E2617 – Custom fabricated wheelchair back cushion, any size, including any type mounting hardware
HCPCS Level II code · E codes: Durable Medical Equipment (DME)
HCPCS codeE2617
- Long description
- Custom fabricated wheelchair back cushion, any size, including any type mounting hardware
- Short description
- Custom fab w/c back cushion
- Pricing indicator
32DME – inexpensive & routinely purchased- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
D1DWheelchairs- Added
- January 1, 2005
- Last change
- January 1, 2005 – No change
Frequently asked questions
What is HCPCS code E2617?
E2617 is a HCPCS Level II code for custom fabricated wheelchair back cushion, any size, including any type mounting hardware.
Does Medicare cover E2617?
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
- E2609 – Custom fabricated wheelchair seat cushion, any size
- E2610 – Wheelchair seat cushion, powered
- E2611 – General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware
- 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
- E2624 – Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth
- E2625 – Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth
- E2626 – Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.