E2621 – Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware
HCPCS Level II code · E codes: Durable Medical Equipment (DME)
HCPCS codeE2621
- Long description
- Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware
- Short description
- Wc planar back cush wd>=22in
- 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 E2621?
E2621 is a HCPCS Level II code for positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware.
Does Medicare cover E2621?
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
- 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
- E2617 – Custom fabricated wheelchair back cushion, any size, 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
- 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
- E2627 – Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type
- E2628 – Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining
- E2629 – Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints)
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.