E1229 — Wheelchair, pediatric size, not otherwise specified
E1229 is a HCPCS Level II code for wheelchair, pediatric size, not otherwise specified. 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 E1229 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
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- DME supplier
- 1 unit MAI 2 — Date of Service Edit: Policy · Code Descriptor / CPT Instruction
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 E1229
- Long descriptor
- Wheelchair, pediatric size, not otherwise specified
- Short descriptor
- Pediatric wheelchair nos
- Added
- January 1, 2005
- BETOS
- D1D
- Pricing indicator
- 32 — DMEPOS
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.
Inexpensive and routinely purchased DME. Price subject to floors and ceilings.
Codes adjacent to E1229
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E1229 is not quite right, the correct code is very often within a few positions of it.
- E1221Wheelchair with fixed arm, footrests
- E1222Wheelchair with fixed arm, elevating legrests
- E1223Wheelchair with detachable arms, footrests
- E1224Wheelchair with detachable arms, elevating legrests
- E1225Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each
- E1226Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each
- E1227Special height arms for wheelchair
- E1228Special back height for wheelchair
- E1230Power operated vehicle (three or four wheel nonhighway) specify brand name and model number
- E1231Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating system
- E1232Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system
- E1233Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system
- E1234Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system
- E1235Wheelchair, pediatric size, rigid, adjustable, with seating system
- E1236Wheelchair, pediatric size, folding, adjustable, with seating system
- E1237Wheelchair, pediatric size, rigid, adjustable, without seating system
Questions about E1229
What is HCPCS code E1229?
E1229 is a HCPCS Level II code for wheelchair, pediatric size, not otherwise specified. It sits in the Durable Medical Equipment section.
Does Medicare cover E1229?
The CMS HCPCS file marks E1229 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.