Summary & Overview
HCPCS E2220: Manual Wheelchair Solid Propulsion Tire, Replacement Only
HCPCS Level II code E2220 designates a solid (rubber/plastic) propulsion tire for manual wheelchairs, billed as a replacement part and supplied per item. This code matters nationally because wheelchair components directly affect mobility, device safety, and ongoing maintenance costs for beneficiaries who rely on manual wheelchairs. Coverage and payment for replacement parts influence access to functional equipment and durability of existing durable medical equipment (DME) inventories.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code’s clinical role and service setting, common payer coverage patterns, and the types of benchmarking and policy considerations typically associated with DME accessory codes. The publication will cover reimbursement benchmarks, billing and documentation requirements, and payer-specific policy drivers where available. It will also summarize clinical context—how replacement propulsion tires support safety and mobility—and identify areas where readers may need to consult payer policy for specifics.
If payer-specific or code-specific datasets are not present in the input, this summary notes that relevant detailed tables or benchmarks are not included. The content is intended for a national audience of billing professionals, DME suppliers, policy analysts, and clinical staff involved in durable medical equipment procurement and reimbursement.
Billing Code Overview
HCPCS Level II code E2220 represents a manual wheelchair accessory: a solid (rubber/plastic) propulsion tire, any size, intended for replacement only, sold and billed each.
Service type: Durable medical equipment accessory / replacement part
Typical site of service: Durable medical equipment supplier, outpatient clinic, or home use
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A 72-year-old ambulatory-disabled patient who uses a manual wheelchair for daily mobility presents to a durable medical equipment (DME) supplier for replacement of a worn solid (rubber/plastic) propulsion tire, billed as E2220. The patient reports reduced propulsion efficiency and visible tread wear on one wheel after several years of use. The clinical workflow includes verification of patient eligibility and payer coverage, confirmation of the wheelchair make/model and wheel size, measurement and documentation of the damaged tire, issuance of a replacement order, and shipment or in-person fitting by the DME technician. Documentation in the medical record and DME claim should include the patient’s diagnosis supporting the need for continued manual wheelchair use, the wheelchair serial/model, the tire size, justification for replacement (wear/damage), supplier signature, and the date of service. Typical payor interactions include prior authorization if required by the payer, submission of the E2220 HCPCS Level II code with applicable modifier(s), and retention of proof of delivery and fitting notes for audit purposes.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Use when no specific modifier applies to the claim for the replacement tire |