E1239 — Power wheelchair, pediatric size, not otherwise specified
E1239 is a HCPCS Level II code for power 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 E1239 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 E1239
- Long descriptor
- Power wheelchair, pediatric size, not otherwise specified
- Short descriptor
- Ped power wheelchair nos
- Added
- January 1, 2005
- 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 E1239
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E1239 is not quite right, the correct code is very often within a few positions of it.
- 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
- E1238Wheelchair, pediatric size, folding, adjustable, without seating system
- 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
- E1290Heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest
- E1295Heavy duty wheelchair, fixed full length arms, elevating legrest
Questions about E1239
What is HCPCS code E1239?
E1239 is a HCPCS Level II code for power wheelchair, pediatric size, not otherwise specified. It sits in the Durable Medical Equipment section.
Does Medicare cover E1239?
The CMS HCPCS file marks E1239 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.