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See a sample rate comparisonHCPCS E1005 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.
Wheelchair accessory, power seating system, recline only, with power shear reduction
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Wheelchair Accessories |
| Complexity Level | High |
| Medicaid Fee Schedule | $5,549.845 median of the 4 states in the free preview · View Medicaid rates for E1005 |
National average reimbursement for HCPCS E1005 by major payers:
$4,049.29
$3,641.74
$5,510.78
$7,471.51
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HCPCS E1005
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$11,804.86Published rateProgressive Emergency Physicians PLLC
$3,461.25Published rateUjuka Iloabuchi
$3,120.17Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$2,275.61Published rateScreven County Hospital
$303.41Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E1005 vs. Other Wheelchair Accessories Codes
The HCPCS E1005 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 E1005 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 |
|---|---|---|
| E1004-HCPCS | High | Wheelchair accessory, power seating system, recline only, with mechanical shear reduction |
| E1005-HCPCS | High | Wheelchair accessory, power seating system, recline only, with power shear reduction |
| E1006-HCPCS | High | Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1005. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1005 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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