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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Wheelchair Accessories |
| Complexity Level | Low |
| Medicaid Fee Schedule | $60.36 median of the 4 states in the free preview · View Medicaid rates for E0954 |
National average reimbursement for HCPCS E0954 by major payers:

$49.28

$39.24

$36.74

$83.96
Choose a payer to see a sample of rates for HCPCS E0954.
Emory University, Emory University Hospital
Emory University
Emanuel County Hospital Authority, Emanuel Medical Center
Jasper Health Services, Inc., Jasper Memorial Hospital
Jasper Health Services Inc
Hospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
Michael Koch
Pathology Lab Of Georgia LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS E0954 vs. Other Wheelchair Accessories Codes
The HCPCS E0954 code is part of the Durable Medical Equipment services used for Wheelchair Accessories. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS E0954 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| E0953-HCPCS | Low | Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each |
| E0954-HCPCS | Low | Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot |
| E0955-HCPCS | Low | Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0954. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0954 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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