E2387 Power Wheelchair Caster Tire Reimbursement | OpenPayer

Summary & Overview

HCPCS Level II E2387: Power Wheelchair Foam-Filled Caster Tire, Replacement Only

HCPCS Level II code E2387 denotes a replacement foam-filled caster tire for power wheelchairs. As a small but essential durable medical equipment (DME) accessory, this code facilitates maintenance and continued mobility for power wheelchair users by covering single-unit replacement tires. Nationally, accurate coding and coverage determinations for accessories like E2387 support patient safety, device longevity, and appropriate DME utilization.

Key payers addressed in coverage and benchmarking discussions include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of coding intent, payer coverage considerations, and common billing practices related to replacement-only DME accessories. The publication also summarizes benchmark metrics where available, typical sites of service, and how E2387 fits into the broader clinical context of mobility device maintenance.

This summary is intended to help billing professionals, DME suppliers, and policy analysts understand the scope of HCPCS Level II code E2387, what documentation elements are commonly relevant, and where to look for payer-specific coverage policies. Data not available in the input is noted where applicable.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareE2387HCPCS Level IIpower wheelchairdurable medical equipmentaccessory replacementmobility devicescaster tireDME billingreplacement partoutpatient equipment

Billing Code Overview

HCPCS Level II code E2387 describes a power wheelchair accessory: foam filled caster tire, any size, replacement only, each. This code covers the supply of a single foam-filled caster tire intended as a replacement part for a power wheelchair.

Service type: Durable medical equipment accessory replacement
Typical site of service: Durable medical equipment supplier, outpatient equipment service location, or on-site repair service for mobility devices

Clinical & Coding Specifications

Clinical Context

A power wheelchair user presents to a durable medical equipment (DME) clinic or a wheelchair repair service because one of the front or rear caster wheels has a deteriorated or damaged foam-filled tire. The device is a power wheelchair and the request is for a replacement foam-filled caster tire only. The typical workflow includes: an initial intake documenting the wheelchair make/model and wheel dimensions; verification that the accessory is a caster tire (non-power component) and is a replacement part; measurement or photographic documentation of the existing tire and rim; capture of patient demographic and payer information; determination of medical necessity based on mobility needs and the condition of the existing tire; billing using HCPCS Level II code E2387 with an appropriate modifier when required; and shipment or in-person installation of the replacement tire by a certified mobility technician. Typical site of service is a DME supplier location, mobility repair shop, or the patient’s residence if on-site repair/installation is required. Common patient scenarios include wear from daily outdoor use, puncture or delamination of older solid/airless tires, or modernization of tires to restore safe mobility for patients with diagnoses such as neurodegenerative disease, spinal cord injury, or severe arthritis that impair ambulation. Documentation should link the need for replacement to the patient’s mobility limitations and the condition of the existing caster tire.

Coding Specifications

Modifier	Description	When to Use
`00`

HCPCS Level II E2331: Power Wheelchair Attendant Proportional Control

HCPCS-E2312-MINI-PROPORTIONAL-REMOTE-JOYSTICK-POWER-WHEELCHAIR-INTERFACE

HCPCS E2312: Power Wheelchair Mini-Proportional Remote Joystick

HCPCS-E0856-CERVICAL-TRACTION-DEVICE-INFLATABLE-AIR-BLADDER

HCPCS E0856: Cervical Traction Device with Inflatable Air Bladder(s)

HCPCS-E2395-POWER-WHEELCHAIR-CASTER-WHEEL-REPLACEMENT

HCPCS E2395: Power Wheelchair Caster Wheel Replacement

HCPCS-E1353-REGULATOR-DURABLE-MEDICAL-EQUIPMENT

HCPCS E1353: Regulator for Durable Medical Equipment

HCPCS-E0329-PEDIATRIC-ELECTRIC-HOSPITAL-BED-360-SIDE-ENCLOSURES

HCPCS E0329: Pediatric Electric Hospital Bed with Full Side Enclosures

HCPCS-E0605-ROOM-VAPORIZER-DME-HOME-USE

HCPCS E0605: Room-Type Vaporizer for Home Respiratory Support

HCPCS-E2219-FOAM-CASTER-TIRE-WHEELCHAIR-ACCESSORY

HCPCS E2219: Foam Caster Tire for Manual Wheelchair, Each

HCPCS-E0492-ORAL-TONGUE-NEUROMUSCULAR-STIMULATION-POWER-UNIT-PHONE-CONTROL

HCPCS E0492: Power Unit for Oral Tongue Neuromuscular Stimulation

HCPCS-E0677-NON-PNEUMATIC-SEQUENTIAL-COMPRESSION-GARMENT-TRUNK

HCPCS E0677: Non-pneumatic Sequential Compression Garment, Trunk

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Taxonomy Code	Specialty	Notes
261QM0800X	Physical Medicine & Rehabilitation	DME suppliers and rehab clinicians who evaluate mobility needs and recommend wheelchair repairs or accessories.
332B00000X	Durable Medical Equipment & Medical Supply	Suppliers and technicians who provide and install replacement wheelchair parts and accessories.
207L00000X	Orthotics & Prosthetics	Clinicians and vendors experienced in wheelchair seating systems and accessory fitting.
2084P0800X	Mobility Specialist	Clinicians or certified technicians specializing in complex wheelchair provision and repair.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`M19.90`	Osteoarthritis, unspecified site, unspecified	Patients with severe lower-extremity arthritis who use power wheelchairs and require safe caster tires for mobility.
`G82.50`	Paraplegia, unspecified, not elsewhere classified	Wheelchair-dependent patients requiring replacement caster tires to maintain safe mobility and prevent further injury.
`G82.20`	Quadriplegia, unspecified	Power wheelchair users with limited ability to ambulate requiring routine replacement of worn caster tires.
`G12.21`	Amyotrophic lateral sclerosis (ALS)	Progressive neuromuscular disease leading to reliance on power wheelchair and the need for reliable caster tires.
`M48.06`	Spinal stenosis, lumbar region	Patients with severe mobility-limiting spinal conditions who use power wheelchairs and need replacement caster tires.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99347`	Home visit for established patient, simple, 5-10 minutes	Conducts a brief home assessment to determine need for on-site replacement of caster tire in a patient who cannot travel.
`99070`	Supply and equipment charges not included elsewhere	Used by suppliers to report the cost of replacement parts or supplies when required by payer policies in addition to the HCPCS line item.
`99213`	Office or other outpatient visit for established patient, low to moderate severity	Outpatient evaluation by a clinician documenting mobility impairment and medical necessity supporting replacement of wheelchair caster tire.
`97760`	Orthotic management and training, initial encounter	If replacement involves adjustments to seating or mobility training after installation, billing for training may be used in conjunction.
`99080`	Special reports and documentation, administrative services	Use when payors require detailed documentation or forms accompanying the DME claim for `E2387`.

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