E2323 HCPCS code: Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated

E2323 is the HCPCS Level II code for power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated. The 2026 Medicare DMEPOS fee schedule pays $84.97 to $101.92 (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 1 per day on DME suppliers. Medicare volume rose 14% from 2022 to 2024 (2,675 to 3,050 services). In 2024, 520 suppliers billed Medicare for E2323 (purchases), serving 3,027 beneficiaries; California, New York, Ohio accounted for 21% of services. Its average fee ranks 14 of 34 E23 codes billed NU (family range $23.61–$1,025.37); rural fees run 3% higher.

Code details

2026 Medicare DMEPOS fee schedule for E2323

How the E2323 fee compares

Who bills E2323 (2024)

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

Medicare utilization for E2323, 2022–2024

States with the most E2323 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 E2323

• 2026-01-01: Average state fee (NU) rose 2.3%: $83.55 to $85.48
• 2026-01-01: Average state fee (RR) rose 2.3%: $8.34 to $8.53
• 2026-01-01: Average state fee (UE) rose 2.3%: $62.65 to $64.10
• 2004-01-01: E2323 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 E2323?

E2323 is the HCPCS Level II code for power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated. Short descriptor: "Special joystick handle".

How much does Medicare pay for E2323?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $84.97–$101.92; NU (new equipment, purchased): $84.91–$100.81; RR (rental (monthly)): $8.49–$10.07; RR (rental (monthly)): $8.47–$10.17; UE (used equipment, purchased): $63.69–$75.62; UE (used equipment, purchased): $63.70–$76.48. Rural fees can be higher.

Does Medicare cover E2323?

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

Did the Medicare fee for E2323 change in 2026?

The average non-rural state fee for NU moved from $83.55 in 2025 to $85.48 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of E2323 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)
• E2322 — Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ($173.22–$404.04)
• 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)

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Next steps

• Run a reimbursement report for a device billed under E2323
• Watch E2323 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for E2323

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.

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