E1285: Heavy duty wheelchair, fixed full length arms, swing away detachable footrest
E1285 is a HCPCS Level II code for heavy duty wheelchair, fixed full length arms, swing away detachable footrest. It belongs to the Durable Medical Equipment section. Medicare does not pay it: see the coverage note below before you bill it.
Medicare coverage: Not payable by Medicare
Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q4-Oct. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits: units per day
The most units of E1285 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 2026Q4.
The CMS record for E1285
- Long descriptor
- Heavy duty wheelchair, fixed full length arms, swing away detachable footrest
- Short descriptor
- Wheelchair heavy duty fixed
- 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 E1285
HCPCS has no hierarchy: related items simply sit next to each other in the numbering. If E1285 is not quite right, the correct code is very often within a few positions of it.
- E1237Wheelchair, pediatric size, rigid, adjustable, without 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
- E1290Heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest
- E1295Heavy duty wheelchair, fixed full length arms, elevating legrest
- E1296Special wheelchair seat height from floor
- E1297Special wheelchair seat depth, by upholstery
- E1298Special wheelchair seat depth and/or width, by construction
- E1300Whirlpool, portable (overtub type)
- E1301Whirlpool tub, walk-in, portable
- E1310Whirlpool, non-portable (built-in type)