97 |
| VI | RR | $2.97 | — |
| VT | RR | $2.96 | $2.97 |
| WA | RR | $2.96 | $2.97 |
| WI | RR | $2.96 | $2.97 |
| WV | RR | $2.96 | $2.97 |
| WY | RR | $2.96 | $2.97 |
| AK | UE | $22.53 | — |
| AL | UE | $22.53 | $22.39 |
| AR | UE | $22.53 | $22.39 |
| AZ | UE | $22.53 | $22.39 |
| CA | UE | $22.53 | $22.39 |
| CO | UE | $22.53 | $22.39 |
| CT | UE | $22.53 | $22.39 |
| DC | UE | $22.53 | $22.39 |
| DE | UE | $22.53 | $22.39 |
| FL | UE | $22.53 | $22.39 |
| GA | UE | $22.53 | $22.39 |
| HI | UE | $22.53 | — |
| IA | UE | $22.53 | $22.39 |
| ID | UE | $22.53 | $22.39 |
| IL | UE | $22.53 | $22.39 |
| IN | UE | $22.53 | $22.39 |
| KS | UE | $22.53 | $22.39 |
| KY | UE | $22.53 | $22.39 |
| LA | UE | $22.53 | $22.39 |
| MA | UE | $22.53 | $22.39 |
| MD | UE | $22.53 | $22.39 |
| ME | UE | $22.53 | $22.39 |
| MI | UE | $22.53 | $22.39 |
| MN | UE | $22.53 | $22.39 |
| MO | UE | $22.53 | $22.39 |
| MS | UE | $22.53 | $22.39 |
| MT | UE | $22.53 | $22.39 |
| NC | UE | $22.53 | $22.39 |
| ND | UE | $22.53 | $22.39 |
| NE | UE | $22.53 | $22.39 |
| NH | UE | $22.53 | $22.39 |
| NJ | UE | $22.53 | $22.39 |
| NM | UE | $22.53 | $22.39 |
| NV | UE | $22.53 | $22.39 |
| NY | UE | $22.53 | $22.39 |
| OH | UE | $22.53 | $22.39 |
| OK | UE | $22.53 | $22.39 |
| OR | UE | $22.53 | $22.39 |
| PA | UE | $22.53 | $22.39 |
| PR | UE | $27.05 | — |
| RI | UE | $22.53 | $22.39 |
| SC | UE | $22.53 | $22.39 |
| SD | UE | $22.53 | $22.39 |
| TN | UE | $22.53 | $22.39 |
| TX | UE | $22.53 | $22.39 |
| UT | UE | $22.53 | $22.39 |
| VA | UE | $22.53 | $22.39 |
| VI | UE | $22.53 | — |
| VT | UE | $22.53 | $22.39 |
| WA | UE | $22.53 | $22.39 |
| WI | UE | $22.53 | $22.39 |
| WV | UE | $22.53 | $22.39 |
| WY | UE | $22.53 | $22.39 |
How the E2222 fee compares
| Measure | Value |
|---|---|
| Rank among 26 E22 codes billed NU (lowest = 1) | 5 |
| Family fee range (average of state fees) | $7.38–$1,039.53 |
| Rural fee uplift | 4.0% |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Nature of Equipment |
What changed for E2222
- 2026-01-01: Average state fee (NU) rose 2.3%: $28.04 to $28.69
- 2026-01-01: Average state fee (RR) rose 2.4%: $2.78 to $2.85
- 2026-01-01: Average state fee (UE) rose 2.3%: $21.04 to $21.52
- 2006-01-01: E2222 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 E2222?
E2222 is the HCPCS Level II code for manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each. Short descriptor: "Solid caster integ whl, repl".
How much does Medicare pay for E2222?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $30.03–$36.03; NU (new equipment, purchased): $25.43–$32.85; RR (rental (monthly)): $2.54–$3.28; RR (rental (monthly)): $2.96–$3.61; UE (used equipment, purchased): $19.07–$24.64; UE (used equipment, purchased): $22.53–$27.05. Rural fees can be higher.
Does Medicare cover E2222?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E2222 change in 2026?
The average non-rural state fee for NU moved from $28.04 in 2025 to $28.69 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E2222 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 E2222
- Watch E2222 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E2222
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.