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See a sample rate comparisonHCPCS E1031 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.
Rollabout chair, any and all types with castors 5 inch or greater
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Wheelchair Accessories |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $536.40 median of the 4 states in the free preview · View Medicaid rates for E1031 |
National average reimbursement for HCPCS E1031 by major payers:
$338.87
$263.62
$253.23
$633.19
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HCPCS E1031
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$462.80Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$250.67Published ratePiedmont Newton Hospital, Inc., Newton Medical Center
Piedmont Newton Hospital Inc
$180.75Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$27.82Published rateChi Memorial Hospital
Chi Memorial Hospital - Georgia
$25.68Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E1031 vs. Other Wheelchair Accessories Codes
The HCPCS E1031 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 E1031 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 |
|---|---|---|
| E1030-HCPCS | High | Wheelchair accessory, ventilator tray, gimbaled |
| E1031-HCPCS | Moderate | Rollabout chair, any and all types with castors 5 inch or greater |
| E1035-HCPCS | High | Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1031. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1031 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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