E2389 HCPCS code: Power wheelchair accessory, foam caster tire, any size, replacement only, each
E2389 is the HCPCS Level II code for power wheelchair accessory, foam caster tire, any size, replacement only, each. The 2026 Medicare DMEPOS fee schedule pays $33.61 to $36.95 (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 4 per day on DME suppliers. Medicare volume rose 21% from 2022 to 2024 (4,509 to 5,471 services). In 2024, 374 suppliers billed Medicare for E2389 (purchases), serving 1,671 beneficiaries; California, Texas, Florida accounted for 25% of services. Its average fee ranks 3 of 34 E23 codes billed NU (family range $23.61–$1,025.37); rural fees run 3% higher.
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 32 — DMEPOS: inexpensive or routinely purchased item |
| BETOS category | D1D — Wheelchairs |
| Added | 2007-01-01 |
| Last action effective | 2007-01-01 |
2026 Medicare DMEPOS fee schedule for E2389
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $33.61 | $36.95 | $33.61 | $28.57 |
| NU | new equipment, purchased | $33.27 | $37.79 | — | — |
| RR | rental (monthly) | $3.38 | $3.74 | $3.38 | $2.87 |
| RR | rental (monthly) | $3.33 | $3.79 | — | — |
| UE | used equipment, purchased | $24.95 | $28.36 | — | — |
| UE | used equipment, purchased | $25.18 | $27.74 | $25.18 | $21.40 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $35.88 | — |
| AL | NU | $33.61 | $35.88 |
| AR | NU | $33.61 | $35.88 |
| AZ | NU | $33.61 | $35.88 |
| CA | NU | $33.61 | $35.88 |
| CO | NU | $33.61 | $35.88 |
| CT | NU | $33.61 | $35.88 |
| DC | NU | $33.61 | $35.88 |
| DE | NU | $33.61 | $35.88 |
| FL | NU | $33.61 | $35.88 |
| GA | NU | $33.61 | $35.88 |
| HI | NU | $35.88 | — |
| IA | NU | $33.61 | $35.88 |
| ID | NU | $33.61 | $35.88 |
| IL | NU | $33.61 | $35.88 |
| IN | NU | $33.61 | $35.88 |
| KS | NU | $33.61 | $35.88 |
| KY | NU | $33.61 | $35.88 |
| LA | NU | $33.61 | $35.88 |
| MA | NU | $33.61 | $35.88 |
| MD | NU | $33.61 | $35.88 |
| ME | NU | $33.61 | $35.88 |
| MI | NU | $33.61 | $35.88 |
| MN | NU | $33.61 | $35.88 |
| MO | NU | $33.61 | $35.88 |
| MS | NU | $33.61 | $35.88 |
| MT | NU | $33.61 | $35.88 |
| NC | NU | $33.61 | $35.88 |
| ND | NU | $33.61 | $35.88 |
| NE | NU | $33.61 | $35.88 |
| NH | NU | $33.61 | $35.88 |
| NJ | NU | $33.61 | $35.88 |
| NM | NU | $33.61 | $35.88 |
| NV | NU | $33.61 | $35.88 |
| NY | NU | $33.61 | $35.88 |
| OH | NU | $33.61 | $35.88 |
| OK | NU | $33.61 | $35.88 |
| OR | NU | $33.61 | $35.88 |
| PA | NU | $33.61 | $35.88 |
| PR | NU | $37.79 | — |
| RI | NU | $33.61 | $35.88 |
| SC | NU | $33.61 | $35.88 |
| SD | NU | $33.61 | $35.88 |
| TN | NU | $33.61 | $35.88 |
| TX | NU | $33.61 | $35.88 |
| UT | NU | $33.61 | $35.88 |
| VA | NU | $33.61 | $35.88 |
| VI | NU | $35.88 | — |
| VT | NU | $33.61 | $35.88 |
| WA | NU | $33.61 | $35.88 |
| WI | NU | $33.61 | $35.88 |
| WV | NU | $33.61 | $35.88 |
| WY | NU | $33.61 | $35.88 |
| AK | RR | $3.60 | — |
| AL | RR | $3.38 | $3.60 |
| AR | RR | $3.38 | $3.60 |
| AZ | RR | $3.38 | $3.60 |
| CA | RR | $3.38 | $3.60 |
| CO | RR | $3.38 | $3.60 |
| CT | RR | $3.38 | $3.60 |
| DC | RR | $3.38 | $3.60 |
| DE | RR | $3.38 | $3.60 |
| FL | RR | $3.38 | $3.60 |
| GA | RR | $3.38 | $3.60 |
| HI | RR | $3.60 | — |
| IA | RR | $3.38 | $3.60 |
| ID | RR | $3.38 | $3.60 |
| IL | RR | $3.38 | $3.60 |
| IN | RR | $3.38 | $3.60 |
| KS | RR | $3.38 | $3.60 |
| KY | RR | $3.38 | $3.60 |
| LA | RR | $3.38 | $3.60 |
| MA | RR | $3.38 | $3.60 |
| MD | RR | $3.38 | $3.60 |
| ME | RR | $3.38 | $3.60 |
| MI | RR | $3.38 | $3.60 |
| MN | RR | $3.38 | $3.60 |
| MO | RR | $3.38 | $3.60 |
| MS | RR | $3.38 | $3.60 |
| MT | RR | $3.38 | $3.60 |
| NC | RR | $3.38 | $3.60 |
| ND | RR | $3.38 | $3.60 |
| NE | RR | $3.38 | $3.60 |
| NH | RR | $3.38 | $3.60 |
| NJ | RR | $3.38 | $3.60 |
| NM | RR | $3.38 | $3.60 |
| NV | RR | $3.38 | $3.60 |
| NY | RR | $3.38 | $3.60 |
| OH | RR | $3.38 | $3.60 |
| OK | RR | $3.38 | $3.60 |
| OR | RR | $3.38 | $3.60 |
| PA | RR | $3.38 | $3.60 |
| PR | RR | $3.79 | — |
| RI | RR | $3.38 | $3.60 |
| SC | RR | $3.38 | $3.60 |
| SD | RR | $3.38 | $3.60 |
| TN | RR | $3.38 | $3.60 |
| TX | RR | $3.38 | $3.60 |
| UT | RR | $3.38 | $3.60 |
| VA | RR | $3.38 | $3.60 |
| VI | RR | $3.60 | — |
| VT | RR | $3.38 | $3.60 |
| WA | RR | $3.38 | $3.60 |
| WI | RR | $3.38 | $3.60 |
| WV | RR | $3.38 | $3.60 |
| WY | RR | $3.38 | $3.60 |
| AK | UE | $26.89 | — |
| AL | UE | $25.18 | $26.89 |
| AR | UE | $25.18 | $26.89 |
| AZ | UE | $25.18 | $26.89 |
| CA | UE | $25.18 | $26.89 |
| CO | UE | $25.18 | $26.89 |
| CT | UE | $25.18 | $26.89 |
| DC | UE | $25.18 | $26.89 |
| DE | UE | $25.18 | $26.89 |
| FL | UE | $25.18 | $26.89 |
| GA | UE | $25.18 | $26.89 |
| HI | UE | $26.89 | — |
| IA | UE | $25.18 | $26.89 |
| ID | UE | $25.18 | $26.89 |
| IL | UE | $25.18 | $26.89 |
| IN | UE | $25.18 | $26.89 |
| KS | UE | $25.18 | $26.89 |
| KY | UE | $25.18 | $26.89 |
| LA | UE | $25.18 | $26.89 |
| MA | UE | $25.18 | $26.89 |
| MD | UE | $25.18 | $26.89 |
| ME | UE | $25.18 | $26.89 |
| MI | UE | $25.18 | $26.89 |
| MN | UE | $25.18 | $26.89 |
| MO | UE | $25.18 | $26.89 |
| MS | UE | $25.18 | $26.89 |
| MT | UE | $25.18 | $26.89 |
| NC | UE | $25.18 | $26.89 |
| ND | UE | $25.18 | $26.89 |
| NE | UE | $25.18 | $26.89 |
| NH | UE | $25.18 | $26.89 |
| NJ | UE | $25.18 | $26.89 |
| NM | UE | $25.18 | $26.89 |
| NV | UE | $25.18 | $26.89 |
| NY | UE | $25.18 | $26.89 |
| OH | UE | $25.18 | $26.89 |
| OK | UE | $25.18 | $26.89 |
| OR | UE | $25.18 | $26.89 |
| PA | UE | $25.18 | $26.89 |
| PR | UE | $28.36 | — |
| RI | UE | $25.18 | $26.89 |
| SC | UE | $25.18 | $26.89 |
| SD | UE | $25.18 | $26.89 |
| TN | UE | $25.18 | $26.89 |
| TX | UE | $25.18 | $26.89 |
| UT | UE | $25.18 | $26.89 |
| VA | UE | $25.18 | $26.89 |
| VI | UE | $26.89 | — |
| VT | UE | $25.18 | $26.89 |
| WA | UE | $25.18 | $26.89 |
| WI | UE | $25.18 | $26.89 |
| WV | UE | $25.18 | $26.89 |
| WY | UE | $25.18 | $26.89 |
How the E2389 fee compares
| Measure | Value |
|---|---|
| Rank among 34 E23 codes billed NU (lowest = 1) | 3 |
| Family fee range (average of state fees) | $23.61–$1,025.37 |
| Rural fee uplift | 3.2% |
Who bills E2389 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 374 |
| Referring clinicians | 1,603 |
| Medicare beneficiaries | 1,671 |
| States with claims | 38 |
| Share of services in top 3 states (California, Texas, Florida) | 25% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 416 | 1,521 |
| 2023 | 383 | 1,456 |
| 2024 | 374 | 1,671 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E2389, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 4,509 | 1,521 | $28.43 | $21.85 |
| 2023 | 4,422 | 1,456 | $30.93 | $23.66 |
| 2024 | 5,471 | 1,671 | $31.83 | $24.44 |
States with the most E2389 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 641 | $24.66 |
| Texas | 336 | $24.21 |
| Florida | 329 | $24.51 |
| Pennsylvania | 328 | $24.22 |
| New York | 286 | $25.15 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 4 | Code Descriptor / CPT Instruction |
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 E2389
- 2026-01-01: Average state fee (NU) rose 2.3%: $32.84 to $33.60
- 2026-01-01: Average state fee (RR) rose 2.4%: $3.29 to $3.37
- 2026-01-01: Average state fee (UE) rose 2.3%: $24.62 to $25.18
- 2007-01-01: E2389 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 E2389?
E2389 is the HCPCS Level II code for power wheelchair accessory, foam caster tire, any size, replacement only, each. Short descriptor: "Foam caster tire".
How much does Medicare pay for E2389?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $33.61–$36.95; NU (new equipment, purchased): $33.27–$37.79; RR (rental (monthly)): $3.38–$3.74; RR (rental (monthly)): $3.33–$3.79; UE (used equipment, purchased): $24.95–$28.36; UE (used equipment, purchased): $25.18–$27.74. Rural fees can be higher.
Does Medicare cover E2389?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E2389 change in 2026?
The average non-rural state fee for NU moved from $32.84 in 2025 to $33.60 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E2389 can be billed per day?
4 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)
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 E2389
- Watch E2389 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E2389
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.