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E0992

E0992Manual wheelchair accessory, solid seat insert

HCPCSActiveBETOS D1D

E0992 is a HCPCS Level II code for manual wheelchair accessory, solid seat insert. It belongs to the Durable Medical Equipment section. Whether Medicare pays it depends on the coverage rule below.

Medicare coverage: Carrier judgment

Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.

From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.

Medically Unlikely Edits — units per day

The most units of E0992 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.

practitioner
0 — never payable
MAI 3 — Date of Service Edit: Clinical · CMS Policy
outpatient
1 unit
MAI 2 — Date of Service Edit: Policy · Code Descriptor / CPT Instruction
DME supplier
1 unit
MAI 2 — Date of Service Edit: Policy · Code Descriptor / CPT Instruction

The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.

The CMS record for E0992

Long descriptor
Manual wheelchair accessory, solid seat insert

The official wording. This is what the code means.

Short descriptor
Wheelchair solid seat insert

CMS's 28-character form, which is what shows up on a remittance advice.

Added
January 1, 1986

When CMS introduced the code.

BETOS
D1D

Berenson-Eggers Type of Service — CMS's own analytic grouping.

Pricing indicator
32 — DMEPOS

Inexpensive and routinely purchased DME. Price subject to floors and ceilings.

Codes adjacent to E0992

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E0992 is not quite right, the correct code is very often within a few positions of it.

  • E0981Wheelchair accessory, seat upholstery, replacement only, each
  • E0982Wheelchair accessory, back upholstery, replacement only, each
  • E0983Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control
  • E0984Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control
  • E0985Wheelchair accessory, seat lift mechanism
  • E0986Manual wheelchair accessory, power assist system
  • E0988Manual wheelchair accessory, lever-activated, wheel drive, pair
  • E0990Wheelchair accessory, elevating leg rest, complete assembly, each
  • E0994Arm rest, each
  • E0995Wheelchair accessory, calf rest/pad, replacement only, each
  • E1002Wheelchair accessory, power seating system, tilt only
  • E1003Wheelchair accessory, power seating system, recline only, without shear reduction
  • E1004Wheelchair accessory, power seating system, recline only, with mechanical shear reduction
  • E1005Wheelchair accessory, power seating system, recline only, with power shear reduction
  • E1006Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction
  • E1007Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction

Questions about E0992

What is HCPCS code E0992?

E0992 is a HCPCS Level II code for manual wheelchair accessory, solid seat insert. It sits in the Durable Medical Equipment section.

Does Medicare cover E0992?

The CMS HCPCS file marks E0992 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.

HCPCS Level II2026Q3-Jul· effective July 1, 2026