E2391 HCPCS code: Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

E2391 is the HCPCS Level II code for power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each. The 2026 Medicare DMEPOS fee schedule pays $25.17 to $27.73 (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. Its average fee ranks 1 of 34 E23 codes billed NU (family range $23.61–$1,025.37); rural fees run 7% higher.

Code details

2026 Medicare DMEPOS fee schedule for E2391

How the E2391 fee compares

NCCI unit limits (MUE)

What changed for E2391

• 2026-01-01: Average state fee (NU) rose 2.3%: $23.07 to $23.61
• 2026-01-01: Average state fee (RR) rose 2.3%: $2.31 to $2.37
• 2026-01-01: Average state fee (UE) rose 2.3%: $17.31 to $17.71
• 2007-01-01: E2391 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 E2391?

E2391 is the HCPCS Level II code for power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each. Short descriptor: "Solid caster tire".

How much does Medicare pay for E2391?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $25.17–$27.73; NU (new equipment, purchased): $20.63–$28.04; RR (rental (monthly)): $2.53–$2.78; RR (rental (monthly)): $2.06–$2.81; UE (used equipment, purchased): $15.47–$21.02; UE (used equipment, purchased): $18.88–$20.78. Rural fees can be higher.

Does Medicare cover E2391?

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

Did the Medicare fee for E2391 change in 2026?

The average non-rural state fee for NU moved from $23.07 in 2025 to $23.61 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of E2391 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)

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Next steps

• Run a reimbursement report for a device billed under E2391
• Watch E2391 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for E2391

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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