Summary & Overview
HCPCS E2389: Power Wheelchair Foam Caster Tire, Replacement Only
HCPCS Level II code E2389 denotes a replacement foam caster tire for power wheelchairs. The code designates a single foam tire, any size, supplied as a replacement part and is relevant for maintenance of mobility devices used by individuals with mobility impairments. Nationally, billing for replacement parts for durable medical equipment (DME) such as power wheelchairs affects both patient access to functioning mobility devices and payer cost controls for ongoing maintenance items.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise outline of what E2389 represents, typical sites of service, and payer coverage context. The publication highlights common billing considerations for DME accessories, typical sites where the item is supplied or serviced, and what to expect in claims processing for replacement parts. It also summarizes benchmarking and policy context relevant to national payer practices where available.
Data not available in the input for specific reimbursement rates, associated taxonomies, ICD-10 diagnoses, and related codes.
Billing Code Overview
HCPCS Level II code E2389 describes a power wheelchair accessory: foam caster tire, any size, replacement only, each. The service type is durable medical equipment accessory / replacement part used to maintain or restore caster wheel function on power wheelchairs. Typical site of service is outpatient durable medical equipment suppliers, mobility device repair shops, and home settings where the mobility device is used and serviced.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A power wheelchair user with worn or damaged foam caster tires presents to a wheelchair service clinic or durable medical equipment (DME) provider for a replacement part. The typical patient is an adult or pediatric mobility-impaired individual who uses a powered wheelchair for activities of daily living and community mobility. The clinical workflow begins with a DME technician or clinician confirming the need for a replacement foam caster tire during a routine maintenance visit, repair request, or after a caregiver reports reduced steering control or increased vibration. The technician documents the wheelchair make/model, wheel size, and the condition of the existing caster tire, verifies medical necessity for repair rather than full device replacement, obtains patient or caregiver consent, and dispenses the replacement tire billed as E2389 (power wheelchair accessory, foam caster tire, any size, replacement only, each). Typical sites of service are outpatient DME supplier locations, home visits by DME technicians, rehabilitation clinics, and skilled nursing facilities where repairs are performed on-site.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
52 | Reduced services | When only partial repair is performed and the full accessory service is not completed as originally described. |