E1011 – Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair)

HCPCS Level II code · E codes: Durable Medical Equipment (DME)

Active code Special coverage instructions apply

HCPCS codeE1011
Long description
Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair)
Short description
Ped wc modify width adjustm
Pricing indicator
32 DME – inexpensive & routinely purchased
Medicare coverage
D Special coverage instructions apply
BETOS category
D1D Wheelchairs
Added
January 1, 2003
Last change
January 1, 2005 – No change

Frequently asked questions

What is HCPCS code E1011?

E1011 is a HCPCS Level II code for modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair).

Does Medicare cover E1011?

The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby E codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.