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See a sample rate comparisonHCPCS E1038 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.
Transport chair, adult size, patient weight capacity up to and including 300 pounds
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Transport Chairs |
| Complexity Level | Low |
| Medicaid Fee Schedule | $171.65 median of the 4 states in the free preview · View Medicaid rates for E1038 |
National average reimbursement for HCPCS E1038 by major payers:
$106.89
$96.30
$121.48
$213.09
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HCPCS E1038
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$323.40Published rateJohn D. Archbold Memorial Hospital, Inc.
John D Archbold Memorial Hospital Inc
$108.04Published ratePalmyra Park Hospital, Inc., Palmyra Medical Centers
$86.55Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$63.61Published rateChristopher Raio
Mercy Medical Center
$5.97Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E1038 vs. Other Transport Chairs Codes
The HCPCS E1038 code is part of the Durable Medical Equipment services used for Transport Chairs. 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 E1038 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 |
|---|---|---|
| E1037-HCPCS | Moderate | Transport chair, pediatric size |
| E1038-HCPCS | Low | Transport chair, adult size, patient weight capacity up to and including 300 pounds |
| E1039-HCPCS | Moderate | Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1038. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1038 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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