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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 Lightweight, High-strength Wheelchairs |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for E1088 |
National average reimbursement for HCPCS E1088 by major payers:

$1,291.51

$944.20

$356.37

$2,060.96
Choose a payer to see a sample of rates for HCPCS E1088.
Emory University
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Wildwood Sanitarium Incorporated
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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 E1088 vs. Other Lightweight, High-strength Wheelchairs Codes
The HCPCS E1088 code is part of the Durable Medical Equipment services used for Lightweight, High-strength 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 E1088 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 |
|---|---|---|
| E1087-HCPCS | High | High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests |
| E1088-HCPCS | High | High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating legrests |
| E1089-HCPCS | Moderate | High strength lightweight wheelchair, fixed length arms, swing away detachable footrest |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1088. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1088 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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