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See a sample rate comparisonHCPCS E1012 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, center mount power elevating leg rest/platform, complete system, any type, each
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Wheelchair Accessories |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $1,204.455 median of the 4 states in the free preview · View Medicaid rates for E1012 |
National average reimbursement for HCPCS E1012 by major payers:
$783.75
$716.43
$700.47
$1,611.65
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HCPCS E1012
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,838.61Published rateHospital Authority Of Jenkins County
$617.44Published rateEmory University Hospital
Emory University
$228.72Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$65.84Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$44.56Published rate
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See a sample payer proposalHCPCS E1012 vs. Other Wheelchair Accessories Codes
The HCPCS E1012 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 E1012 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 |
|---|---|---|
| E1011-HCPCS | Low | Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair) |
| E1012-HCPCS | Moderate | Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each |
| E1014-HCPCS | Moderate | Reclining back, addition to pediatric size wheelchair |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1012. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1012 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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