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HCPCS E1009 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.

Wheelchair accessory, addition to power seating system, mechanically linked leg elevation system, including pushrod and leg rest, each
Key FactDetail
Service Type

Durable Medical Equipment

Wheelchair Accessories

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for E1009

National average reimbursement for HCPCS E1009 by major payers:

bcbs

$172.60

uhc

$466.80

aetna

$49.19

cigna

$1,341.85

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HCPCS E1009

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HCPCS E1009 vs. Other Wheelchair Accessories Codes

The HCPCS E1009 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 E1009 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.

CodeComplexityDescription
E1008-HCPCSHighWheelchair accessory, power seating system, combination tilt and recline, with power shear reduction
E1009-HCPCSLowWheelchair accessory, addition to power seating system, mechanically linked leg elevation system, including pushrod and leg rest, each
E1010-HCPCSModerateWheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1009. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the E1009 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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