HCPCS code E2389 — Foam caster tire. Status: Active. Effective Jan 1, 2007. Source: CMS HCPCS Level II.

E2389

Active

Foam caster tire

Power wheelchair accessory, foam caster tire, any size, replacement only, each

Category: DME
Section: E-codes: Durable Medical Equipment
Effective: Jan 1, 2007
Code type: alphanumeric
OPPS Status: Y — Non-implantable durable medical equipment

MUE — Medically Unlikely Edits

Maximum units of E2389 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
DME Supplier 4
Outpatient Hospital 0
Practitioner Services 0

Source: CMS Medicare NCCI Medically Unlikely Edits