Summary & Overview
HCPCS Level II E2391: Power Wheelchair Solid Caster Tire, Replacement
Headline: HCPCS Level II code E2391 covers removable solid caster tires for power wheelchairs
Lead: HCPCS Level II code E2391 designates a removable solid (rubber/plastic) caster tire sold as a replacement part for power wheelchairs. This code matters nationally because it categorizes commonly replaced mobility device components that affect equipment maintenance, patient mobility, and durable medical equipment (DME) supply chains.
Why it matters: Standardized coding for replacement parts helps payers and suppliers manage claims, inventory, and repair workflows for mobility devices. Proper coding supports accurate reimbursement for suppliers and ensures patients receive functional equipment necessary for mobility and safety.
Key payers covered: Analysis typically reviews coverage and payment practices from major national payers: Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
What readers will learn: The publication provides benchmarks for how E2391 is billed and reimbursed across major payers, notes common billing practices and documentation expectations, and summarizes clinical context for replacement caster tires (role in device function, typical use cases). It also outlines where to find relevant policy guidance and highlights common administrative considerations for suppliers and clinicians.
Data notes: Data not available in the input for payer-specific payment rates, associated taxonomies, and ICD-10 diagnosis pairings.
Billing Code Overview
HCPCS Level II code E2391 describes a power wheelchair accessory: a solid (rubber/plastic) caster tire (removable), any size, replacement only, each. The service type is durable medical equipment accessory / replacement part for a power mobility device. The typical site of service is durable medical equipment suppliers, outpatient clinics, home delivery/installation settings, or repair/service centers.
Clinical & Coding Specifications
Clinical Context
A patient who uses a power wheelchair reports increased vibration and reduced steering stability due to worn or damaged removable caster tires. The durable medical equipment (DME) technician inspects the wheelchair at a clinic or in-home visit, documents the worn E2391 caster tire, and replaces the single removable solid (rubber/plastic) caster tire. The workflow includes verification of the wheelchair serial number and prior authorization status if required by the payer, acquisition of the replacement part, replacement by a certified technician or DME supplier, and documentation of the item replaced, date of service, technician identity, and the patient’s functional impact. Typical sites of service are outpatient DME supplier locations, rehabilitation clinics, or the patient’s home when a home visit is required for mobility safety or patient immobility.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
52 | Reduced Services | Use when only part of an ordered DME service is provided (e.g., partial replacement or temporary fix instead of full repair). |
53 | Discontinued Procedure |