E2392 HCPCS code: Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each
E2392 is the HCPCS Level II code for power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each. The 2026 Medicare DMEPOS fee schedule pays $66.18 to $79.41 (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 3% from 2022 to 2024 (20,196 to 20,778 services). In 2024, 579 suppliers billed Medicare for E2392 (purchases), serving 6,193 beneficiaries; California, Texas, New York accounted for 27% of services. Its average fee ranks 7 of 34 E23 codes billed NU (family range $23.61–$1,025.37); rural fees run 6% 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 E2392
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $66.18 | $79.41 | $66.18 | $56.25 |
| NU | new equipment, purchased | $48.65 | $78.12 | — | — |
| RR | rental (monthly) | $4.87 | $7.82 | — | — |
| RR | rental (monthly) | $6.66 | $7.94 | $6.66 | $5.66 |
| UE | used equipment, purchased | $36.49 | $58.59 | — | — |
| UE | used equipment, purchased | $49.64 | $59.55 | $49.64 | $42.19 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $70.54 | — |
| AL | NU | $66.18 | $66.12 |
| AR | NU | $66.18 | $66.12 |
| AZ | NU | $66.18 | $66.12 |
| CA | NU | $66.18 | $66.12 |
| CO | NU | $66.18 | $66.12 |
| CT | NU | $66.18 | $66.12 |
| DC | NU | $66.18 | $66.12 |
| DE | NU | $66.18 | $66.12 |
| FL | NU | $66.18 | $66.12 |
| GA | NU | $66.18 | $66.12 |
| HI | NU | $70.54 | — |
| IA | NU | $66.18 | $66.12 |
| ID | NU | $66.18 | $66.12 |
| IL | NU | $66.18 | $66.12 |
| IN | NU | $66.18 | $66.12 |
| KS | NU | $66.18 | $66.12 |
| KY | NU | $66.18 | $66.12 |
| LA | NU | $66.18 | $66.12 |
| MA | NU | $66.18 | $66.12 |
| MD | NU | $66.18 | $66.12 |
| ME | NU | $66.18 | $66.12 |
| MI | NU | $66.18 | $66.12 |
| MN | NU | $66.18 | $66.12 |
| MO | NU | $66.18 | $66.12 |
| MS | NU | $66.18 | $66.12 |
| MT | NU | $66.18 | $66.12 |
| NC | NU | $66.18 | $66.12 |
| ND | NU | $66.18 | $66.12 |
| NE | NU | $66.18 | $66.12 |
| NH | NU | $66.18 | $66.12 |
| NJ | NU | $66.18 | $66.12 |
| NM | NU | $66.18 | $66.12 |
| NV | NU | $66.18 | $66.12 |
| NY | NU | $66.18 | $66.12 |
| OH | NU | $66.18 | $66.12 |
| OK | NU | $66.18 | $66.12 |
| OR | NU | $66.18 | $66.12 |
| PA | NU | $66.18 | $66.12 |
| PR | NU | $79.41 | — |
| RI | NU | $66.18 | $66.12 |
| SC | NU | $66.18 | $66.12 |
| SD | NU | $66.18 | $66.12 |
| TN | NU | $66.18 | $66.12 |
| TX | NU | $66.18 | $66.12 |
| UT | NU | $66.18 | $66.12 |
| VA | NU | $66.18 | $66.12 |
| VI | NU | $70.54 | — |
| VT | NU | $66.18 | $66.12 |
| WA | NU | $66.18 | $66.12 |
| WI | NU | $66.18 | $66.12 |
| WV | NU | $66.18 | $66.12 |
| WY | NU | $66.18 | $66.12 |
| AK | RR | $7.07 | — |
| AL | RR | $6.66 | $6.63 |
| AR | RR | $6.66 | $6.63 |
| AZ | RR | $6.66 | $6.63 |
| CA | RR | $6.66 | $6.63 |
| CO | RR | $6.66 | $6.63 |
| CT | RR | $6.66 | $6.63 |
| DC | RR | $6.66 | $6.63 |
| DE | RR | $6.66 | $6.63 |
| FL | RR | $6.66 | $6.63 |
| GA | RR | $6.66 | $6.63 |
| HI | RR | $7.07 | — |
| IA | RR | $6.66 | $6.63 |
| ID | RR | $6.66 | $6.63 |
| IL | RR | $6.66 | $6.63 |
| IN | RR | $6.66 | $6.63 |
| KS | RR | $6.66 | $6.63 |
| KY | RR | $6.66 | $6.63 |
| LA | RR | $6.66 | $6.63 |
| MA | RR | $6.66 | $6.63 |
| MD | RR | $6.66 | $6.63 |
| ME | RR | $6.66 | $6.63 |
| MI | RR | $6.66 | $6.63 |
| MN | RR | $6.66 | $6.63 |
| MO | RR | $6.66 | $6.63 |
| MS | RR | $6.66 | $6.63 |
| MT | RR | $6.66 | $6.63 |
| NC | RR | $6.66 | $6.63 |
| ND | RR | $6.66 | $6.63 |
| NE | RR | $6.66 | $6.63 |
| NH | RR | $6.66 | $6.63 |
| NJ | RR | $6.66 | $6.63 |
| NM | RR | $6.66 | $6.63 |
| NV | RR | $6.66 | $6.63 |
| NY | RR | $6.66 | $6.63 |
| OH | RR | $6.66 | $6.63 |
| OK | RR | $6.66 | $6.63 |
| OR | RR | $6.66 | $6.63 |
| PA | RR | $6.66 | $6.63 |
| PR | RR | $7.94 | — |
| RI | RR | $6.66 | $6.63 |
| SC | RR | $6.66 | $6.63 |
| SD | RR | $6.66 | $6.63 |
| TN | RR | $6.66 | $6.63 |
| TX | RR | $6.66 | $6.63 |
| UT | RR | $6.66 | $6.63 |
| VA | RR | $6.66 | $6.63 |
| VI | RR | $7.07 | — |
| VT | RR | $6.66 | $6.63 |
| WA | RR | $6.66 | $6.63 |
| WI | RR | $6.66 | $6.63 |
| WV | RR | $6.66 | $6.63 |
| WY | RR | $6.66 | $6.63 |
| AK | UE | $52.91 | — |
| AL | UE | $49.64 | $49.60 |
| AR | UE | $49.64 | $49.60 |
| AZ | UE | $49.64 | $49.60 |
| CA | UE | $49.64 | $49.60 |
| CO | UE | $49.64 | $49.60 |
| CT | UE | $49.64 | $49.60 |
| DC | UE | $49.64 | $49.60 |
| DE | UE | $49.64 | $49.60 |
| FL | UE | $49.64 | $49.60 |
| GA | UE | $49.64 | $49.60 |
| HI | UE | $52.91 | — |
| IA | UE | $49.64 | $49.60 |
| ID | UE | $49.64 | $49.60 |
| IL | UE | $49.64 | $49.60 |
| IN | UE | $49.64 | $49.60 |
| KS | UE | $49.64 | $49.60 |
| KY | UE | $49.64 | $49.60 |
| LA | UE | $49.64 | $49.60 |
| MA | UE | $49.64 | $49.60 |
| MD | UE | $49.64 | $49.60 |
| ME | UE | $49.64 | $49.60 |
| MI | UE | $49.64 | $49.60 |
| MN | UE | $49.64 | $49.60 |
| MO | UE | $49.64 | $49.60 |
| MS | UE | $49.64 | $49.60 |
| MT | UE | $49.64 | $49.60 |
| NC | UE | $49.64 | $49.60 |
| ND | UE | $49.64 | $49.60 |
| NE | UE | $49.64 | $49.60 |
| NH | UE | $49.64 | $49.60 |
| NJ | UE | $49.64 | $49.60 |
| NM | UE | $49.64 | $49.60 |
| NV | UE | $49.64 | $49.60 |
| NY | UE | $49.64 | $49.60 |
| OH | UE | $49.64 | $49.60 |
| OK | UE | $49.64 | $49.60 |
| OR | UE | $49.64 | $49.60 |
| PA | UE | $49.64 | $49.60 |
| PR | UE | $59.55 | — |
| RI | UE | $49.64 | $49.60 |
| SC | UE | $49.64 | $49.60 |
| SD | UE | $49.64 | $49.60 |
| TN | UE | $49.64 | $49.60 |
| TX | UE | $49.64 | $49.60 |
| UT | UE | $49.64 | $49.60 |
| VA | UE | $49.64 | $49.60 |
| VI | UE | $52.91 | — |
| VT | UE | $49.64 | $49.60 |
| WA | UE | $49.64 | $49.60 |
| WI | UE | $49.64 | $49.60 |
| WV | UE | $49.64 | $49.60 |
| WY | UE | $49.64 | $49.60 |
How the E2392 fee compares
| Measure | Value |
|---|---|
| Rank among 34 E23 codes billed NU (lowest = 1) | 7 |
| Family fee range (average of state fees) | $23.61–$1,025.37 |
| Rural fee uplift | 6.3% |
Who bills E2392 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 579 |
| Referring clinicians | 5,683 |
| Medicare beneficiaries | 6,193 |
| States with claims | 50 |
| Share of services in top 3 states (California, Texas, New York) | 27% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 610 | 6,092 |
| 2023 | 579 | 6,066 |
| 2024 | 579 | 6,193 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E2392, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 20,196 | 6,092 | $53.04 | $40.64 |
| 2023 | 19,951 | 6,066 | $57.27 | $43.87 |
| 2024 | 20,778 | 6,193 | $58.40 | $44.67 |
States with the most E2392 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 3,764 | $43.02 |
| Texas | 978 | $42.99 |
| New York | 956 | $46.70 |
| Illinois | 821 | $44.01 |
| Florida | 791 | $43.26 |
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 E2392
- 2026-01-01: Average state fee (NU) rose 2.3%: $58.61 to $59.95
- 2026-01-01: Average state fee (RR) rose 2.3%: $5.88 to $6.02
- 2026-01-01: Average state fee (UE) rose 2.3%: $43.96 to $44.97
- 2007-01-01: E2392 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 E2392?
E2392 is the HCPCS Level II code for power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each. Short descriptor: "Solid caster tire, integrate".
How much does Medicare pay for E2392?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $66.18–$79.41; NU (new equipment, purchased): $48.65–$78.12; RR (rental (monthly)): $4.87–$7.82; RR (rental (monthly)): $6.66–$7.94; UE (used equipment, purchased): $36.49–$58.59; UE (used equipment, purchased): $49.64–$59.55. Rural fees can be higher.
Does Medicare cover E2392?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E2392 change in 2026?
The average non-rural state fee for NU moved from $58.61 in 2025 to $59.95 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E2392 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 E2392
- Watch E2392 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E2392
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.