E1085 — Hemi-wheelchair, fixed full length arms, swing away detachable foot rests
E1085 is a HCPCS Level II code for hemi-wheelchair, fixed full length arms, swing away detachable foot rests. It belongs to the Durable Medical Equipment section. Medicare does not pay it — see the coverage note below before you bill it.
Medicare coverage: Not payable by Medicare
Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.
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 E1085 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
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- 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 E1085
- Long descriptor
- Hemi-wheelchair, fixed full length arms, swing away detachable foot rests
- Short descriptor
- Hemi-wheelchair fixed arms
- Added
- January 1, 1986
- BETOS
- D1D
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to E1085
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E1085 is not quite right, the correct code is very often within a few positions of it.
- E1037Transport chair, pediatric size
- E1038Transport chair, adult size, patient weight capacity up to and including 300 pounds
- E1039Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds
- E1050Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests
- E1060Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests
- E1070Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest
- E1083Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest
- E1084Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests
- E1086Hemi-wheelchair detachable arms desk or full length, swing away detachable footrests
- E1087High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests
- E1088High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests
- E1089High strength lightweight wheelchair, fixed length arms, swing away detachable footrest
- E1090High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable foot rests
- E1092Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests
- E1093Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests
- E1100Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests
Questions about E1085
What is HCPCS code E1085?
E1085 is a HCPCS Level II code for hemi-wheelchair, fixed full length arms, swing away detachable foot rests. It sits in the Durable Medical Equipment section.
Does Medicare cover E1085?
The CMS HCPCS file marks E1085 as "Not payable by Medicare". Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.