Summary & Overview
HCPCS E2210: Wheelchair Bearing Replacement, Each
HCPCS Level II code E2210 denotes a replacement bearing for a wheelchair, billed per item. As a component-level supply for mobility devices, this code supports continued function and safety of wheelchairs and affects costs and access to timely repairs on a national scale. Key payers commonly encountering claims for this code include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. This publication provides a concise overview of what E2210 covers, payers included in the review, and the practical implications for billing and supply management. Readers will find national benchmarks and payer coverage patterns where available, a summary of common billing practices associated with accessory replacement items, and relevant policy or reimbursement updates when present. Clinical context is provided to clarify the role of small replacement parts in maintaining mobility and preventing larger equipment failures. Data not provided in the source material is noted as unavailable; the focus remains on standardized code interpretation and typical service settings rather than state-level rules or individualized clinical guidance.
Billing Code Overview
HCPCS Level II code E2210 describes a wheelchair accessory: bearings, any type, replacement only, each. This item represents a single replacement bearing intended for use with a manual or power wheelchair.
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Service type: Durable medical equipment accessory replacement
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Typical site of service: Durable medical equipment suppliers, outpatient clinics, home settings where wheelchair maintenance or repair occurs
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Clinical & Coding Specifications
Clinical Context
A typical patient is a long-term wheelchair user who presents to a durable medical equipment (DME) supplier or wheelchair repair service because one or more wheel bearings on their manual or power wheelchair are worn, corroded, or seized, causing increased rolling resistance, noise, or instability. The clinical workflow begins with a patient or caregiver report of difficulty propelling or unusual vibration. A technician or therapist inspects the wheelchair, documents the defective bearing(s), confirms compatibility and part number, and determines that only the bearing(s) require replacement rather than a larger assembly. The supplier obtains authorization if required by the payor, replaces each faulty bearing, documents the part number, quantity, manufacturer, and reason for replacement, and bills HCPCS Level II code E2210 per bearing replaced. Typical sites of service include DME supplier locations, outpatient wheelchair repair shops, skilled nursing facilities, and in-home service visits by qualified technicians. The procedure is frequently associated with patients who have mobility-limiting diagnoses such as spinal cord injury, cerebral palsy, multiple sclerosis, or severe osteoarthritis and who rely on wheelchairs for mobility and activities of daily living.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No separate payment modifier (placeholder) | Use when no specific billing modifier applies and payer requires a default code; rarely used as a primary claim modifier for DME parts. |