E1220 HCPCS Level II code: Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification
E1220 is the HCPCS code for “Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
E1220Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification
Short description: Whlchr special size/constrc
HCPCS · United States
Medicare details
The indicators CMS publishes with E1220 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- DMEPOS fee schedule – Customized DME items
- Type of service
- Lump sum purchase of DME, prosthetics, orthotics
- BETOS category
- Wheelchairs
- Added
- Jan 1, 1986
Where E1220 sits
- 1E codesDurable medical equipment
- 2Active code E1220Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code E1220 mean?
E1220 is the HCPCS code for “Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover E1220?
CMS lists E1220’s Medicare coverage as “Special coverage instructions apply” and its pricing as “DMEPOS fee schedule – Customized DME items”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside E1220
All E codesE1171Amputee wheelchair, fixed full length arms, without footrests or legrestE1172Amputee wheelchair, detachable arms (desk or full length) without footrests or legrestE1180Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrestsE1190Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrestsE1195Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrestsE1200Amputee wheelchair, fixed full length arms, swing away detachable footrestE1221Wheelchair with fixed arm, footrestsE1222Wheelchair with fixed arm, elevating legrestsE1223Wheelchair with detachable arms, footrestsE1224Wheelchair with detachable arms, elevating legrestsE1225Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), eachE1226Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each