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See a sample rate comparisonHCPCS E1224 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 detachable arms, elevating legrests
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Other Wheelchairs and Accessories |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $675.96 median of the 4 states in the free preview · View Medicaid rates for E1224 |
National average reimbursement for HCPCS E1224 by major payers:
$659.68
$508.16
$561.66
$1,128.62
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HCPCS E1224
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$1,564.80Published rateIrwin County Hospital
$538.15Published rateBradley Weisner
Urology Specialists Of The Carolinas, PLLC
$386.28Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$130.60Published rateHospital Authority Of Jenkins County
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
$52.75Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E1224 vs. Other Other Wheelchairs and Accessories Codes
The HCPCS E1224 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 E1224 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 |
|---|---|---|
| E1223-HCPCS | Moderate | Wheelchair with detachable arms, footrests |
| E1224-HCPCS | Moderate | Wheelchair with detachable arms, elevating legrests |
| E1225-HCPCS | Moderate | Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1224. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1224 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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