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See a sample rate comparisonHCPCS E1229 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Wheelchair, pediatric size, not otherwise specified
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Pediatric Wheelchairs |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for E1229 |
National average reimbursement for HCPCS E1229 by major payers:
$1,748.90
$577.52
$631.70
$1,370.27
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HCPCS E1229
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See a sample payer proposalHCPCS E1229 vs. Other Pediatric Wheelchairs Codes
The HCPCS E1229 code is part of the Durable Medical Equipment services used for Pediatric 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 E1229 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 |
|---|---|---|
| E1228-HCPCS | Moderate | Special back height for wheelchair |
| E1229-HCPCS | High | Wheelchair, pediatric size, not otherwise specified |
| E1230-HCPCS | High | Power operated vehicle (three or four wheel nonhighway) specify brand name and model number |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1229. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1229 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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