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See a sample rate comparisonHCPCS E1092 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.
Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating legrests
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Heavy Duty, Wide Wheelchairs |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for E1092 |
National average reimbursement for HCPCS E1092 by major payers:
$912.11
$804.86
$651.26
$2,115.19
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HCPCS E1092
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$2,106.72Published rateStephens County Anesthesia Services,LLC
Stephens County Anesthesia Servicesllc
$852.15Published rateHospital Authority Of Candler County, Candler County Hospital
$730.48Published rateHospital Authority Of Ben Hill, Dorminy Medical Center
$583.23Published rateNavicent Health Oconee, LLC, Navicent Health Baldwin
Navicent Health Oconee LLC
$83.52Published rate
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See a sample payer proposalHCPCS E1092 vs. Other Heavy Duty, Wide Wheelchairs Codes
The HCPCS E1092 code is part of the Durable Medical Equipment services used for Heavy Duty, Wide 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 E1092 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 |
|---|---|---|
| E1090-HCPCS | Moderate | High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable footrests |
| E1092-HCPCS | Moderate | Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating legrests |
| E1093-HCPCS | Moderate | Wide heavy duty wheelchair, detachable arms desk or full length arms, 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 E1092. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1092 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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