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See a sample rate comparisonHCPCS E1221 Fee Schedule
Last Verified: October 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.
Wheelchair with fixed arm, footrests
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Other Wheelchairs and Accessories |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $395.76 median of the 4 states in the free preview · View Medicaid rates for E1221 |
National average reimbursement for HCPCS E1221 by major payers:
$442.82
$297.46
$409.17
$676.09
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HCPCS E1221
5 of 25 sample ratesHigher to lower in this preview
Grady Memorial Hospital Corporation, Grady Health Systems
Emory University
$778.90Published rateTift Regional Health System Inc., Tift Regional Medical Center
Tift Regional Health System Inc
$314.98Published rateMichael Guillette
Aztec Urgent Care LLC
$223.41Published rateEmory Healthcare
Emory University
$112.08Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
$30.87Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E1221 vs. Other Other Wheelchairs and Accessories Codes
The HCPCS E1221 code is part of the Durable Medical Equipment services used for Other Wheelchairs and Accessories. 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 E1221 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 |
|---|---|---|
| E1220-HCPCS | Moderate | Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification |
| E1221-HCPCS | Moderate | Wheelchair with fixed arm, footrests |
| E1222-HCPCS | Moderate | Wheelchair with fixed arm, elevating legrests |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1221. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1221 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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