Summary & Overview
HCPCS E2386: Power Wheelchair Foam-Filled Drive Wheel Tire, Replacement
HCPCS Level II code E2386 represents a replacement foam-filled drive wheel tire for power wheelchairs, billed per tire. As an accessory for durable medical equipment (DME) mobility devices, this code supports maintenance and safe operation of powered mobility for patients with mobility impairments. Nationally, repair and replacement accessories like E2386 matter because they affect device functionality, patient safety, and ongoing access to mobility aids.
Key payers considered 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 context, payer coverage considerations, common billing modifiers (listed separately), and where this item is typically supplied or installed. The publication summarizes benchmarks and policy-relevant topics such as coverage criteria for DME accessories, billing practices for replacement parts, and documentation expectations for medical necessity. It also highlights potential coding pitfalls and related HCPCS items to consider when billing for power wheelchair maintenance and repair.
This resource is intended for billing staff, DME suppliers, clinicians overseeing mobility devices, and policy analysts seeking a national summary of E2386’s clinical and billing context. Data not available in the input is noted where applicable.
Billing Code Overview
HCPCS Level II code E2386 describes a power wheelchair accessory — foam filled drive wheel tire, any size, replacement only, each. This item is an accessory component intended to replace a damaged or worn drive wheel tire on a power wheelchair. The service type is durable medical equipment (accessory replacement) for mobility devices. The typical site of service is outpatient, including durable medical equipment suppliers, mobility device service centers, and patient homes when delivered or installed by a vendor.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult power wheelchair user who presents to a durable medical equipment (DME) provider or wheelchair service clinic because one of the power wheelchair's foam-filled drive wheel tires is worn, damaged, or no longer providing safe traction. The wheelchair is used for mobility in the community and home; reduced tire integrity produces decreased stability, increased vibration, or risk of falls. The clinical workflow begins with a patient or caregiver request for repair or replacement. A clinician or certified technician performs a wheelchair assessment, documents the need for replacement, verifies the wheelchair make/model and wheel size, photographs the damaged tire, and records measurements. The DME supplier orders the replacement item using billing code E2386 for the foam-filled drive wheel tire (replacement only, each). The supplier may obtain prior authorization from commercial payors (Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, Medicare) when required. On receipt, a trained technician installs the replacement tire, tests wheel function, documents the service date, condition before and after replacement, and supplies a signed delivery/installation record to the patient and payer. Billing includes the appropriate modifier(s) to indicate service specifics (for example, if only a replacement part was provided or if servicing was part of an initial claim).
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier/standard — not commonly used in HCPCS; some payers accept as default |