E2612 – General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware

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

Active code Carrier judgment

HCPCS codeE2612
Long description
General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware
Short description
Gen use back cush wdth>=22in
Pricing indicator
32 DME – inexpensive & routinely purchased
Medicare coverage
C Carrier judgment – coverage decided by the Medicare contractor
BETOS category
D1D Wheelchairs
Added
January 1, 2005
Last change
January 1, 2005 – No change

Frequently asked questions

What is HCPCS code E2612?

E2612 is a HCPCS Level II code for general use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware.

Does Medicare cover E2612?

The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. 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.