Skip to main content
HCPCS Level II/E-Codes/E2617

E2617 HCPCS Level II Code: Custom fabricated wheelchair back cushion, any size, including any type mounting hardware

Medicare Coverage & Payment

  • Medicare coverage: Carrier judgment (CMS coverage code C)
  • Payment category: Inexpensive or routinely purchased DME (pricing indicator 32)
  • BETOS: D1D — Wheelchairs
  • Last CMS action effective: January 1, 2005

Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.

Official Registry Overview & Definition

Custom fabricated wheelchair back cushion, any size, including any type mounting hardware is a HCPCS Level II code (E2617). CMS assigns coverage code C — Carrier judgment. Short description: Custom fab w/c back cushion.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to E2617 in its code family, with their registry titles.

  • E2612 — General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware
  • E2613 — Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware
  • E2614 — Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware
  • E2615 — Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware
  • E2616 — Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware
  • E2619 — Replacement cover for wheelchair seat cushion or back cushion, each
  • E2620 — Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware
  • E2621 — Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware
  • E2622 — Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth
  • E2623 — Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth