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See a sample rate comparisonHCPCS E1172 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.
Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Amputee Wheelchairs |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for E1172 |
National average reimbursement for HCPCS E1172 by major payers:
$986.11
$613.34
$437.97
$1,625.94
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HCPCS E1172
5 of 25 sample ratesHigher to lower in this preview
Hamilton Medical Center, Inc.
Hamilton Medical Center Inc
$853.42Published rateNorthside Hospital, Inc., Northside Hospital Duluth
$531.69Published rateMichael Koch
Pathology Lab Of Georgia LLC
$431.98Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$87.41Published rateTaylor Regional Hospital
$63.66Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E1172 vs. Other Amputee Wheelchairs Codes
The HCPCS E1172 code is part of the Durable Medical Equipment services used for Amputee 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 E1172 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 |
|---|---|---|
| E1171-HCPCS | Moderate | Amputee wheelchair, fixed full length arms, without footrests or legrest |
| E1172-HCPCS | Moderate | Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest |
| E1180-HCPCS | High | Amputee 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 E1172. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1172 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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