HCPCS Code E2622: Skin Protection Wheelchair Seat Cushion, Adjustable, Width Less Than 22 Inches, Any Depth

Learn about the HCPCS code E2622 for "skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth."

Use Code

## **What is the HCPCS code E2622 for?** The HCPCS code E2622 is meant to designate a kind of wheelchair seat cushion that's meant to protect the skin. This cushion is adjustable, can have any depth, and has a width of less than 22 inches. This cushion uses air cells, gel, or modular components, which allow the real-time customization of the beneficiary's body habitus or changes in weight or tone. This isn't some general-use cushion. The purpose of this cushion is to minimize the pressure, shear, and friction forces that can cause skin irritation or, worse, pressure sores. In turn, this provides comfort and support for those who tend to sit in a wheelchair for prolonged periods. Please note that this is different from positioning seat cushions with lateral contours/lateral supports. Positioning cushions are meant to correct postural problems before they get worse. It's also pre-fabricated/comes in a pre-loaded state, not custom-fabricated, which are made to accommodate a person's individual shape. Skin protection cushions are often issued to wheelchair users with the following problems: - Users who tend to reposition themselves frequently while in a wheelchair - Those who have had a history of having skin irritations or pressure sores - People with spinal cord injuries, lower extremity issues, or other conditions that lead to decreased sensations - Those who tend to sit in a wheelchair for prolonged periods

## **Documentation requirements for E2622** As with any HCPCS code, please make sure you have sufficient documentation before filing a claim for E2622. It's good to have the following: - The full name of the patient/beneficiary - The full name of the healthcare providers responsible for handling the patient/beneficiary, especially the providers of the wheelchair and the skin protection cushion. - The model and make of the skin protection cushion, as well as the manufacturer's details - The patient/beneficiary's wheelchair type - Official diagnosis of problems that forced them to sit in a wheelchair in the first place, to support medical necessity - Official diagnosis of prior or current skin irritations or pressure ulcers to support medical necessity - Evidence that the cushion has adjustable skin protection and is flame-retardant - Standard written order - Evaluation notes

## **Billing requirements for E2622** Besides the documentation requirements above, please take note of the following: - You must use one diagnosis code related to the patient's condition - Use the KX modifier since this is a seat cushion - Ensure the wheelchair is not a power-operated vehicle or a power wheelchair with a captain's chair - Verify the eligibility of the patient based on documented clinical criteria/coverage criteria and the wheelchair type - If there are any added components, please make sure to specify them and use the relevant HCPCS codes/modifiers related to them. Please ensure you follow the guidelines set by CMS/Medicare/Medicaid services regarding proper coding guidelines to avoid claim rejections.

## **Other similar codes** - **E2624** - Skin protection and positioning 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 - **E2603** - Skin protection wheelchair seat cushion, width less than 22 inches, any depth - **E2625** - Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth - **E2604** - Skin protection wheelchair seat cushion, width 22 inches or greater, any depth - **E2607** - Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth

Frequently asked questions

They're the same HCPCS code in a way, except that E2623 is for cushions with a width of 22 inches or greater.

It can take up to an hour to do the fitting and adjust it.

It has to be fitted perfectly because it might not do what it's supposed to, and the patient might still suffer skin irritations or get pressure sores. It'll be the same if it isn't maintained properly.