E2628 – Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining

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

Active code Carrier judgment

HCPCS codeE2628
Long description
Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining
Short description
Mobile arm supports reclinin
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, 2012
Last change
January 1, 2012 – No change

Frequently asked questions

What is HCPCS code E2628?

E2628 is a HCPCS Level II code for wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining.

Does Medicare cover E2628?

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.