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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Fully Reclining Wheelchairs |
| Complexity Level | High |
| Medicaid Fee Schedule | $628.495 median of the 4 states in the free preview · View Medicaid rates for E1050 |
National average reimbursement for HCPCS E1050 by major payers:

$1,032.94

$637.68

$487.13

$1,417.83
Choose a payer to see a sample of rates for HCPCS E1050.
Emory Healthcare
Emory University
Jacob Holloway
Leigh Taylor
Charleston Radiologists PA
Charleston Radiologists, P.A.
Good Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
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 E1050 vs. Other Fully Reclining Wheelchairs Codes
The HCPCS E1050 code is part of the Durable Medical Equipment services used for Fully Reclining Wheelchairs. 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 E1050 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 |
|---|---|---|
| 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 |
| E1060-HCPCS | High | Fully-reclining wheelchair, detachable arms, desk or full length, 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 E1050. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1050 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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