Before an item can be considered DME, it must meet all of the following requirements:

• It must be able to withstand repeated use.
• It must be primarily and customarily used to serve a medical purpose.
• It must be generally not useful to a person in the absence of an illness or injury.
• It must be appropriate for use in the home.

All E codes fall under the jurisdiction of the DME MAC unless otherwise noted.

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• E0995

  Wheelchair accessory, calf rest/pad, replacement only, each

• E1002

  Wheelchair accessory, power seating system, tilt only

• E1003

  Wheelchair accessory, power seating system, recline only, without shear reduction

• E1004

  Wheelchair accessory, power seating system, recline only, with mechanical shear reduction

• E1005

  Wheelchair accessory, power seating system, recline only, with power shear reduction

• E1006

  Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction

• E1007

  Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction

• E1008

  Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction

• E1009

  Wheelchair accessory, addition to power seating system, mechanically linked leg elevation system, including pushrod and leg rest, each

• E1010

  Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair

• E1011

  Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair)

• E1012

  Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each

• E1014

  Reclining back, addition to pediatric size wheelchair

• E1015

  Shock absorber for manual wheelchair, each

• E1016

  Shock absorber for power wheelchair, each

• E1017

  Heavy duty shock absorber for heavy duty or extra heavy duty manual wheelchair, each

• E1018

  Heavy duty shock absorber for heavy duty or extra heavy duty power wheelchair, each

• E1020

  Residual limb support system for wheelchair, any type

• E1022

  Wheelchair transportation securement system, any type includes all components and accessories

• E1023

  Wheelchair transit securement system, includes all components and accessories

• E1028

  Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other

• E1029

  Wheelchair accessory, ventilator tray, fixed

• E1030

  Wheelchair accessory, ventilator tray, gimbaled

• E1031

  Rollabout chair, any and all types with casters 5" or greater

• E1032

  Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface

• E1033

  Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type

• E1034

  Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type

• E1035

  Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs

• E1036

  Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs

• E1037

  Transport chair, pediatric size

• E1038

  Transport chair, adult size, patient weight capacity up to and including 300 pounds

• E1039

  Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds

• E1050

  Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests

• E1060

  Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests

• E1070

  Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest

• E1083

  Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest

• E1084

  Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests

• E1085

  Hemi-wheelchair, fixed full length arms, swing away detachable foot rests

• E1086

  Hemi-wheelchair detachable arms desk or full length, swing away detachable footrests

• E1087

  High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests

• E1088

  High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests

• E1089

  High strength lightweight wheelchair, fixed length arms, swing away detachable footrest

• E1090

  High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable foot rests

• E1092

  Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests

• E1093

  Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests

• E1100

  Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests

• E1110

  Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest

• E1130

  Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests

• E1140

  Wheelchair, detachable arms, desk or full length, swing away detachable footrests

• E1150

  Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests

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HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/3/2026

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