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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 | $37.68 median of the 6 states in the free preview · View Medicaid rates for E0980 |
National average reimbursement for HCPCS E0980 by major payers:

$29.77

$23.13

$26.34

$53.44
Choose a payer to see a sample of rates for HCPCS E0980.
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
Ty Cobb Healthcare System, Cobb Memorial Hospital
Community Services Group Inc
Evans Memorial Hospital, Inc.
Evans Memorial Hospital Inc
Clinch County Hospital Authority
Navicent Health Oconee, LLC, Navicent Health Baldwin
Navicent Health Oconee LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
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 E0980 vs. Other Wheelchair Accessories Codes
The HCPCS E0980 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 E0980 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 |
|---|---|---|
| E0978-HCPCS | Low | Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
| E0980-HCPCS | Low | Safety vest, wheelchair |
| E0981-HCPCS | Low | Wheelchair accessory, seat upholstery, replacement only, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0980. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0980 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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