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See a sample rate comparisonHCPCS E0994 Fee Schedule
Last Verified: October 2026
Healthcare 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.
Arm rest, each
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Wheelchair Accessories |
| Complexity Level | Low |
| Medicaid Fee Schedule | $18.96 median of the 6 states in the free preview · View Medicaid rates for E0994 |
National average reimbursement for HCPCS E0994 by major payers:
$16.47
$12.46
$13.32
$24.98
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HCPCS E0994
5 of 25 sample ratesHigher to lower in this preview
Aztec Urgent Care, LLC
Aztec Urgent Care LLC
$24.63Published rateAtlanta Vamc
$14.10Published rateThe Hospital Authority Of Miller County, Miller County Hospital - Pro Fees
The Hospital Authority Of Miller County
$9.73Published rateEmory Crawford Long Hospital
Emory University
$3.57Published rateMichael Guillette
Aztec Urgent Care LLC
$0.97Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0994 vs. Other Wheelchair Accessories Codes
The HCPCS E0994 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 E0994 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 |
|---|---|---|
| E0992-HCPCS | Low | Manual wheelchair accessory, solid seat insert |
| E0994-HCPCS | Low | Arm rest, each |
| E0995-HCPCS | Low | Wheelchair accessory, calf rest/pad, 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 E0994. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0994 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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