E0995 — Wheelchair accessory, calf rest/pad, replacement only, each
E0995 is a HCPCS Level II code for wheelchair accessory, calf rest/pad, replacement only, each. It belongs to the Durable Medical Equipment section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits — units per day
The most units of E0995 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 2 units MAI 2 — Date of Service Edit: Policy · Anatomic Consideration
- DME supplier
- 2 units MAI 2 — Date of Service Edit: Policy · Anatomic Consideration
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for E0995
- Long descriptor
- Wheelchair accessory, calf rest/pad, replacement only, each
- Short descriptor
- Wc calf rest, pad replacemnt
- Added
- January 1, 1986
- BETOS
- D1D
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to E0995
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E0995 is not quite right, the correct code is very often within a few positions of it.
- E0983Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control
- E0984Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control
- E0985Wheelchair accessory, seat lift mechanism
- E0986Manual wheelchair accessory, power assist system
- E0988Manual wheelchair accessory, lever-activated, wheel drive, pair
- E0990Wheelchair accessory, elevating leg rest, complete assembly, each
- E0992Manual wheelchair accessory, solid seat insert
- E0994Arm rest, each
- E1002Wheelchair accessory, power seating system, tilt only
- E1003Wheelchair accessory, power seating system, recline only, without shear reduction
- E1004Wheelchair accessory, power seating system, recline only, with mechanical shear reduction
- E1005Wheelchair accessory, power seating system, recline only, with power shear reduction
- E1006Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction
- E1007Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction
- E1008Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction
- E1009Wheelchair accessory, addition to power seating system, mechanically linked leg elevation system, including pushrod and leg rest, each
Questions about E0995
What is HCPCS code E0995?
E0995 is a HCPCS Level II code for wheelchair accessory, calf rest/pad, replacement only, each. It sits in the Durable Medical Equipment section.
Does Medicare cover E0995?
The CMS HCPCS file marks E0995 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.