HCPCS Level II E1224: Wheelchair with Detachable Arms, Elevating Legrests

HCPCS Level II code E1224 describes a manual wheelchair with detachable arms and elevating legrests, a durable medical equipment item intended to provide mobility and lower-extremity support; typical service type is DME (durable medical equipment) and the usual site of service is home or outpatient settings where mobility aids are used for activities of daily living and short-distance ambulation.

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HCPCS Level II E1224: Wheelchair with Detachable Arms, Elevating Legrests

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Clinical & Coding Specifications

Clinical Context

A 72-year-old patient with advanced osteoarthritis of both knees and reduced lower-extremity strength presents to durable medical equipment (DME) services after discharge from an inpatient rehabilitation stay. The patient requires a mobility device for community ambulation and household transfers but retains the ability to self-propel short distances. The clinician documents inability to walk long distances safely due to pain and decreased endurance and demonstrates need for seating support and leg elevation for edema control. A physical therapist evaluates the patient, documents functional limitations, trialed seating and legrest options, and recommends a manual wheelchair with detachable arms and elevating legrests to facilitate transfers, provide pressure relief, and allow independent lower-leg elevation when seated.

Clinical workflow:

Referral: Physician or advanced practice clinician issues a DME referral specifying mobility limitations and medical necessity.
Evaluation: A licensed clinician (physical therapist or physician) performs a mobility and seating assessment, documents weight, transfer ability, home environment, need for detachable arms for lateral transfers, and justification for elevating legrests for edema, contracture, or pain control.
Ordering and Prior Authorization: DME supplier obtains a written order including the HCPCS code E1224, diagnoses, clinical findings, and supplier provides supporting documentation to payors if prior authorization is required.
Delivery and Fitting: Supplier provides the wheelchair, fits detachable arms and elevating legrests, trains patient/caregiver on safe use, documents delivery and education.
Billing: Supplier bills using HCPCS E1224 with appropriate modifier(s) reflecting billing circumstances (for example, location, reduced services, or supplier-specific billing scenarios). Payors referenced commonly include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, and Medicare for coverage and payment processing.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97530`	Therapeutic activities, direct (one-on-one) patient contact by the provider, each 15 minutes	Used during pre-delivery therapy sessions to assess transfer training and functional mobility prior to wheelchair provision.
`97112`	Neuromuscular re-education of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception, each 15 minutes	Used when therapy addresses balance and transfer skills that inform wheelchair selection and fitting.
`97001`	Physical therapy evaluation (outpatient)	Initial evaluation by a physical therapist documenting mobility limitations and justification for `E1224`.
`99455`	Work-related or medical disability examination by a treating physician including completion of forms	Used when documentation for work or disability determinations accompanies DME provision (billing depends on payer).
`99500`	Home visit for DME delivery (non-specific)	Used when a supplier or clinician bills for a home visit to fit and deliver the wheelchair; verify payor-specific guidance.

Related Modifiers

6 rows

Modifier	Description	When to Use
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
80	CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…	- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
208100000X	Physical Medicine & Rehabilitation Physician	Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and…
207Q00000X	Family Medicine Physician	Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadt…
207SG0205X	Ph.D. Medical Genetics Physician	A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program and serves as a consultant to medi…
207WX0108X	Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician	An ophthalmologist who specializes in the treatment of intraocular inflammation, scleritis, keratitis and infectious disorders affecting the eye and i…
332900000X	Non-Pharmacy Dispensing Site	A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. phy…
103TM1700X	Deactivated - Psychologist Men & Masculinity
246ZS0410X	Surgical Technologist	Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patie…
246XS1301X	Sonography Specialist/Technologist Cardiovascular	A cardiovascular sonography technologist operates special equipment to create images and conduct tests of the cardiovascular system. They work with ph…

Related Payer Policy Updates

Specialty: Durable Medical Equipment (DME)1 / 3

10 rows

Policy	Payer	Effective Date
Prior Authorization for Durable Medical Equipment (DME)	Blue Cross Blue Shield - Rhode Island	2026-10-01
Continuous Passive Motion (CPM) Devices	Cigna	2026-08-15
Push-Rim Activated Power-Assist Device (E0986) — Manual Wheelchair Accessory	moda_health_plan_inc	2026-08-13
Beds and Mattresses (for Ohio Only)	Colorado Rocky Mountain Health Plans	2026-08-01
Pneumatic Compression Devices (for Nebraska Only)	UnitedHealthcare	2026-08-01
Beds and Mattresses (for Kentucky Only)	UnitedHealthcare	2026-08-01
Indications for Coverage — Hospital beds, support surfaces, and safety enclosure beds (DME)	Colorado Rocky Mountain Health Plans	2026-08-01
Enteral Nutrition (Oral and Tube Feeding) (for Pennsylvania Only)	UnitedHealthcare	2026-08-01
Pediatric Gait Trainers and Standing Systems (for Tennessee Only)	UnitedHealthcare	2026-08-01
Beds and Mattresses (for Kansas Only)	UnitedHealthcare	2026-08-01

HCPCS E0100: Cane, Adjustable or Fixed, With Tip

HCPCS-E0105-CANE-QUAD-THREE-PRONG-MOBILITY-AID

HCPCS Level II E0105: Cane, Quad or Three-Prong, Includes Tips

HCPCS-E0110-FOREARM-CRUTCHES-PAIR-DME-MOBILITY

HCPCS Level II E0110: Forearm Crutches, Pair, Complete with Tips and Handgrips

HCPCS-E0111-CRUTCH-FOREARM-DURABLE-MEDICAL-EQUIPMENT

HCPCS Level II E0111: Crutch, Forearm, With Tip and Handgrips

HCPCS-E0112-UNDERARM-WOOD-CRUTCHES-PAIR

HCPCS Level II E0112: Underarm Wooden Crutches, Pair

HCPCS-E0113-CRUTCH-UNDERARM-WOOD-ADJUSTABLE-FIXED-WITH-PAD-TIP-HANDGRIP

HCPCS Level II E0113: Crutch Underarm, Wood, Adjustable or Fixed

HCPCS-E0114-UNDERARM-CRUTCHES-PAIR-ADJUSTABLE-FIXED

HCPCS Level II E0114: Underarm (Axillary) Crutches, Adjustable or Fixed, Pair

HCPCS-E0116-UNDERARM-CRUTCH-NON-WOOD-ADJUSTABLE-FIXED

HCPCS E0116: Underarm Crutch, Non-Wood, Adjustable/Fixed with Pad

HCPCS-E0117-ARTICULATING-SPRING-ASSISTED-UNDERARM-CRUTCH

HCPCS Level II E0117: Crutch, Underarm, Articulating, Spring-Assisted

HCPCS-E0118-LOWER-LEG-PLATFORM-CRUTCH-SUBSTITUTE

HCPCS E0118: Crutch Substitute, Lower Leg Platform

Showing 1–10 of 670

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Clinical & Coding Specifications

Clinical Context

Clinical workflow:

Referral: Physician or advanced practice clinician issues a DME referral specifying mobility limitations and medical necessity.
Evaluation: A licensed clinician (physical therapist or physician) performs a mobility and seating assessment, documents weight, transfer ability, home environment, need for detachable arms for lateral transfers, and justification for elevating legrests for edema, contracture, or pain control.
Ordering and Prior Authorization: DME supplier obtains a written order including the HCPCS code E1224, diagnoses, clinical findings, and supplier provides supporting documentation to payors if prior authorization is required.
Delivery and Fitting: Supplier provides the wheelchair, fits detachable arms and elevating legrests, trains patient/caregiver on safe use, documents delivery and education.
Billing: Supplier bills using HCPCS E1224 with appropriate modifier(s) reflecting billing circumstances (for example, location, reduced services, or supplier-specific billing scenarios). Payors referenced commonly include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, and Medicare for coverage and payment processing.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97530`	Therapeutic activities, direct (one-on-one) patient contact by the provider, each 15 minutes	Used during pre-delivery therapy sessions to assess transfer training and functional mobility prior to wheelchair provision.
`97112`	Neuromuscular re-education of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception, each 15 minutes	Used when therapy addresses balance and transfer skills that inform wheelchair selection and fitting.
`97001`	Physical therapy evaluation (outpatient)	Initial evaluation by a physical therapist documenting mobility limitations and justification for `E1224`.
`99455`	Work-related or medical disability examination by a treating physician including completion of forms	Used when documentation for work or disability determinations accompanies DME provision (billing depends on payer).
`99500`	Home visit for DME delivery (non-specific)	Used when a supplier or clinician bills for a home visit to fit and deliver the wheelchair; verify payor-specific guidance.

Related Modifiers

6 rows

Modifier	Description	When to Use
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
80	CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…	- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
208100000X	Physical Medicine & Rehabilitation Physician	Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and…
207Q00000X	Family Medicine Physician	Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadt…
207SG0205X	Ph.D. Medical Genetics Physician	A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program and serves as a consultant to medi…
207WX0108X	Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician	An ophthalmologist who specializes in the treatment of intraocular inflammation, scleritis, keratitis and infectious disorders affecting the eye and i…
332900000X	Non-Pharmacy Dispensing Site	A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. phy…
103TM1700X	Deactivated - Psychologist Men & Masculinity
246ZS0410X	Surgical Technologist	Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patie…
246XS1301X	Sonography Specialist/Technologist Cardiovascular	A cardiovascular sonography technologist operates special equipment to create images and conduct tests of the cardiovascular system. They work with ph…

Related Payer Policy Updates

Specialty: Durable Medical Equipment (DME)1 / 3

10 rows

Policy	Payer	Effective Date
Prior Authorization for Durable Medical Equipment (DME)	Blue Cross Blue Shield - Rhode Island	2026-10-01
Continuous Passive Motion (CPM) Devices	Cigna	2026-08-15
Push-Rim Activated Power-Assist Device (E0986) — Manual Wheelchair Accessory	moda_health_plan_inc	2026-08-13
Beds and Mattresses (for Ohio Only)	Colorado Rocky Mountain Health Plans	2026-08-01
Pneumatic Compression Devices (for Nebraska Only)	UnitedHealthcare	2026-08-01
Beds and Mattresses (for Kentucky Only)	UnitedHealthcare	2026-08-01
Indications for Coverage — Hospital beds, support surfaces, and safety enclosure beds (DME)	Colorado Rocky Mountain Health Plans	2026-08-01
Enteral Nutrition (Oral and Tube Feeding) (for Pennsylvania Only)	UnitedHealthcare	2026-08-01
Pediatric Gait Trainers and Standing Systems (for Tennessee Only)	UnitedHealthcare	2026-08-01
Beds and Mattresses (for Kansas Only)	UnitedHealthcare	2026-08-01

HCPCS E0100: Cane, Adjustable or Fixed, With Tip

HCPCS-E0105-CANE-QUAD-THREE-PRONG-MOBILITY-AID

HCPCS Level II E0105: Cane, Quad or Three-Prong, Includes Tips

HCPCS-E0110-FOREARM-CRUTCHES-PAIR-DME-MOBILITY

HCPCS Level II E0110: Forearm Crutches, Pair, Complete with Tips and Handgrips

HCPCS-E0111-CRUTCH-FOREARM-DURABLE-MEDICAL-EQUIPMENT

HCPCS Level II E0111: Crutch, Forearm, With Tip and Handgrips

HCPCS-E0112-UNDERARM-WOOD-CRUTCHES-PAIR

HCPCS Level II E0112: Underarm Wooden Crutches, Pair

HCPCS-E0113-CRUTCH-UNDERARM-WOOD-ADJUSTABLE-FIXED-WITH-PAD-TIP-HANDGRIP

HCPCS Level II E0113: Crutch Underarm, Wood, Adjustable or Fixed

HCPCS-E0114-UNDERARM-CRUTCHES-PAIR-ADJUSTABLE-FIXED

HCPCS Level II E0114: Underarm (Axillary) Crutches, Adjustable or Fixed, Pair

HCPCS-E0116-UNDERARM-CRUTCH-NON-WOOD-ADJUSTABLE-FIXED

HCPCS E0116: Underarm Crutch, Non-Wood, Adjustable/Fixed with Pad

HCPCS-E0117-ARTICULATING-SPRING-ASSISTED-UNDERARM-CRUTCH

HCPCS Level II E0117: Crutch, Underarm, Articulating, Spring-Assisted

HCPCS-E0118-LOWER-LEG-PLATFORM-CRUTCH-SUBSTITUTE

HCPCS E0118: Crutch Substitute, Lower Leg Platform

Showing 1–10 of 670

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

HCPCS Level II E1224: Wheelchair with Detachable Arms, Elevating Legrests

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OpenPayer

HCPCS Level II E1224: Wheelchair with Detachable Arms, Elevating Legrests

Sign up for hcpcs E1224 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

References

HCPCS Level II E1224: Wheelchair with Detachable Arms, Elevating Legrests

Sign up for hcpcs E1224 policy alerts

HCPCS Level II E1224: Wheelchair with Detachable Arms, Elevating Legrests

Sign up for hcpcs E1224 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

What does HCPCS code E1224 represent and where is it typically used?

What clinical and documentation steps are needed before billing E1224?

Which payors are referenced for coverage and payment processing of E1224?

Which billing modifiers might be used with E1224 and when are they applied?

Which provider specialties are typically involved in the evaluation, ordering, fitting, and billing for E1224?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

What does HCPCS code E1224 represent and where is it typically used?

What clinical and documentation steps are needed before billing E1224?

Which payors are referenced for coverage and payment processing of E1224?

Which billing modifiers might be used with E1224 and when are they applied?

Which provider specialties are typically involved in the evaluation, ordering, fitting, and billing for E1224?

References