E2397 HCPCS code: Power wheelchair accessory, lithium-based battery, each
E2397 is the HCPCS Level II code for power wheelchair accessory, lithium-based battery, each. The 2026 Medicare DMEPOS fee schedule pays $590.19 to $708.21 (NU, new equipment, purchased) 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 1 per day on DME suppliers. Medicare volume fell 4% from 2022 to 2024 (474 to 455 services). In 2024, 130 suppliers billed Medicare for E2397 (purchases), serving 453 beneficiaries; Virginia, North Carolina, Tennessee accounted for 40% of services. Its average fee ranks 30 of 34 E23 codes billed NU (family range $23.61–$1,025.37); rural fees run 4% higher.
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 32 — DMEPOS: inexpensive or routinely purchased item |
| BETOS category | D1D — Wheelchairs |
| Added | 2008-01-01 |
| Last action effective | 2008-01-01 |
2026 Medicare DMEPOS fee schedule for E2397
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $590.19 | $708.21 | $590.19 | $501.66 |
| NU | new equipment, purchased | $506.20 | $651.83 | — | — |
| RR | rental (monthly) | $59.04 | $70.86 | $59.04 | $50.18 |
| RR | rental (monthly) | $50.62 | $65.20 | — | — |
| UE | used equipment, purchased | $379.65 | $488.87 | — | — |
| UE | used equipment, purchased | $442.61 | $531.18 | $442.62 | $376.23 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $590.20 | — |
| AL | NU | $590.19 | $590.20 |
| AR | NU | $590.19 | $590.20 |
| AZ | NU | $590.19 | $590.20 |
| CA | NU | $590.19 | $590.20 |
| CO | NU | $590.19 | $590.20 |
| CT | NU | $590.19 | $590.20 |
| DC | NU | $590.19 | $590.20 |
| DE | NU | $590.19 | $590.20 |
| FL | NU | $590.19 | $590.20 |
| GA | NU | $590.19 | $590.20 |
| HI | NU | $590.20 | — |
| IA | NU | $590.19 | $590.20 |
| ID | NU | $590.19 | $590.20 |
| IL | NU | $590.19 | $590.20 |
| IN | NU | $590.19 | $590.20 |
| KS | NU | $590.19 | $590.20 |
| KY | NU | $590.19 | $590.20 |
| LA | NU | $590.19 | $590.20 |
| MA | NU | $590.19 | $590.20 |
| MD | NU | $590.19 | $590.20 |
| ME | NU | $590.19 | $590.20 |
| MI | NU | $590.19 | $590.20 |
| MN | NU | $590.19 | $590.20 |
| MO | NU | $590.19 | $590.20 |
| MS | NU | $590.19 | $590.20 |
| MT | NU | $590.19 | $590.20 |
| NC | NU | $590.19 | $590.20 |
| ND | NU | $590.19 | $590.20 |
| NE | NU | $590.19 | $590.20 |
| NH | NU | $590.19 | $590.20 |
| NJ | NU | $590.19 | $590.20 |
| NM | NU | $590.19 | $590.20 |
| NV | NU | $590.19 | $590.20 |
| NY | NU | $590.19 | $590.20 |
| OH | NU | $590.19 | $590.20 |
| OK | NU | $590.19 | $590.20 |
| OR | NU | $590.19 | $590.20 |
| PA | NU | $590.19 | $590.20 |
| PR | NU | $708.21 | — |
| RI | NU | $590.19 | $590.20 |
| SC | NU | $590.19 | $590.20 |
| SD | NU | $590.19 | $590.20 |
| TN | NU | $590.19 | $590.20 |
| TX | NU | $590.19 | $590.20 |
| UT | NU | $590.19 | $590.20 |
| VA | NU | $590.19 | $590.20 |
| VI | NU | $590.20 | — |
| VT | NU | $590.19 | $590.20 |
| WA | NU | $590.19 | $590.20 |
| WI | NU | $590.19 | $590.20 |
| WV | NU | $590.19 | $590.20 |
| WY | NU | $590.19 | $590.20 |
| AK | RR | $59.04 | — |
| AL | RR | $59.04 | $59.02 |
| AR | RR | $59.04 | $59.02 |
| AZ | RR | $59.04 | $59.02 |
| CA | RR | $59.04 | $59.02 |
| CO | RR | $59.04 | $59.02 |
| CT | RR | $59.04 | $59.02 |
| DC | RR | $59.04 | $59.02 |
| DE | RR | $59.04 | $59.02 |
| FL | RR | $59.04 | $59.02 |
| GA | RR | $59.04 | $59.02 |
| HI | RR | $59.04 | — |
| IA | RR | $59.04 | $59.02 |
| ID | RR | $59.04 | $59.02 |
| IL | RR | $59.04 | $59.02 |
| IN | RR | $59.04 | $59.02 |
| KS | RR | $59.04 | $59.02 |
| KY | RR | $59.04 | $59.02 |
| LA | RR | $59.04 | $59.02 |
| MA | RR | $59.04 | $59.02 |
| MD | RR | $59.04 | $59.02 |
| ME | RR | $59.04 | $59.02 |
| MI | RR | $59.04 | $59.02 |
| MN | RR | $59.04 | $59.02 |
| MO | RR | $59.04 | $59.02 |
| MS | RR | $59.04 | $59.02 |
| MT | RR | $59.04 | $59.02 |
| NC | RR | $59.04 | $59.02 |
| ND | RR | $59.04 | $59.02 |
| NE | RR | $59.04 | $59.02 |
| NH | RR | $59.04 | $59.02 |
| NJ | RR | $59.04 | $59.02 |
| NM | RR | $59.04 | $59.02 |
| NV | RR | $59.04 | $59.02 |
| NY | RR | $59.04 | $59.02 |
| OH | RR | $59.04 | $59.02 |
| OK | RR | $59.04 | $59.02 |
| OR | RR | $59.04 | $59.02 |
| PA | RR | $59.04 | $59.02 |
| PR | RR | $70.86 | — |
| RI | RR | $59.04 | $59.02 |
| SC | RR | $59.04 | $59.02 |
| SD | RR | $59.04 | $59.02 |
| TN | RR | $59.04 | $59.02 |
| TX | RR | $59.04 | $59.02 |
| UT | RR | $59.04 | $59.02 |
| VA | RR | $59.04 | $59.02 |
| VI | RR | $59.04 | — |
| VT | RR | $59.04 | $59.02 |
| WA | RR | $59.04 | $59.02 |
| WI | RR | $59.04 | $59.02 |
| WV | RR | $59.04 | $59.02 |
| WY | RR | $59.04 | $59.02 |
| AK | UE | $442.61 | — |
| AL | UE | $442.62 | $442.62 |
| AR | UE | $442.62 | $442.62 |
| AZ | UE | $442.61 | $442.61 |
| CA | UE | $442.61 | $442.61 |
| CO | UE | $442.62 | $442.62 |
| CT | UE | $442.62 | $442.62 |
| DC | UE | $442.62 | $442.62 |
| DE | UE | $442.62 | $442.62 |
| FL | UE | $442.61 | $442.61 |
| GA | UE | $442.62 | $442.62 |
| HI | UE | $442.61 | — |
| IA | UE | $442.61 | $442.61 |
| ID | UE | $442.61 | $442.61 |
| IL | UE | $442.62 | $442.62 |
| IN | UE | $442.62 | $442.62 |
| KS | UE | $442.61 | $442.61 |
| KY | UE | $442.62 | $442.62 |
| LA | UE | $442.62 | $442.62 |
| MA | UE | $442.62 | $442.62 |
| MD | UE | $442.62 | $442.62 |
| ME | UE | $442.62 | $442.62 |
| MI | UE | $442.62 | $442.62 |
| MN | UE | $442.62 | $442.62 |
| MO | UE | $442.62 | $442.62 |
| MS | UE | $442.62 | $442.62 |
| MT | UE | $442.61 | $442.61 |
| NC | UE | $442.62 | $442.62 |
| ND | UE | $442.61 | $442.61 |
| NE | UE | $442.61 | $442.61 |
| NH | UE | $442.62 | $442.62 |
| NJ | UE | $442.62 | $442.62 |
| NM | UE | $442.62 | $442.62 |
| NV | UE | $442.61 | $442.61 |
| NY | UE | $442.62 | $442.62 |
| OH | UE | $442.62 | $442.62 |
| OK | UE | $442.62 | $442.62 |
| OR | UE | $442.61 | $442.61 |
| PA | UE | $442.62 | $442.62 |
| PR | UE | $531.18 | — |
| RI | UE | $442.62 | $442.62 |
| SC | UE | $442.62 | $442.62 |
| SD | UE | $442.61 | $442.61 |
| TN | UE | $442.62 | $442.62 |
| TX | UE | $442.61 | $442.61 |
| UT | UE | $442.62 | $442.62 |
| VA | UE | $442.61 | $442.61 |
| VI | UE | $442.62 | — |
| VT | UE | $442.62 | $442.62 |
| WA | UE | $442.62 | $442.62 |
| WI | UE | $442.62 | $442.62 |
| WV | UE | $442.61 | $442.61 |
| WY | UE | $442.61 | $442.61 |
How the E2397 fee compares
| Measure | Value |
|---|---|
| Rank among 34 E23 codes billed NU (lowest = 1) | 30 |
| Family fee range (average of state fees) | $23.61–$1,025.37 |
| Rural fee uplift | 3.7% |
Who bills E2397 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 130 |
| Referring clinicians | 430 |
| Medicare beneficiaries | 453 |
| States with claims | 15 |
| Share of services in top 3 states (Virginia, North Carolina, Tennessee) | 40% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 141 | 471 |
| 2023 | 143 | 694 |
| 2024 | 130 | 453 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E2397, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 474 | 471 | $470.76 | $370.77 |
| 2023 | 695 | 694 | $504.88 | $393.77 |
| 2024 | 455 | 453 | $519.04 | $404.64 |
States with the most E2397 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Virginia | 62 | $389.12 |
| North Carolina | 42 | $406.05 |
| Tennessee | 39 | $418.17 |
| Missouri | 25 | $428.07 |
| Pennsylvania | 24 | $414.44 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | 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 E2397
- 2026-01-01: Average state fee (NU) rose 2.3%: $556.44 to $569.29
- 2026-01-01: Average state fee (RR) rose 2.3%: $55.65 to $56.94
- 2026-01-01: Average state fee (UE) rose 2.3%: $417.31 to $426.95
- 2008-01-01: E2397 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 E2397?
E2397 is the HCPCS Level II code for power wheelchair accessory, lithium-based battery, each. Short descriptor: "Pwc acc, lith-based battery".
How much does Medicare pay for E2397?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $590.19–$708.21; NU (new equipment, purchased): $506.20–$651.83; RR (rental (monthly)): $59.04–$70.86; RR (rental (monthly)): $50.62–$65.20; UE (used equipment, purchased): $379.65–$488.87; UE (used equipment, purchased): $442.61–$531.18. Rural fees can be higher.
Does Medicare cover E2397?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E2397 change in 2026?
The average non-rural state fee for NU moved from $556.44 in 2025 to $569.29 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E2397 can be billed per day?
1 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 E2397
- Watch E2397 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E2397
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.