E2322 HCPCS code: Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware
E2322 is the HCPCS Level II code for power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware. The 2026 Medicare DMEPOS fee schedule pays $173.22 to $371.33 (RR, rental (monthly)) 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 rose 316% from 2022 to 2024 (57 to 237 services). In 2024, 91 suppliers billed Medicare for E2322 (purchases), serving 234 beneficiaries. Its average fee ranks 50 of 55 E23 codes billed RR (family range $2.37–$612.71).
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 36 — DMEPOS: capped rental item |
| BETOS category | D1D — Wheelchairs |
| Added | 2004-01-01 |
| Last action effective | 2014-04-01 |
2026 Medicare DMEPOS fee schedule for E2322
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $173.22 | $371.33 | — | — |
| RR | rental (monthly) | $336.72 | $404.04 | $336.72 | $286.21 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $336.72 | — |
| AL | RR | $336.72 | $336.71 |
| AR | RR | $336.72 | $336.71 |
| AZ | RR | $336.72 | $336.71 |
| CA | RR | $336.72 | $336.71 |
| CO | RR | $336.72 | $336.71 |
| CT | RR | $336.72 | $336.71 |
| DC | RR | $336.72 | $336.71 |
| DE | RR | $336.72 | $336.71 |
| FL | RR | $336.72 | $336.71 |
| GA | RR | $336.72 | $336.71 |
| HI | RR | $336.72 | — |
| IA | RR | $336.72 | $336.71 |
| ID | RR | $336.72 | $336.71 |
| IL | RR | $336.72 | $336.71 |
| IN | RR | $336.72 | $336.71 |
| KS | RR | $336.72 | $336.71 |
| KY | RR | $336.72 | $336.71 |
| LA | RR | $336.72 | $336.71 |
| MA | RR | $336.72 | $336.71 |
| MD | RR | $336.72 | $336.71 |
| ME | RR | $336.72 | $336.71 |
| MI | RR | $336.72 | $336.71 |
| MN | RR | $336.72 | $336.71 |
| MO | RR | $336.72 | $336.71 |
| MS | RR | $336.72 | $336.71 |
| MT | RR | $336.72 | $336.71 |
| NC | RR | $336.72 | $336.71 |
| ND | RR | $336.72 | $336.71 |
| NE | RR | $336.72 | $336.71 |
| NH | RR | $336.72 | $336.71 |
| NJ | RR | $336.72 | $336.71 |
| NM | RR | $336.72 | $336.71 |
| NV | RR | $336.72 | $336.71 |
| NY | RR | $336.72 | $336.71 |
| OH | RR | $336.72 | $336.71 |
| OK | RR | $336.72 | $336.71 |
| OR | RR | $336.72 | $336.71 |
| PA | RR | $336.72 | $336.71 |
| PR | RR | $404.04 | — |
| RI | RR | $336.72 | $336.71 |
| SC | RR | $336.72 | $336.71 |
| SD | RR | $336.72 | $336.71 |
| TN | RR | $336.72 | $336.71 |
| TX | RR | $336.72 | $336.71 |
| UT | RR | $336.72 | $336.71 |
| VA | RR | $336.72 | $336.71 |
| VI | RR | $336.72 | — |
| VT | RR | $336.72 | $336.71 |
| WA | RR | $336.72 | $336.71 |
| WI | RR | $336.72 | $336.71 |
| WV | RR | $336.72 | $336.71 |
| WY | RR | $336.72 | $336.71 |
How the E2322 fee compares
| Measure | Value |
|---|---|
| Rank among 55 E23 codes billed RR (lowest = 1) | 50 |
| Family fee range (average of state fees) | $2.37–$612.71 |
| Rural fee uplift | -17.3% |
Who bills E2322 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 91 |
| Referring clinicians | 231 |
| Medicare beneficiaries | 234 |
| States with claims | 3 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 25 | 56 |
| 2023 | 34 | 65 |
| 2024 | 91 | 234 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E2322, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 57 | 56 | $1,795.85 | $1,416.05 |
| 2023 | 65 | 65 | $1,727.06 | $1,351.29 |
| 2024 | 237 | 234 | $1,588.25 | $1,239.41 |
States with the most E2322 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 53 | $1,438.82 |
| Texas | 14 | $1,176.38 |
| Colorado | 12 | $1,232.64 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | 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 E2322
- 2026-01-01: Average state fee (RR) rose 2.1%: $275.03 to $280.72
- 2004-01-01: E2322 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 E2322?
E2322 is the HCPCS Level II code for power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware. Short descriptor: "Mult mech switches".
How much does Medicare pay for E2322?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $173.22–$371.33; RR (rental (monthly)): $336.72–$404.04. Rural fees can be higher.
Does Medicare cover E2322?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E2322 change in 2026?
The average non-rural state fee for RR moved from $275.03 in 2025 to $280.72 in 2026 (+2.1%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E2322 can be billed per day?
1 on DME suppliers (NCCI medically unlikely edits).
Related E23 codes
- E2300 — Wheelchair accessory, power seat elevation system, any type
- E2301 — Wheelchair accessory, power standing system, any type
- E2310 — Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware ($135.70–$172.50)
- E2311 — Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware ($273.84–$349.22)
- E2312 — Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware ($276.37–$375.72)
- E2313 — Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each ($43.92–$46.77)
- E2321 — Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ($184.38–$381.55)
- E2323 — Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated ($8.47–$101.92)
- E2324 — Power wheelchair accessory, chin cup for chin control interface ($5.35–$65.02)
- E2325 — Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware ($165.44–$198.54)
- E2326 — Power wheelchair accessory, breath tube kit for sip and puff interface ($42.65–$51.17)
- E2327 — Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware ($320.87–$584.99)
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 E2322
- Watch E2322 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E2322
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.