E2392 Power Wheelchair Caster Tire HCPCS Reimbursement | OpenPayer

Summary & Overview

HCPCS E2392: Power Wheelchair Solid Caster Tire, Replacement Only

HCPCS Level II code E2392 denotes a replacement power wheelchair accessory: a solid (rubber/plastic) caster tire with integrated wheel, billed per item. Nationally, this code matters because replacement parts are a routine and essential component of durable medical equipment (DME) management for individuals who rely on power wheelchairs for mobility and independence. Proper coding ensures accurate claims processing for repairs and replacements and affects access to timely maintenance services.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of how E2392 is used in clinical and supply-chain contexts, typical sites of service for billing and delivery, and what to expect in payer coverage patterns and administrative handling. The publication outlines benchmarks for utilization and reimbursement where available, highlights relevant policy considerations that affect DME accessory claims, and summarizes clinical context regarding the role of caster tires in wheelchair safety and function.

This summary is written for a national audience and is intended to inform billing staff, DME suppliers, policy analysts, and clinicians involved in mobility device management. Data not available in the input will be explicitly noted in the detailed sections that follow.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareE2392HCPCS Level IIdurable medical equipmentpower wheelchairwheelchair accessoryreplacement partsDME billingmobility devices

Billing Code Overview

HCPCS Level II code E2392 represents a power wheelchair accessory: a solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each. The service type is durable medical equipment accessory / replacement part intended to restore or maintain the mobility function of a power wheelchair.

Typical site of service is durable medical equipment suppliers, outpatient repair shops, or home delivery / service settings where wheelchair maintenance and part replacement are performed.

Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A 68-year-old patient with advanced spastic paraplegia uses a power wheelchair as primary mobility. During a routine maintenance visit at a durable medical equipment (DME) clinic, a technician identifies a worn or damaged front caster tire assembly that cannot be repaired and requires replacement. The service documented is the supply-only replacement of a solid rubber/plastic caster tire with integrated wheel for a power wheelchair (E2392), billed per unit. Workflow: DME supplier verifies patient eligibility and durable medical equipment plan coverage with the payor, confirms the wheelchair make/model and compatibility, documents the need for replacement (supplier repair log, technician notes, photographs of damage), obtains prior authorization if required, obtains a written or electronic order from the prescribing clinician (physiatrist, neurologist, or primary care provider) if the payor requires it, performs the replacement on-site or ships the replacement part, records the date of service and serial/model numbers, and submits the claim with appropriate diagnosis and any applicable modifiers.

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier — standard reporting	Use when no special circumstances apply to the replacement part.

HCPCS Level II E1130: Standard Wheelchair with Fixed Full-Length Arms

HCPCS-E0434-PORTABLE-LIQUID-OXYGEN-SYSTEM-RENTAL

HCPCS E0434: Portable Liquid Oxygen System, Rental

HCPCS-E0787-EXTERNAL-AMBULATORY-INSULIN-INFUSION-PUMP-CGS-GUIDED

HCPCS E0787: External Ambulatory Insulin Infusion Pump with CGS Guidance

HCPCS-E1805-DYNAMIC-ADJUSTABLE-WRIST-EXTENSION-FLEXION-DEVICE

HCPCS E1805: Dynamic Adjustable Wrist Extension and Flexion Device

HCPCS-E0424-STATIONARY-OXYGEN-SYSTEM-RENTAL-HOME-THERAPY

HCPCS Level II E0424: Stationary Compressed Gaseous Oxygen System, Rental

HCPCS-E0630-PATIENT-LIFT-HYDRAULIC-MECHANICAL

HCPCS E0630: Patient Lift, Hydraulic or Mechanical, with Sling

HCPCS-E2375-POWER-WHEELCHAIR-CONTROLLER-REPLACEMENT

HCPCS Level II E2375: Power Wheelchair Non-Expandable Controller, Replacement

HCPCS-E1399-DURABLE-MEDICAL-EQUIPMENT-MISCELLANEOUS

HCPCS E1399: Durable Medical Equipment, Miscellaneous

HCPCS-E2228-WHEEL-BRAKING-SYSTEM-LOCK-MANUAL-WHEELCHAIR-ACCESSORY

HCPCS Level II E2228: Manual Wheelchair Wheel Braking System and Lock

HCPCS-E0912-HEAVY-DUTY-TRAPEZE-BAR-FREE-STANDING

HCPCS E0912: Heavy-Duty Free-Standing Trapeze Bar, >250 lb capacity

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Taxonomy Code	Specialty	Notes
`261Q00000X`	Physical Medicine & Rehabilitation (Physiatry)	Prescribers who commonly document mobility needs and write DME orders.
`207Q00000X`	Neurology	Specialists managing neurologic conditions that lead to wheelchair dependence.
`207L00000X`	Physical Therapy	Therapists who assess mobility and recommend equipment adjustments; may document functional need.
`3336C0002X`	Durable Medical Equipment & Medical Supplies Supplier	Suppliers who provide and install replacement wheelchair parts.
`207R00000X`	Family Medicine	Primary care clinicians who may authorize or renew DME orders.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`Z99.3`	Dependence on wheelchair	Common indication for power wheelchair accessories replacement due to routine wear in wheelchair-dependent patients.
`G82.20`	Paraplegia, unspecified	Neurologic cause of long-term wheelchair use; explains need for routine maintenance and parts replacement.
`G12.21`	Amyotrophic lateral sclerosis (ALS)	Progressive neuromuscular disorder leading to mobility device dependence; replacement parts are frequently required.
`G35`	Multiple sclerosis	Chronic demyelinating disease often causing mobility impairment and increased wheelchair use.
`M62.81`	Muscle weakness (generalized)	Contributes to reliance on powered mobility and need for accessory maintenance.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99070`	Supplies and materials (except spectacles), provided by the physician over and above those usually included with the office visit or procedure	Used when additional non-covered supplies or minor replacement parts are billed incident to a professional service; occasionally used in outpatient settings for accessory parts.
`97760`	Orthotic(s) management and training, initial encounter, each 15 minutes	Used when a clinician or therapist provides training related to new or replaced wheelchair components as part of orthotic/assistive device management.
`97597`	Removal of devitalized tissue (e.g., debridement), 1st 20 sq cm or less	Not directly related to caster replacement; listed for situations where skin breakdown management occurs during wheelchair assessments (included here because of common co-management scenarios).
`99091`	Collection and interpretation of physiologic data digitally stored and/or transmitted by the patient and/or caregiver	May be used if remote monitoring or telehealth assessment documents the need for equipment replacement.
`S5160`	Wheelchair accessory (custom cushion), replacement	HCPCS Level II S-code often used by some payers for associated wheelchair accessories; relates to accessory replacement in the same episode of care.

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