E2227 — Manual wheelchair accessory, gear reduction drive wheel, each
E2227 is a HCPCS Level II code for manual wheelchair accessory, gear reduction drive wheel, each. 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 E2227 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
- 2 units 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 E2227
- Long descriptor
- Manual wheelchair accessory, gear reduction drive wheel, each
- Short descriptor
- Gear reduction drive wheel
- Added
- January 1, 2008
- BETOS
- D1D
- Pricing indicator
- 36 — DMEPOS
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.
Capped rental DME. Price subject to floors and ceilings.
Codes adjacent to E2227
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E2227 is not quite right, the correct code is very often within a few positions of it.
- E2218Manual wheelchair accessory, foam propulsion tire, any size, each
- E2219Manual wheelchair accessory, foam caster tire, any size, each
- E2220Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each
- E2221Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each
- E2222Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each
- E2224Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each
- E2225Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each
- E2226Manual wheelchair accessory, caster fork, any size, replacement only, each
- E2228Manual wheelchair accessory, wheel braking system and lock, complete, each
- E2230Manual wheelchair accessory, manual standing system
- E2231Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware
- E2291Back, planar, for pediatric size wheelchair including fixed attaching hardware
- E2292Seat, planar, for pediatric size wheelchair including fixed attaching hardware
- E2293Back, contoured, for pediatric size wheelchair including fixed attaching hardware
- E2294Seat, contoured, for pediatric size wheelchair including fixed attaching hardware
- E2295Manual wheelchair accessory, for pediatric size wheelchair, dynamic seating frame, allows coordinated movement of multiple positioning features
Questions about E2227
What is HCPCS code E2227?
E2227 is a HCPCS Level II code for manual wheelchair accessory, gear reduction drive wheel, each. It sits in the Durable Medical Equipment section.
Does Medicare cover E2227?
The CMS HCPCS file marks E2227 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.