E2386 HCPCS code: Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each

E2386 is the HCPCS Level II code for power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each. The 2026 Medicare DMEPOS fee schedule pays $108.95 to $195.55 (NU, new equipment, purchased) depending on the state. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 2 per day on DME suppliers. Medicare volume fell 13% from 2022 to 2024 (14,040 to 12,232 services). In 2024, 626 suppliers billed Medicare for E2386 (purchases), serving 5,942 beneficiaries; California, Texas, Florida accounted for 38% of services. Its average fee ranks 20 of 34 E23 codes billed NU (family range $23.61–$1,025.37); rural fees run 7% higher.

Code details

FieldValue
SectionE codes — Durable medical equipment
Coverage codeD — Special coverage instructions apply
Pricing indicator32 — DMEPOS: inexpensive or routinely purchased item
BETOS categoryD1D — Wheelchairs
Added2007-01-01
Last action effective2007-01-01

2026 Medicare DMEPOS fee schedule for E2386

ModifierMeaningLowest state feeHighest state feeCeilingFloor
NUnew equipment, purchased$108.95$195.55——
NUnew equipment, purchased$181.77$221.82$184.86$157.13
RRrental (monthly)$10.90$19.55——
RRrental (monthly)$18.19$22.17$18.48$15.71
UEused equipment, purchased$81.71$146.68——
UEused equipment, purchased$136.35$166.38$138.67$117.87
StateModifierFeeRural fee
AKNU$181.77—
ALNU$184.86$174.39
ARNU$184.86$174.39
AZNU$181.77$172.62
CANU$181.77$172.62
CONU$184.86$174.39
CTNU$184.86$174.39
DCNU$184.86$174.39
DENU$184.86$174.39
FLNU$184.86$174.39
GANU$184.86$174.39
HINU$181.77—
IANU$181.77$172.62
IDNU$181.77$172.62
ILNU$184.86$174.39
INNU$184.86$174.39
KSNU$181.77$172.62
KYNU$184.86$174.39
LANU$184.86$174.39
MANU$184.86$174.39
MDNU$184.86$174.39
MENU$184.86$174.39
MINU$184.86$174.39
MNNU$184.86$174.39
MONU$184.86$174.39
MSNU$184.86$174.39
MTNU$181.77$172.62
NCNU$184.86$174.39
NDNU$181.77$172.62
NENU$181.77$172.62
NHNU$184.86$174.39
NJNU$184.86$174.39
NMNU$184.86$174.39
NVNU$181.77$172.62
NYNU$184.86$174.39
OHNU$184.86$174.39
OKNU$184.86$174.39
ORNU$181.77$172.62
PANU$184.86$174.39
PRNU$221.82—
RINU$184.86$174.39
SCNU$184.86$174.39
SDNU$181.77$172.62
TNNU$184.86$174.39
TXNU$184.86$174.39
UTNU$184.86$174.39
VANU$184.86$174.39
VINU$184.86—
VTNU$184.86$174.39
WANU$184.86$174.39
WINU$184.86$174.39
WVNU$184.86$174.39
WYNU$181.77$172.62
AKRR$18.19—
ALRR$18.48$17.44
ARRR$18.48$17.44
AZRR$18.19$17.26
CARR$18.19$17.26
CORR$18.48$17.44
CTRR$18.48$17.44
DCRR$18.48$17.44
DERR$18.48$17.44
FLRR$18.48$17.44
GARR$18.48$17.44
HIRR$18.19—
IARR$18.19$17.26
IDRR$18.19$17.26
ILRR$18.48$17.44
INRR$18.48$17.44
KSRR$18.19$17.26
KYRR$18.48$17.44
LARR$18.48$17.44
MARR$18.48$17.44
MDRR$18.48$17.44
MERR$18.48$17.44
MIRR$18.48$17.44
MNRR$18.48$17.44
MORR$18.48$17.44
MSRR$18.48$17.44
MTRR$18.19$17.26
NCRR$18.48$17.44
NDRR$18.19$17.26
NERR$18.19$17.26
NHRR$18.48$17.44
NJRR$18.48$17.44
NMRR$18.48$17.44
NVRR$18.19$17.26
NYRR$18.48$17.44
OHRR$18.48$17.44
OKRR$18.48$17.44
ORRR$18.19$17.26
PARR$18.48$17.44
PRRR$22.17—
RIRR$18.48$17.44
SCRR$18.48$17.44
SDRR$18.19$17.26
TNRR$18.48$17.44
TXRR$18.48$17.44
UTRR$18.48$17.44
VARR$18.48$17.44
VIRR$18.48—
VTRR$18.48$17.44
WARR$18.48$17.44
WIRR$18.48$17.44
WVRR$18.48$17.44
WYRR$18.19$17.26
AKUE$136.35—
ALUE$138.67$130.80
ARUE$138.67$130.80
AZUE$136.35$129.49
CAUE$136.35$129.49
COUE$138.67$130.80
CTUE$138.67$130.80
DCUE$138.67$130.80
DEUE$138.67$130.80
FLUE$138.67$130.80
GAUE$138.67$130.80
HIUE$136.35—
IAUE$136.35$129.49
IDUE$136.35$129.49
ILUE$138.67$130.80
INUE$138.67$130.80
KSUE$136.35$129.49
KYUE$138.67$130.80
LAUE$138.67$130.80
MAUE$138.67$130.80
MDUE$138.67$130.80
MEUE$138.67$130.80
MIUE$138.67$130.80
MNUE$138.67$130.80
MOUE$138.67$130.80
MSUE$138.67$130.80
MTUE$136.35$129.49
NCUE$138.67$130.80
NDUE$136.35$129.49
NEUE$136.35$129.49
NHUE$138.67$130.80
NJUE$138.67$130.80
NMUE$138.67$130.80
NVUE$136.35$129.49
NYUE$138.67$130.80
OHUE$138.67$130.80
OKUE$138.67$130.80
ORUE$136.35$129.49
PAUE$138.67$130.80
PRUE$166.38—
RIUE$138.67$130.80
SCUE$138.67$130.80
SDUE$136.35$129.49
TNUE$138.67$130.80
TXUE$138.67$130.80
UTUE$138.67$130.80
VAUE$138.67$130.80
VIUE$138.67—
VTUE$138.67$130.80
WAUE$138.67$130.80
WIUE$138.67$130.80
WVUE$138.67$130.80
WYUE$136.35$129.49

How the E2386 fee compares

MeasureValue
Rank among 34 E23 codes billed NU (lowest = 1)20
Family fee range (average of state fees)$23.61–$1,025.37
Rural fee uplift6.5%

Who bills E2386 (2024)

MeasureValue
Suppliers billing rentals—
Suppliers billing purchases626
Referring clinicians5,364
Medicare beneficiaries5,942
States with claims47
Share of services in top 3 states (California, Texas, Florida)38%
YearSuppliersBeneficiaries
20226916,833
20236636,329
20246265,942

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

Medicare utilization for E2386, 2022–2024

YearServicesBeneficiariesAvg. allowedAvg. paid
202214,0406,833$133.04$103.08
202313,0096,329$144.43$111.34
202412,2325,942$147.98$114.00

States with the most E2386 services (2024)

StateServicesAvg. paid
California3,287$103.67
Texas744$105.85
Florida534$116.81
Maryland419$109.12
New York406$122.37

NCCI unit limits (MUE)

Claim typeMax units per dayRationale
DME suppliers2Code Descriptor / CPT Instruction

Medicare policy articles for this code

What changed for E2386

Frequently asked questions

What is HCPCS code E2386?

E2386 is the HCPCS Level II code for power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each. Short descriptor: "Foam filled drive wheel tire".

How much does Medicare pay for E2386?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $108.95–$195.55; NU (new equipment, purchased): $181.77–$221.82; RR (rental (monthly)): $10.90–$19.55; RR (rental (monthly)): $18.19–$22.17; UE (used equipment, purchased): $81.71–$146.68; UE (used equipment, purchased): $136.35–$166.38. Rural fees can be higher.

Does Medicare cover E2386?

Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.

Did the Medicare fee for E2386 change in 2026?

The average non-rural state fee for NU moved from $153.55 in 2025 to $157.04 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of E2386 can be billed per day?

2 on DME suppliers (NCCI medically unlikely edits).

Related E23 codes

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

Sources: CMS HCPCS Level II release October 2026; 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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