E2209 — Accessory, arm trough, with or without hand support, each
E2209 is a HCPCS Level II code for accessory, arm trough, with or without hand support, 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 E2209 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
- 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 E2209
- Long descriptor
- Accessory, arm trough, with or without hand support, each
- Short descriptor
- Arm trough each
- Added
- January 1, 2006
- 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 E2209
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E2209 is not quite right, the correct code is very often within a few positions of it.
- E2201Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches
- E2202Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches
- E2203Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches
- E2204Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches
- E2205Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each
- E2206Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each
- E2207Wheelchair accessory, crutch and cane holder, each
- E2208Wheelchair accessory, cylinder tank carrier, each
- E2210Wheelchair accessory, bearings, any type, replacement only, each
- E2211Manual wheelchair accessory, pneumatic propulsion tire, any size, each
- E2212Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each
- E2213Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each
- E2214Manual wheelchair accessory, pneumatic caster tire, any size, each
- E2215Manual wheelchair accessory, tube for pneumatic caster tire, any size, each
- E2216Manual wheelchair accessory, foam filled propulsion tire, any size, each
- E2217Manual wheelchair accessory, foam filled caster tire, any size, each
Questions about E2209
What is HCPCS code E2209?
E2209 is a HCPCS Level II code for accessory, arm trough, with or without hand support, each. It sits in the Durable Medical Equipment section.
Does Medicare cover E2209?
The CMS HCPCS file marks E2209 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.