HCPCS E1130 Fee Schedule

HCPCS E1130 vs. Other Standard Wheelchairs Codes

The HCPCS E1130 code is part of the Durable Medical Equipment services used for Standard 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 E1130 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.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1130. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the E1130 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.