Summary & Overview
HCPCS E2213: Manual Wheelchair Pneumatic Tire Insert, Removable
HCPCS Level II code E2213 denotes a removable insert for a pneumatic propulsion tire used on manual wheelchairs. As a wheelchair accessory, this item supports mobility and device maintenance, which can affect patient independence and equipment longevity. Nationally, billing and coverage for wheelchair accessories influence access to necessary parts that keep durable medical equipment functional and safe. Key payers commonly addressing coverage for such accessories include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will find an overview of what E2213 represents, how payers typically approach coverage, and the clinical context for supplying removable pneumatic tire inserts. The publication summarizes benchmarks where available, outlines common billing practices and modifiers used with the code, and highlights policy considerations affecting reimbursement and supply of wheelchair components. Where specific payer policy detail is not provided, the report notes that data is not available in the input. This analysis is intended for a national audience of billing managers, medical equipment suppliers, and policy analysts seeking a concise reference on E2213 and its place within durable medical equipment billing and coverage.
Billing Code Overview
HCPCS Level II code E2213 describes a manual wheelchair accessory: an insert for a pneumatic propulsion tire that is removable, billed per item. The service type is durable medical equipment accessory, intended to modify or enhance wheelchair function. The typical site of service is durable medical equipment suppliers, outpatient rehabilitation settings, or patient homes when supplied with a wheelchair or as a replacement part.
Clinical & Coding Specifications
Clinical Context
A 68-year-old patient with long-standing lower extremity weakness who uses a manual wheelchair presents to durable medical equipment (DME) services for replacement parts. The clinician documents that the wheelchair has pneumatic propulsion tires and the removable inserts for the pneumatic tires are worn, compromising traction and comfort. The DME technician removes the worn inserts, confirms compatibility with the existing rims and tires, and dispenses one replacement insert per wheel as an accessory to the manual wheelchair. Typical workflow includes verification of wheelchair ownership and make/model, review of prior authorization if required by the payor, documentation of medical necessity (mobility impairment, risk of falls or skin breakdown), assembly or fitting of the insert onto the pneumatic tire, patient education on maintenance, and submission of the claim using HCPCS Level II code E2213 for each insert supplied. Typical site of service is outpatient durable medical equipment vendors, the patient’s home, or an outpatient rehabilitation clinic when performed as part of wheelchair maintenance or repair. Payors involved commonly include Medicare, Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and employer-sponsored commercial plans such as BUCA.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier (default) | Use when no special modifier applies to the supply of the accessory. |