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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Transport Chairs |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $333.07 median of the 5 states in the free preview · View Medicaid rates for E1039 |
National average reimbursement for HCPCS E1039 by major payers:

$235.66

$180.26

$185.49

$329.68
Choose a payer to see a sample of rates for HCPCS E1039.
Piedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
Christopher Raio
Good Samaritan Hosptial Medical Center
Ty Cobb Healthcare System, Cobb Memorial Hospital
Community Services Group Inc
Chi Memorial Hospital
Chi Memorial Hospital - Georgia
Meriwether County Hospital Authority, Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS E1039 vs. Other Transport Chairs Codes
The HCPCS E1039 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 E1039 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 |
|---|---|---|
| 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 |
| E1050-HCPCS | High | Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating legrests |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1039. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1039 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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