Summary & Overview

HCPCS E2390: Power Wheelchair Solid Drive Wheel Tire, Replacement

HCPCS Level II code E2390 identifies a replacement solid (rubber/plastic) drive wheel tire for power wheelchairs, billed per item. This accessory code matters nationally because it covers routine replacement components essential to maintaining mobility and independence for wheelchair users; coverage and reimbursement policies for replacement parts affect access to timely repairs and device longevity. Key payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.

Readers will gain a concise understanding of what E2390 represents clinically and operationally, how it is typically billed and supplied, and the common settings where transactions occur (DME suppliers and outpatient repair/service locations). The publication summarizes payer coverage patterns and reimbursement benchmarks, highlights relevant policy considerations affecting replacement parts for power mobility devices, and provides clinical context on why prompt replacement of drive wheel tires matters for safety and device function. Where payer-specific guidance or national policy updates influence coverage determinations, that information is summarized to aid billing, procurement, and compliance stakeholders. Data not available in the input are noted where applicable.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareE2390HCPCS Level IIpower wheelchairmobility devicedurable medical equipmentreplacement partwheelchair accessoriesbilling

Billing Code Overview

HCPCS Level II code E2390 describes a power wheelchair accessory: a solid (rubber/plastic) drive wheel tire, any size, provided as a replacement only, billed per item. The service type is durable medical equipment accessory / replacement part. The typical site of service is durable medical equipment suppliers, mobility device repair shops, or outpatient settings where mobility equipment is serviced or issued.

Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A durable medical equipment provider receives an order for replacement parts for a patient’s power wheelchair. The patient is an adult with long-standing mobility impairment who uses a power wheelchair as their primary means of mobility. During a routine home assessment, the clinician or technician documents a worn or damaged solid (rubber/plastic) drive wheel tire requiring replacement to maintain safe operation and prevent loss of function. The order cites billing code E2390 for a single replacement solid drive wheel tire. The typical workflow includes verification of the patient’s current wheelchair make/model and wheel size, photographic documentation of wear, confirmation that the part is a replacement (not original equipment), assembling the replacement tire on site or in the shop, testing wheelchair drive function, and capturing the delivery/installation signature. Usual sites of service are the patient’s home, the supplier’s repair shop, or an outpatient durable medical equipment facility. Billing uses the supplier’s standard HCPCS claim submission with the appropriate modifier when required and attachment of any insurer-required documentation such as a technician report or supplier invoice that indicates the part is replacement only and lists the unit price.

Coding Specifications

Modifier	Description	When to Use
`52`	Reduced services	Use when a replacement repair is partial or limited compared with a full replacement procedure.
`53`	Discontinued procedure	Use if replacement attempt was started but discontinued for documented clinical or safety reason.
`78`	Unplanned return to the operating/procedure room by same physician following initial procedure for a related procedure during the postoperative period	Rare for DME; use only if an unplanned return to repair occurs in an outpatient procedural setting.
`80`	Assistant surgeon	Not typically used for DME suppliers; include only if a credentialed assistant is billed under surgical rules in a procedural setting.
`82`	Assistant surgeon (when qualified resident surgeon not available)	As above; rarely applicable to equipment replacement but included when billing under facility surgical encounters.
`AS`	Physician or other qualified healthcare professional services (used by some payors)	Use when a clinician’s visit or assessment is billed separately by a qualified clinician alongside the DME part replacement.
`CO`	Cast/orthotic/prosthetic modifier (payer-specific)	Use with payors that require this code family when reporting orthotic/prosthetic component replacements; some suppliers use it for device components.
`KJ`	Replacement of component under warranty (manufacturer-specific)	Use when warranty status requires reporting; some payors recognize K-codes for warranty reporting — include when applicable documentation supports warranty coverage.
`LL`	Left side	Use when lateralization is required by the payer for bilateral equipment items (rare for wheelchair drive wheels but used when specifying left-side component)

Taxonomy Code	Specialty	Notes
`334N00000X`	Assistive Technology Provider	Common supplier specialty for durable medical equipment and wheelchair repairs.
`261QM0800X`	Physical Medicine and Rehabilitation	Clinicians ordering DME and documenting functional need for replacement tires.
`3336C0002X`	Prosthetics/Orthotics	Providers involved when wheelchair components are part of complex seating and mobility systems.
`207Q00000X`	Occupational Therapist	Often performs home assessments and documents mobility needs and equipment condition.
`207L00000X`	Physical Therapist	Assesses gait and mobility needs and may recommend power wheelchair maintenance or parts replacement.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`Z99.3`	Dependence on wheelchair	Common reason for maintaining and replacing wheelchair components to preserve mobility.
`G82.50`	Paraplegia, unspecified	Patients with lower extremity paralysis frequently rely on power wheelchairs; drive wheel tire replacement preserves function.
`G11.9`	Hereditary ataxia, unspecified	Neuromuscular conditions that impair ambulation increase reliance on powered mobility devices and component maintenance.
`M62.81`	Muscle weakness (generalized)	Generalized weakness can result in long-term wheelchair use; replacement parts maintain safe mobility.
`M48.06`	Spinal stenosis, lumbar region	Back and lower extremity pathology often leads to power wheelchair dependence and need for replacement components.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97760`	Orthotic and prosthetic management and training, initial encounter, each 15 minutes	Used when patient requires training or reorientation after replacement of a major wheelchair component affecting mobility or seating.
`97763`	Orthotic and prosthetic management and training, subsequent encounters	Used for follow-up visits related to device adjustments after component replacement.
`99213`	Office or other outpatient visit for the evaluation and management of an established patient, typically 15 minutes	Used when a clinician documents the need for replacement during an outpatient visit prior to supplier order.
`99152`	Moderate sedation services may be billed in procedural settings when patient requires sedation for complex repairs (facility dependent)	Rarely applicable; included when a procedural repair necessitates monitored sedation in a facility.
`99090`	Analysis of clinical data stored in an electronic health record	Used if supplier or clinician documents and bills for additional data review associated with the DME replacement when payor allows.