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See a sample rate comparisonHCPCS E0986 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Manual wheelchair accessory, power assist system
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Wheelchair Accessories |
| Complexity Level | High |
| Medicaid Fee Schedule | $5,942.93 median of the 4 states in the free preview · View Medicaid rates for E0986 |
National average reimbursement for HCPCS E0986 by major payers:
$4,117.04
$3,356.82
$3,196.80
$7,976.57
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HCPCS E0986
5 of 25 sample ratesHigher to lower in this preview
Ujuka Iloabuchi
$7,672.89Published rateHospital Authority Of Ben Hill, Dorminy Medical Center
$3,161.76Published rateHospital Authority Of Candler County, Candler County Hospital
$2,764.39Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$1,271.41Published rateBrooks County Hospital
$316.17Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0986 vs. Other Wheelchair Accessories Codes
The HCPCS E0986 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 E0986 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 |
|---|---|---|
| E0985-HCPCS | Low | Wheelchair accessory, seat lift mechanism |
| E0986-HCPCS | High | Manual wheelchair accessory, power assist system |
| E0988-HCPCS | High | Manual wheelchair accessory, lever-activated, wheel drive, pair |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0986. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0986 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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