HCPCS Code E2601: General Use Wheelchair Seat Cushion, Width Less Than 22 Inches, Any Depth

Learn about the HCPCS code E2601 for a general use wheelchair seat cushion, width less than 22 inches, any depth.

## **What is the HCPCS code E2601 for?** The HCPCS code E2601 is a code that refers to the provision of a general-use wheelchair seat cushion that is less than 22 inches in width. The purpose of this cushion is to provide standard seating comfort, minimal pressure redistribution, and proper posture for people who use wheelchairs. This kind of cushion can also prevent the development of pressure ulcers. Whether it's a manual wheelchair, a manual fully reclining wheelchair, or a power wheelchair, this general wheelchair seat cushion can be used so long as the chair can fit it. It's meant for people who sit in wheelchairs for prolonged durations, and those who are dealing with problems like spinal cord injuries, multiple sclerosis, and other conditions that negatively impact a person's mobility and functional status. Please note that, unlike positioning cushions for wheelchairs and cushions with adjustable skin protections, the cushions under this HCPCS code can't be adjusted. They have been pre-fabricated.

## **Documentation and billing requirements for E2601** This code covers patients who use manual wheelchairs or power wheelchairs with a sling/solid seat/back that meets Medicare coverage criteria. Documentation requirements for this code should include the following: - A prescription from a qualified healthcare provider that specifies the cushion width (which should be below 22 inches) - The basic functional need for this cushion - The patient's functional limitations - The patient's wheelchair's dimensions - Seating assessment outcome - Air pressure of cushion - The supplier invoice and delivery record that validates the provision - Patient's acceptance of the seat cushion - Basic usage instructions - Manufacturer and model name/ number of the product (if applicable) - Reason for replacement if the cushion ordered was for replacement (e.g., wear, growth, hygiene, etc.) Please note that E2601 is billed as a durable medical equipment (DME). If it's a new piece of equipment, you must use the modifier NU. Only one cushion per beneficiary will be covered.

## **Other similar wheelchair-related HCPCS code** Here are other wheelchair-related HCPCS codes you can use, some for skin protection cushions, positioning seat cushions, cushions with different lateral contour measurements, etc.,: - E2605 - Positioning wheelchair seat cushion, width less than 22 inches, any depth - E2603 - Skin protection wheelchair seat cushion, width less than 22 inches, any depth - E2608 - Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth - E1028 - Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface, or positioning accessory - E0953 - Wheelchair accessory, lateral thigh or knee support, any type, including fixed mounting hardware, each - E2615 - Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type of mounting hardware - E2620 - Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware - E2609 - Custom-fabricated wheelchair seat cushion, any size

Frequently asked questions

They just need to check for wear and tear on the cushion every now and then.

Because it's affordable. The customizable and more comfortable cushion choices are more expensive.

Discomfort due to incorrect fit is possible. Discomfort may lead to pressure ulcers and improper posture. Other problems include cushion malfunction and allergic reactions to the cushion's material.