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See a sample rate comparisonHCPCS E1089 Fee Schedule
Last Verified: September 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.
High strength lightweight wheelchair, fixed length arms, swing away detachable footrest
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Lightweight, High-strength Wheelchairs |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for E1089 |
National average reimbursement for HCPCS E1089 by major payers:
$432.34
$806.59
$566.14
$1,119.79
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HCPCS E1089
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$3,076.11Published rateSmith Of Georgia, Smith Northview Hospitalists
Smith Of Georgia
$737.60Published rateUjuka Iloabuchi
$527.29Published rateUjuka Iloabuchi
$161.91Published rateSt. Francis Radiologists, LLC
$70.05Published rate
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See a sample payer proposalHCPCS E1089 vs. Other Lightweight, High-strength Wheelchairs Codes
The HCPCS E1089 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 E1089 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 |
|---|---|---|
| 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 |
| E1090-HCPCS | Moderate | High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable footrests |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1089. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1089 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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