E2226 HCPCS code: Manual wheelchair accessory, caster fork, any size, replacement only, each
E2226 is the HCPCS Level II code for manual wheelchair accessory, caster fork, any size, replacement only, each. The 2026 Medicare DMEPOS fee schedule pays $45.21 to $59.34 (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 fell 9% from 2022 to 2024 (1,366 to 1,242 services). In 2024, 236 suppliers billed Medicare for E2226 (purchases), serving 636 beneficiaries; California, Florida, New York accounted for 53% of services. Its average fee ranks 11 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 E2226
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $45.21 | $59.34 | — | — |
| NU | new equipment, purchased | $54.06 | $64.90 | $54.06 | $45.95 |
| RR | rental (monthly) | $5.41 | $6.51 | $5.41 | $4.60 |
| RR | rental (monthly) | $4.52 | $5.93 | — | — |
| UE | used equipment, purchased | $33.91 | $44.50 | — | — |
| UE | used equipment, purchased | $40.56 | $48.65 | $40.56 | $34.48 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $54.06 | — |
| AL | NU | $54.06 | $53.26 |
| AR | NU | $54.06 | $53.26 |
| AZ | NU | $54.06 | $53.26 |
| CA | NU | $54.06 | $53.26 |
| CO | NU | $54.06 | $53.26 |
| CT | NU | $54.06 | $53.26 |
| DC | NU | $54.06 | $53.26 |
| DE | NU | $54.06 | $53.26 |
| FL | NU | $54.06 | $53.26 |
| GA | NU | $54.06 | $53.26 |
| HI | NU | $54.06 | — |
| IA | NU | $54.06 | $53.26 |
| ID | NU | $54.06 | $53.26 |
| IL | NU | $54.06 | $53.26 |
| IN | NU | $54.06 | $53.26 |
| KS | NU | $54.06 | $53.26 |
| KY | NU | $54.06 | $53.26 |
| LA | NU | $54.06 | $53.26 |
| MA | NU | $54.06 | $53.26 |
| MD | NU | $54.06 | $53.26 |
| ME | NU | $54.06 | $53.26 |
| MI | NU | $54.06 | $53.26 |
| MN | NU | $54.06 | $53.26 |
| MO | NU | $54.06 | $53.26 |
| MS | NU | $54.06 | $53.26 |
| MT | NU | $54.06 | $53.26 |
| NC | NU | $54.06 | $53.26 |
| ND | NU | $54.06 | $53.26 |
| NE | NU | $54.06 | $53.26 |
| NH | NU | $54.06 | $53.26 |
| NJ | NU | $54.06 | $53.26 |
| NM | NU | $54.06 | $53.26 |
| NV | NU | $54.06 | $53.26 |
| NY | NU | $54.06 | $53.26 |
| OH | NU | $54.06 | $53.26 |
| OK | NU | $54.06 | $53.26 |
| OR | NU | $54.06 | $53.26 |
| PA | NU | $54.06 | $53.26 |
| PR | NU | $64.90 | — |
| RI | NU | $54.06 | $53.26 |
| SC | NU | $54.06 | $53.26 |
| SD | NU | $54.06 | $53.26 |
| TN | NU | $54.06 | $53.26 |
| TX | NU | $54.06 | $53.26 |
| UT | NU | $54.06 | $53.26 |
| VA | NU | $54.06 | $53.26 |
| VI | NU | $54.06 | — |
| VT | NU | $54.06 | $53.26 |
| WA | NU | $54.06 | $53.26 |
| WI | NU | $54.06 | $53.26 |
| WV | NU | $54.06 | $53.26 |
| WY | NU | $54.06 | $53.26 |
| AK | RR | $5.41 | — |
| AL | RR | $5.41 | $5.33 |
| AR | RR | $5.41 | $5.33 |
| AZ | RR | $5.41 | $5.33 |
| CA | RR | $5.41 | $5.33 |
| CO | RR | $5.41 | $5.33 |
| CT | RR | $5.41 | $5.33 |
| DC | RR | $5.41 | $5.33 |
| DE | RR | $5.41 | $5.33 |
| FL | RR | $5.41 | $5.33 |
| GA | RR | $5.41 | $5.33 |
| HI | RR | $5.41 | — |
| IA | RR | $5.41 | $5.33 |
| ID | RR | $5.41 | $5.33 |
| IL | RR | $5.41 | $5.33 |
| IN | RR | $5.41 | $5.33 |
| KS | RR | $5.41 | $5.33 |
| KY | RR | $5.41 | $5.33 |
| LA | RR | $5.41 | $5.33 |
| MA | RR | $5.41 | $5.33 |
| MD | RR | $5.41 | $5.33 |
| ME | RR | $5.41 | $5.33 |
| MI | RR | $5.41 | $5.33 |
| MN | RR | $5.41 | $5.33 |
| MO | RR | $5.41 | $5.33 |
| MS | RR | $5.41 | $5.33 |
| MT | RR | $5.41 | $5.33 |
| NC | RR | $5.41 | $5.33 |
| ND | RR | $5.41 | $5.33 |
| NE | RR | $5.41 | $5.33 |
| NH | RR | $5.41 | $5.33 |
| NJ | RR | $5.41 | $5.33 |
| NM | RR | $5.41 | $5.33 |
| NV | RR | $5.41 | $5.33 |
| NY | RR | $5.41 | $5.33 |
| OH | RR | $5.41 | $5.33 |
| OK | RR | $5.41 | $5.33 |
| OR | RR | $5.41 | $5.33 |
| PA | RR | $5.41 | $5.33 |
| PR | RR | $6.51 | — |
| RI | RR | $5.41 | $5.33 |
| SC | RR | $5.41 | $5.33 |
| SD | RR | $5.41 | $5.33 |
| TN | RR | $5.41 | $5.33 |
| TX | RR | $5.41 | $5.33 |
| UT | RR | $5.41 | $5.33 |
| VA | RR | $5.41 | $5.33 |
| VI | RR | $5.41 | — |
| VT | RR | $5.41 | $5.33 |
| WA | RR | $5.41 | $5.33 |
| WI | RR | $5.41 | $5.33 |
| WV | RR | $5.41 | $5.33 |
| WY | RR | $5.41 | $5.33 |
| AK | UE | $40.56 | — |
| AL | UE | $40.56 | $39.95 |
| AR | UE | $40.56 | $39.95 |
| AZ | UE | $40.56 | $39.95 |
| CA | UE | $40.56 | $39.95 |
| CO | UE | $40.56 | $39.95 |
| CT | UE | $40.56 | $39.95 |
| DC | UE | $40.56 | $39.95 |
| DE | UE | $40.56 | $39.95 |
| FL | UE | $40.56 | $39.95 |
| GA | UE | $40.56 | $39.95 |
| HI | UE | $40.56 | — |
| IA | UE | $40.56 | $39.95 |
| ID | UE | $40.56 | $39.95 |
| IL | UE | $40.56 | $39.95 |
| IN | UE | $40.56 | $39.95 |
| KS | UE | $40.56 | $39.95 |
| KY | UE | $40.56 | $39.95 |
| LA | UE | $40.56 | $39.95 |
| MA | UE | $40.56 | $39.95 |
| MD | UE | $40.56 | $39.95 |
| ME | UE | $40.56 | $39.95 |
| MI | UE | $40.56 | $39.95 |
| MN | UE | $40.56 | $39.95 |
| MO | UE | $40.56 | $39.95 |
| MS | UE | $40.56 | $39.95 |
| MT | UE | $40.56 | $39.95 |
| NC | UE | $40.56 | $39.95 |
| ND | UE | $40.56 | $39.95 |
| NE | UE | $40.56 | $39.95 |
| NH | UE | $40.56 | $39.95 |
| NJ | UE | $40.56 | $39.95 |
| NM | UE | $40.56 | $39.95 |
| NV | UE | $40.56 | $39.95 |
| NY | UE | $40.56 | $39.95 |
| OH | UE | $40.56 | $39.95 |
| OK | UE | $40.56 | $39.95 |
| OR | UE | $40.56 | $39.95 |
| PA | UE | $40.56 | $39.95 |
| PR | UE | $48.65 | — |
| RI | UE | $40.56 | $39.95 |
| SC | UE | $40.56 | $39.95 |
| SD | UE | $40.56 | $39.95 |
| TN | UE | $40.56 | $39.95 |
| TX | UE | $40.56 | $39.95 |
| UT | UE | $40.56 | $39.95 |
| VA | UE | $40.56 | $39.95 |
| VI | UE | $40.56 | — |
| VT | UE | $40.56 | $39.95 |
| WA | UE | $40.56 | $39.95 |
| WI | UE | $40.56 | $39.95 |
| WV | UE | $40.56 | $39.95 |
| WY | UE | $40.56 | $39.95 |
How the E2226 fee compares
| Measure | Value |
|---|---|
| Rank among 26 E22 codes billed NU (lowest = 1) | 11 |
| Family fee range (average of state fees) | $7.38–$1,039.53 |
| Rural fee uplift | 3.9% |
Who bills E2226 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 236 |
| Referring clinicians | 593 |
| Medicare beneficiaries | 636 |
| States with claims | 16 |
| Share of services in top 3 states (California, Florida, New York) | 53% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 262 | 691 |
| 2023 | 236 | 594 |
| 2024 | 236 | 636 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E2226, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 1,366 | 691 | $44.58 | $32.46 |
| 2023 | 1,137 | 594 | $47.52 | $35.41 |
| 2024 | 1,242 | 636 | $48.49 | $36.70 |
States with the most E2226 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 370 | $32.88 |
| Florida | 64 | $39.19 |
| New York | 63 | $37.74 |
| Illinois | 57 | $39.80 |
| Wisconsin | 52 | $39.76 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Nature of Equipment |
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 E2226
- 2026-01-01: Average state fee (NU) rose 2.3%: $50.10 to $51.26
- 2026-01-01: Average state fee (RR) rose 2.3%: $5.01 to $5.13
- 2026-01-01: Average state fee (UE) rose 2.3%: $37.58 to $38.45
- 2006-01-01: E2226 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 E2226?
E2226 is the HCPCS Level II code for manual wheelchair accessory, caster fork, any size, replacement only, each. Short descriptor: "Caster fork replacement only".
How much does Medicare pay for E2226?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $45.21–$59.34; NU (new equipment, purchased): $54.06–$64.90; RR (rental (monthly)): $5.41–$6.51; RR (rental (monthly)): $4.52–$5.93; UE (used equipment, purchased): $33.91–$44.50; UE (used equipment, purchased): $40.56–$48.65. Rural fees can be higher.
Does Medicare cover E2226?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E2226 change in 2026?
The average non-rural state fee for NU moved from $50.10 in 2025 to $51.26 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E2226 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 E2226
- Watch E2226 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E2226
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.