Yes. A qualified physical or occupational therapist (or practitioner trained in seating assessments with no financial interest in the supplier) must conduct an in-person evaluation and document the need for tilt, recline, and shear control.

HCPCS code E1007: Wheelchair accessory, power seating system
Obtain a list of the documentation and billing requirements needed to properly use and code HCPCS code E1007 from our short guide.
Frequently asked questions
No. E1007 is specifically an accessory for a power seating system, which is generally used with a power wheelchair (PWC) base (typically Group 3 or higher).
Mechanical shear reduction refers to a mechanism built into the power seating system that physically moves the seating components (like the backrest or seat) slightly as the system is reclined or tilted to minimize the friction and drag (shear force) exerted on the user's skin. This is a critical feature for users at high risk of pressure ulcers.
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