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See a sample rate comparisonHCPCS E2216 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.
Manual wheelchair accessory, foam filled propulsion tire, any size, each
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Manual Wheelchair Accessories |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for E2216 |
National average reimbursement for HCPCS E2216 by major payers:
$60.83
$33.31
$29.68
$69.74
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HCPCS E2216
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$90.52Published rateJohn D. Archbold Memorial Hospital, Inc.
John D Archbold Memorial Hospital Inc
$33.20Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$23.71Published rateBradley Weisner
Urology Specialists Of The Carolinas, PLLC
$4.91Published rateKamran Rajaee
$2.90Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E2216 vs. Other Manual Wheelchair Accessories Codes
The HCPCS E2216 code is part of the Durable Medical Equipment services used for Manual Wheelchair 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 E2216 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 |
|---|---|---|
| E2215-HCPCS | Low | Manual wheelchair accessory, tube for pneumatic caster tire, any size, each |
| E2216-HCPCS | Low | Manual wheelchair accessory, foam filled propulsion tire, any size, each |
| E2217-HCPCS | Low | Manual wheelchair accessory, foam filled caster tire, any size, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E2216. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E2216 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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