E2627 HCPCS code: Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type
E2627 is the HCPCS Level II code for wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type. The 2026 Medicare DMEPOS fee schedule pays $1,160.59 to $2,293.32 (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 2 per day on DME suppliers. Medicare volume rose 22% from 2022 to 2024 (9,783 to 11,971 services). In 2024, 17 suppliers billed Medicare for E2627 (purchases), serving 5,991 beneficiaries; Florida, Texas, Georgia accounted for 90% of services. Its average fee ranks 29 of 29 E26 codes billed NU (family range $62.42–$1,312.30).
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 | 2012-01-01 |
| Last action effective | 2012-01-01 |
2026 Medicare DMEPOS fee schedule for E2627
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $1,160.59 | $2,293.32 | — | — |
| NU | new equipment, purchased | $1,200.62 | $2,551.15 | $1,412.49 | $1,200.62 |
| RR | rental (monthly) | $116.06 | $229.33 | — | — |
| RR | rental (monthly) | $120.11 | $255.14 | $141.30 | $120.11 |
| UE | used equipment, purchased | $870.44 | $1,719.99 | — | — |
| UE | used equipment, purchased | $900.44 | $1,913.34 | $1,059.34 | $900.44 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $2,385.76 | — |
| AL | NU | $1,200.62 | $1,200.60 |
| AR | NU | $1,200.62 | $1,200.60 |
| AZ | NU | $1,412.49 | $1,372.34 |
| CA | NU | $1,412.49 | $1,372.34 |
| CO | NU | $1,412.49 | $1,372.34 |
| CT | NU | $1,412.49 | $1,372.34 |
| DC | NU | $1,412.49 | $1,372.34 |
| DE | NU | $1,412.49 | $1,372.34 |
| FL | NU | $1,412.49 | $1,372.34 |
| GA | NU | $1,412.49 | $1,372.34 |
| HI | NU | $2,551.15 | — |
| IA | NU | $1,412.49 | $1,372.34 |
| ID | NU | $1,412.49 | $1,372.34 |
| IL | NU | $1,200.62 | $1,200.60 |
| IN | NU | $1,200.62 | $1,200.60 |
| KS | NU | $1,200.62 | $1,200.60 |
| KY | NU | $1,412.49 | $1,372.34 |
| LA | NU | $1,200.62 | $1,200.60 |
| MA | NU | $1,412.49 | $1,372.34 |
| MD | NU | $1,200.62 | $1,200.60 |
| ME | NU | $1,412.49 | $1,372.34 |
| MI | NU | $1,412.49 | $1,372.34 |
| MN | NU | $1,200.62 | $1,200.60 |
| MO | NU | $1,200.62 | $1,200.60 |
| MS | NU | $1,200.62 | $1,200.60 |
| MT | NU | $1,412.49 | $1,372.34 |
| NC | NU | $1,412.49 | $1,372.34 |
| ND | NU | $1,200.62 | $1,200.60 |
| NE | NU | $1,200.62 | $1,200.60 |
| NH | NU | $1,412.49 | $1,372.34 |
| NJ | NU | $1,412.49 | $1,372.34 |
| NM | NU | $1,412.49 | $1,372.34 |
| NV | NU | $1,412.49 | $1,372.34 |
| NY | NU | $1,200.62 | $1,200.60 |
| OH | NU | $1,200.62 | $1,200.60 |
| OK | NU | $1,412.49 | $1,372.34 |
| OR | NU | $1,412.49 | $1,372.34 |
| PA | NU | $1,412.49 | $1,372.34 |
| PR | NU | $1,509.23 | — |
| RI | NU | $1,412.49 | $1,372.34 |
| SC | NU | $1,200.62 | $1,200.60 |
| SD | NU | $1,200.62 | $1,200.60 |
| TN | NU | $1,412.49 | $1,372.34 |
| TX | NU | $1,412.49 | $1,372.34 |
| UT | NU | $1,412.49 | $1,372.34 |
| VA | NU | $1,200.62 | $1,200.60 |
| VI | NU | $1,200.62 | — |
| VT | NU | $1,412.49 | $1,372.34 |
| WA | NU | $1,412.49 | $1,372.34 |
| WI | NU | $1,200.62 | $1,200.60 |
| WV | NU | $1,200.62 | $1,200.60 |
| WY | NU | $1,200.62 | $1,200.60 |
| AK | RR | $238.59 | — |
| AL | RR | $120.11 | $120.09 |
| AR | RR | $120.11 | $120.09 |
| AZ | RR | $141.30 | $137.25 |
| CA | RR | $141.30 | $137.25 |
| CO | RR | $141.30 | $137.25 |
| CT | RR | $141.30 | $137.25 |
| DC | RR | $141.30 | $137.25 |
| DE | RR | $141.30 | $137.25 |
| FL | RR | $141.30 | $137.25 |
| GA | RR | $141.30 | $137.25 |
| HI | RR | $255.14 | — |
| IA | RR | $141.30 | $137.25 |
| ID | RR | $141.30 | $137.25 |
| IL | RR | $120.11 | $120.09 |
| IN | RR | $120.11 | $120.09 |
| KS | RR | $120.11 | $120.09 |
| KY | RR | $141.30 | $137.25 |
| LA | RR | $120.11 | $120.09 |
| MA | RR | $141.30 | $137.25 |
| MD | RR | $120.11 | $120.09 |
| ME | RR | $141.30 | $137.25 |
| MI | RR | $141.30 | $137.25 |
| MN | RR | $120.11 | $120.09 |
| MO | RR | $120.11 | $120.09 |
| MS | RR | $120.11 | $120.09 |
| MT | RR | $141.30 | $137.25 |
| NC | RR | $141.30 | $137.25 |
| ND | RR | $120.11 | $120.09 |
| NE | RR | $120.11 | $120.09 |
| NH | RR | $141.30 | $137.25 |
| NJ | RR | $141.30 | $137.25 |
| NM | RR | $141.30 | $137.25 |
| NV | RR | $141.30 | $137.25 |
| NY | RR | $120.11 | $120.09 |
| OH | RR | $120.11 | $120.09 |
| OK | RR | $141.30 | $137.25 |
| OR | RR | $141.30 | $137.25 |
| PA | RR | $141.30 | $137.25 |
| PR | RR | $150.97 | — |
| RI | RR | $141.30 | $137.25 |
| SC | RR | $120.11 | $120.09 |
| SD | RR | $120.11 | $120.09 |
| TN | RR | $141.30 | $137.25 |
| TX | RR | $141.30 | $137.25 |
| UT | RR | $141.30 | $137.25 |
| VA | RR | $120.11 | $120.09 |
| VI | RR | $120.11 | — |
| VT | RR | $141.30 | $137.25 |
| WA | RR | $141.30 | $137.25 |
| WI | RR | $120.11 | $120.09 |
| WV | RR | $120.11 | $120.09 |
| WY | RR | $120.11 | $120.09 |
| AK | UE | $1,789.36 | — |
| AL | UE | $900.44 | $900.44 |
| AR | UE | $900.44 | $900.44 |
| AZ | UE | $1,059.34 | $1,029.25 |
| CA | UE | $1,059.34 | $1,029.25 |
| CO | UE | $1,059.34 | $1,029.25 |
| CT | UE | $1,059.34 | $1,029.25 |
| DC | UE | $1,059.34 | $1,029.25 |
| DE | UE | $1,059.34 | $1,029.25 |
| FL | UE | $1,059.34 | $1,029.25 |
| GA | UE | $1,059.34 | $1,029.25 |
| HI | UE | $1,913.34 | — |
| IA | UE | $1,059.34 | $1,029.25 |
| ID | UE | $1,059.34 | $1,029.25 |
| IL | UE | $900.44 | $900.44 |
| IN | UE | $900.44 | $900.44 |
| KS | UE | $900.44 | $900.44 |
| KY | UE | $1,059.34 | $1,029.25 |
| LA | UE | $900.44 | $900.44 |
| MA | UE | $1,059.34 | $1,029.25 |
| MD | UE | $900.44 | $900.44 |
| ME | UE | $1,059.34 | $1,029.25 |
| MI | UE | $1,059.34 | $1,029.25 |
| MN | UE | $900.44 | $900.44 |
| MO | UE | $900.44 | $900.44 |
| MS | UE | $900.44 | $900.44 |
| MT | UE | $1,059.34 | $1,029.25 |
| NC | UE | $1,059.34 | $1,029.25 |
| ND | UE | $900.44 | $900.44 |
| NE | UE | $900.44 | $900.44 |
| NH | UE | $1,059.34 | $1,029.25 |
| NJ | UE | $1,059.34 | $1,029.25 |
| NM | UE | $1,059.34 | $1,029.25 |
| NV | UE | $1,059.34 | $1,029.25 |
| NY | UE | $900.44 | $900.44 |
| OH | UE | $900.44 | $900.44 |
| OK | UE | $1,059.34 | $1,029.25 |
| OR | UE | $1,059.34 | $1,029.25 |
| PA | UE | $1,059.34 | $1,029.25 |
| PR | UE | $1,131.90 | — |
| RI | UE | $1,059.34 | $1,029.25 |
| SC | UE | $900.44 | $900.44 |
| SD | UE | $900.44 | $900.44 |
| TN | UE | $1,059.34 | $1,029.25 |
| TX | UE | $1,059.34 | $1,029.25 |
| UT | UE | $1,059.34 | $1,029.25 |
| VA | UE | $900.44 | $900.44 |
| VI | UE | $900.44 | — |
| VT | UE | $1,059.34 | $1,029.25 |
| WA | UE | $1,059.34 | $1,029.25 |
| WI | UE | $900.44 | $900.44 |
| WV | UE | $900.44 | $900.44 |
| WY | UE | $900.44 | $900.44 |
How the E2627 fee compares
| Measure | Value |
|---|---|
| Rank among 29 E26 codes billed NU (lowest = 1) | 29 |
| Family fee range (average of state fees) | $62.42–$1,312.30 |
| Rural fee uplift | -0.8% |
Who bills E2627 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 17 |
| Referring clinicians | 1,210 |
| Medicare beneficiaries | 5,991 |
| States with claims | 11 |
| Share of services in top 3 states (Florida, Texas, Georgia) | 90% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 6 | 4,895 |
| 2023 | 10 | 5,968 |
| 2024 | 17 | 5,991 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E2627, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 9,783 | 4,895 | $1,010.91 | $797.61 |
| 2023 | 11,935 | 5,968 | $1,090.55 | $854.91 |
| 2024 | 11,971 | 5,991 | $1,117.96 | $876.30 |
States with the most E2627 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 8,863 | $859.69 |
| Texas | 1,034 | $897.77 |
| Georgia | 823 | $884.28 |
| Connecticut | 500 | $989.50 |
| Tennessee | 352 | $1,020.48 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Anatomic Consideration |
What changed for E2627
- 2026-01-01: Average state fee (NU) rose 2.3%: $1,282.78 to $1,312.30
- 2026-01-01: Average state fee (RR) rose 2.3%: $128.30 to $131.26
- 2026-01-01: Average state fee (UE) rose 2.3%: $962.07 to $984.21
- 2012-01-01: E2627 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 E2627?
E2627 is the HCPCS Level II code for wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type. Short descriptor: "Arm supp att to wc rancho ty".
How much does Medicare pay for E2627?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $1,160.59–$2,293.32; NU (new equipment, purchased): $1,200.62–$2,551.15; RR (rental (monthly)): $116.06–$229.33; RR (rental (monthly)): $120.11–$255.14; UE (used equipment, purchased): $870.44–$1,719.99; UE (used equipment, purchased): $900.44–$1,913.34. Rural fees can be higher.
Does Medicare cover E2627?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E2627 change in 2026?
The average non-rural state fee for NU moved from $1,282.78 in 2025 to $1,312.30 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E2627 can be billed per day?
2 on DME suppliers (NCCI medically unlikely edits).
Related E26 codes
- E2601 — General use wheelchair seat cushion, width less than 22 inches, any depth ($4.46–$90.13)
- E2602 — General use wheelchair seat cushion, width 22 inches or greater, any depth ($9.50–$176.02)
- E2603 — Skin protection wheelchair seat cushion, width less than 22 inches, any depth ($11.52–$223.44)
- E2604 — Skin protection wheelchair seat cushion, width 22 inches or greater, any depth ($16.37–$277.75)
- E2605 — Positioning wheelchair seat cushion, width less than 22 inches, any depth ($24.43–$396.77)
- E2606 — Positioning wheelchair seat cushion, width 22 inches or greater, any depth ($38.83–$618.94)
- E2607 — Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth ($23.08–$427.26)
- E2608 — Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth ($29.66–$513.08)
- E2609 — Custom fabricated wheelchair seat cushion, any size
- E2610 — Wheelchair seat cushion, powered
- E2611 — General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware ($18.00–$460.46)
- E2612 — General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware ($34.65–$622.81)
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 E2627
- Watch E2627 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E2627
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.