E2378 HCPCS code: Power wheelchair component, actuator, replacement only
E2378 is the HCPCS Level II code for power wheelchair component, actuator, replacement only. The 2026 Medicare DMEPOS fee schedule pays $66.89 to $81.81 (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 2 per day on DME suppliers. Medicare volume fell 4% from 2022 to 2024 (1,278 to 1,224 services). In 2024, 375 suppliers billed Medicare for E2378 (purchases), serving 1,065 beneficiaries; California, New York, Ohio accounted for 25% of services. Its average fee ranks 38 of 55 E23 codes billed RR (family range $2.37–$612.71); rural fees run 2% higher.
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 | 2013-01-01 |
| Last action effective | 2014-04-01 |
2026 Medicare DMEPOS fee schedule for E2378
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $66.89 | $81.81 | — | — |
| RR | rental (monthly) | $72.94 | $87.55 | $72.94 | $62.00 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $72.94 | — |
| AL | RR | $72.94 | $72.63 |
| AR | RR | $72.94 | $72.63 |
| AZ | RR | $72.94 | $72.63 |
| CA | RR | $72.94 | $72.63 |
| CO | RR | $72.94 | $72.63 |
| CT | RR | $72.94 | $72.63 |
| DC | RR | $72.94 | $72.63 |
| DE | RR | $72.94 | $72.63 |
| FL | RR | $72.94 | $72.63 |
| GA | RR | $72.94 | $72.63 |
| HI | RR | $72.94 | — |
| IA | RR | $72.94 | $72.63 |
| ID | RR | $72.94 | $72.63 |
| IL | RR | $72.94 | $72.63 |
| IN | RR | $72.94 | $72.63 |
| KS | RR | $72.94 | $72.63 |
| KY | RR | $72.94 | $72.63 |
| LA | RR | $72.94 | $72.63 |
| MA | RR | $72.94 | $72.63 |
| MD | RR | $72.94 | $72.63 |
| ME | RR | $72.94 | $72.63 |
| MI | RR | $72.94 | $72.63 |
| MN | RR | $72.94 | $72.63 |
| MO | RR | $72.94 | $72.63 |
| MS | RR | $72.94 | $72.63 |
| MT | RR | $72.94 | $72.63 |
| NC | RR | $72.94 | $72.63 |
| ND | RR | $72.94 | $72.63 |
| NE | RR | $72.94 | $72.63 |
| NH | RR | $72.94 | $72.63 |
| NJ | RR | $72.94 | $72.63 |
| NM | RR | $72.94 | $72.63 |
| NV | RR | $72.94 | $72.63 |
| NY | RR | $72.94 | $72.63 |
| OH | RR | $72.94 | $72.63 |
| OK | RR | $72.94 | $72.63 |
| OR | RR | $72.94 | $72.63 |
| PA | RR | $72.94 | $72.63 |
| PR | RR | $87.55 | — |
| RI | RR | $72.94 | $72.63 |
| SC | RR | $72.94 | $72.63 |
| SD | RR | $72.94 | $72.63 |
| TN | RR | $72.94 | $72.63 |
| TX | RR | $72.94 | $72.63 |
| UT | RR | $72.94 | $72.63 |
| VA | RR | $72.94 | $72.63 |
| VI | RR | $72.94 | — |
| VT | RR | $72.94 | $72.63 |
| WA | RR | $72.94 | $72.63 |
| WI | RR | $72.94 | $72.63 |
| WV | RR | $72.94 | $72.63 |
| WY | RR | $72.94 | $72.63 |
How the E2378 fee compares
| Measure | Value |
|---|---|
| Rank among 55 E23 codes billed RR (lowest = 1) | 38 |
| Family fee range (average of state fees) | $2.37–$612.71 |
| Rural fee uplift | 1.5% |
Who bills E2378 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 8 |
| Suppliers billing purchases | 375 |
| Referring clinicians | 1,036 |
| Medicare beneficiaries | 1,065 |
| States with claims | 35 |
| Share of services in top 3 states (California, New York, Ohio) | 25% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 375 | 1,086 |
| 2023 | 367 | 1,098 |
| 2024 | 375 | 1,065 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E2378, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 1,278 | 1,086 | $564.50 | $434.15 |
| 2023 | 1,284 | 1,098 | $615.05 | $474.63 |
| 2024 | 1,224 | 1,065 | $643.38 | $495.87 |
States with the most E2378 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 141 | $513.59 |
| New York | 77 | $538.42 |
| Ohio | 66 | $425.35 |
| Texas | 65 | $500.08 |
| Florida | 61 | $519.06 |
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 E2378
- 2026-01-01: Average state fee (RR) rose 2.3%: $69.94 to $71.56
- 2013-01-01: E2378 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 E2378?
E2378 is the HCPCS Level II code for power wheelchair component, actuator, replacement only. Short descriptor: "Pw actuator replacement".
How much does Medicare pay for E2378?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $66.89–$81.81; RR (rental (monthly)): $72.94–$87.55. Rural fees can be higher.
Does Medicare cover E2378?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E2378 change in 2026?
The average non-rural state fee for RR moved from $69.94 in 2025 to $71.56 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E2378 can be billed per day?
2 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)
- 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)
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Next steps
- Run a reimbursement report for a device billed under E2378
- Watch E2378 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E2378
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.