Summary & Overview
HCPCS Level II E2214: Pneumatic Caster Tire for Manual Wheelchairs
HCPCS Level II code E2214 denotes a manual wheelchair accessory — a pneumatic caster tire, any size, billed per tire. This code matters nationally because wheelchair components affect mobility, safety, and durability for users who rely on manual wheelchairs, and accessory coverage drives repair and maintenance access across payers. Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will find a concise overview of what E2214 represents, typical sites of service (DME suppliers, outpatient clinics, rehab centers, and home use), and the clinical context for pneumatic caster tires in manual wheelchairs. The publication provides benchmarks where available, notes relevant policy and coverage considerations from major payers, and situates the code within durable medical equipment billing practices. It also outlines coding nuances that affect claim submission and reimbursement, and highlights areas where policy updates or payer-specific rules commonly affect coverage and payment. Data not available in the input for payer-specific rates, associated taxonomies, ICD-10 pairings, and related codes is noted where applicable.
Billing Code Overview
HCPCS Level II code E2214 describes a manual wheelchair accessory: pneumatic caster tire, any size, each. This code represents replacement or accessory components intended for manual wheelchairs that use pneumatic caster tires.
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Service type: Durable medical equipment accessory supply
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Typical site of service: Durable medical equipment suppliers, outpatient clinics, rehabilitation facilities, and home use
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult who uses a manual wheelchair for mobility and presents to a durable medical equipment (DME) clinic or a rehabilitation outpatient clinic for maintenance or replacement of worn pneumatic caster tires. The patient often reports decreased maneuverability, increased rolling resistance, or frequent flats. A DME technician or ATP (Assistive Technology Professional) inspects the wheelchair, documents wear or damage to the caster tire, and determines that replacement of a single pneumatic caster tire is clinically indicated to restore safe operation. The service is furnished in an outpatient DME/rehab setting, at the patient’s residence during a home visit by a qualified vendor/technician, or at a skilled nursing facility when performed as part of ongoing mobility equipment maintenance. Typical workflow: intake and verification of payer coverage, clinical or vendor inspection documenting need, selection of the correct tire size/type, replacement of the pneumatic caster tire, functional check of wheelchair rolling and caster alignment, and billing using E2214 for each tire replaced.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Default reporting when no other modifier applies |