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See a sample rate comparisonHCPCS E2226 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, caster fork, any size, replacement only, each
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Manual Wheelchair Accessories |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for E2226 |
National average reimbursement for HCPCS E2226 by major payers:
$30.26
$27.28
$25.56
$55.69
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HCPCS E2226
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$78.15Published rateDublin Vamc
$30.35Published rateLeigh Taylor
$23.59Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$18.43Published rateUjuka Iloabuchi
Atlanta Womens Health Group, P.C.
$2.35Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E2226 vs. Other Manual Wheelchair Accessories Codes
The HCPCS E2226 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 E2226 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 |
|---|---|---|
| E2225-HCPCS | Low | Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each |
| E2226-HCPCS | Low | Manual wheelchair accessory, caster fork, any size, replacement only, each |
| E2227-HCPCS | High | Manual wheelchair accessory, gear reduction drive wheel, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E2226. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E2226 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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