E1237 — Wheelchair, pediatric size, rigid, adjustable, without seating system
E1237 is a HCPCS Level II code for wheelchair, pediatric size, rigid, adjustable, without seating system. It belongs to the Durable Medical Equipment section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
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 E1237 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 E1237
- Long descriptor
- Wheelchair, pediatric size, rigid, adjustable, without seating system
- Short descriptor
- Rgd ped wc adjstabl w/o seat
- Added
- January 1, 2003
- BETOS
- D1D
- Pricing indicator
- 36 — 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.
Capped rental DME. Price subject to floors and ceilings.
Codes adjacent to E1237
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E1237 is not quite right, the correct code is very often within a few positions of it.
- E1229Wheelchair, pediatric size, not otherwise specified
- 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
- E1238Wheelchair, pediatric size, folding, adjustable, without seating system
- E1239Power wheelchair, pediatric size, not otherwise specified
- E1240Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest
- E1250Lightweight wheelchair, fixed full length arms, swing away detachable footrest
- E1260Lightweight wheelchair, detachable arms (desk or full length) swing away detachable footrest
- E1270Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests
- E1280Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests
- E1285Heavy duty wheelchair, fixed full length arms, swing away detachable footrest
Questions about E1237
What is HCPCS code E1237?
E1237 is a HCPCS Level II code for wheelchair, pediatric size, rigid, adjustable, without seating system. It sits in the Durable Medical Equipment section.
Does Medicare cover E1237?
The CMS HCPCS file marks E1237 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.