Accessories Just Got Easier to Bill

Published in Complex Rehab on April 24, 2025

Dan FedorThis post was originally featured in HME News.

CMS’s decision to revise and expand E1028 (swing-away mounting hardware) and create three new HCPCS codes based on where it's being used on a wheelchair is a "win” for the industry because it will make it easier for providers to bill for these devices, says Dan Fedor.   

Fedor, director of reimbursement and education for U.S. Rehab, says the changes, which went into effect for dates of service on or after April 1, mean that, for the most common accessories where swing-away mounting hardware is added, providers no longer need to include extra narrative in their claim. 

“For example, the new code E1033 is for swing-away mounting hardware used on a headrest – ‘wheelchair accessory, manual swing-away, retractable or removable mounting hardware for headrest, cushioned, any type’ – and, therefore, no narrative is required,” he said. 

A joint DME MAC publication in March announced the updates:  

  • Revise existing HCPCS Level II code E1028, "Wheelchair accessory, manual swing-away, retractable or removable mounting hardware for joystick, other control interface or positioning accessory" to instead read "Wheelchair accessory, manual swing-away, retractable or removable mounting hardware, other"  
  • Establish a new HCPCS Level II code E1032, "Wheelchair accessory, manual swing-away, retractable or removable mounting hardware used with joystick or other drive control interface."  
  • Establish a new HCPCS Level II code E1033, "Wheelchair accessory, manual swing-away, retractable or removable mounting hardware for headrest, cushioned, any type"  
  • Establish a new HCPCS Level II code E1034, "Wheelchair accessory, manual swing-away, retractable or removable mounting hardware for lateral trunk or hip support, any type"  

Prior to the changes, Fedor says, E1028 was a more generic code and, therefore, required a note indicating where the accessory was being used on a wheelchair for every instance. 

“For example, if swing away mounting hardware E1028 is being used on the joystick, the extra narrative claim line would need to include ‘used on E2374’ and if the E1028 was used on the head rest, the extra narrative claim line would need to include ‘used on E0955’ and so on,” he said. 

If swing-away is being used on an accessory that doesn't fall under one of the three new codes (for example E0953), Fedor said providers should use E1028 and still include a narrative of where it is being used. 

In their publication, the DME MACs noted that E1032, E1033 and E1034 are in the capped rental payment category, but they will have the first-month purchase option when used on K0835-K0864 bases.    

At press time, the fee schedules for the new codes had not been posted, but Fedor said the word on the street is that they will follow the same allowable as E1028.


TAGS

  1. billing & reimbursement
  2. cms
  3. complex rehab
  4. reimbursement

From Our Experts

2025 Growth Strategies in the Complex Rehab Technology Industry thumbnail 2025 Growth Strategies in the Complex Rehab Technology Industry Forward-thinking businesses are adopting strategic approaches to fuel growth and expand impact. Here are some key strategies CRT dealers are leveraging in 2025. ATP Gateway Allows Repair Techs to Explore New Career thumbnail ATP Gateway Allows Repair Techs to Explore New Career U.S. Rehab added a new ATP Gateway program to the back end of its recent live tech training events in an effort to increase the funnel of ATPs entering the market by leveraging the repair tech workforce. Heartland Conference 2025 Recap: Where Innovation Meets Intention thumbnail Heartland Conference 2025 Recap: Where Innovation Meets Intention Heartland 2025 brought together a vibrant community of professionals who are not only navigating change but actively shaping the future of care. U.S. Rehab, Nymbl ‘Make Life So Much Easier' For Therapists thumbnail U.S. Rehab, Nymbl ‘Make Life So Much Easier' For Therapists U.S. Rehab and Nymbl Systems have collaborated on a new software feature that allows ATPs and therapists to communicate more efficiently about wheelchair evaluations. Maximize Your Heartland Experience: Tips, Tools, & Must-Knows thumbnail Maximize Your Heartland Experience: Tips, Tools, & Must-Knows Here's everything you need to know to ensure a smooth, successful, and unforgettable Heartland experience. Understanding the Value of ATP Certification and ATP Academy thumbnail Understanding the Value of ATP Certification and ATP Academy Becoming an ATP is a popular path often taken by occupational therapists (OTs), physical therapists (PTs), occupational therapy assistants (OTAs), physical therapy assistants (PTAs), and wheelchair technicians. With an ATP certification, one can both fill the needs of suppliers to sell certain wheelchairs and demonstrate that they have the skills and knowledge to complete their job as defined by the leading authority in the credentialing industry. Mobility Awareness Month: Celebrating the Impact of Mobility Providers thumbnail Mobility Awareness Month: Celebrating the Impact of Mobility Providers May is Mobility Awareness Month, a time recognizing the importance of mobility solutions, the professionals who provide them, and those who rely on them. U.S. Rehab's Live Tech Training and ATP Gateway Training Programs for 2025 thumbnail U.S. Rehab's Live Tech Training and ATP Gateway Training Programs for 2025 Our focus and one of our key drivers to help support our U.S. Rehab members is to continue to lead the way in complex rehab technology (CRT) training, offering Live Tech Training sessions and a new ATP Gateway Training Program in 2025.