E2398 HCPCS code: Wheelchair accessory, dynamic positioning hardware for back

E2398 is the HCPCS Level II code for wheelchair accessory, dynamic positioning hardware for back. The 2026 Medicare DMEPOS fee schedule pays $163.49 to $196.14 (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 rose 5% from 2022 to 2024 (167 to 175 services). In 2024, 84 suppliers billed Medicare for E2398 (purchases), serving 138 beneficiaries. Its average fee ranks 22 of 34 E23 codes billed NU (family range $23.61–$1,025.37).

Code details

2026 Medicare DMEPOS fee schedule for E2398

How the E2398 fee compares

Who bills E2398 (2024)

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

Medicare utilization for E2398, 2022–2024

States with the most E2398 services (2024)

NCCI unit limits (MUE)

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 E2398

• 2026-01-01: Average state fee (NU) rose 2.0%: $160.88 to $164.11
• 2026-01-01: Average state fee (RR) rose 2.0%: $16.09 to $16.41
• 2026-01-01: Average state fee (UE) rose 2.0%: $120.65 to $123.06
• 2020-01-01: E2398 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 E2398?

E2398 is the HCPCS Level II code for wheelchair accessory, dynamic positioning hardware for back. Short descriptor: "Wc dynamic pos back hardware".

How much does Medicare pay for E2398?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $163.49–$196.14; RR (rental (monthly)): $16.35–$19.66; UE (used equipment, purchased): $122.60–$147.10. Rural fees can be higher.

Does Medicare cover E2398?

Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.

Did the Medicare fee for E2398 change in 2026?

The average non-rural state fee for NU moved from $160.88 in 2025 to $164.11 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of E2398 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)

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Next steps

• Run a reimbursement report for a device billed under E2398
• Watch E2398 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for E2398

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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