E0627 Electric Seat Lift - HCPCS Reimbursement | OpenPayer

Summary & Overview

HCPCS E0627: Electric Seat Lift Mechanism

HCPCS Level II code E0627 represents an electric seat lift mechanism used as durable medical equipment to assist patients with standing, sitting, and transfers. Nationally, this code matters because seat lift mechanisms support mobility, independence, and safety for patients with functional limitations and are commonly billed to both commercial insurers and Medicare.

Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of what the code covers, typical sites of service, and the clinical context in which an electric seat lift mechanism is used. The publication also outlines common billing considerations, benchmark areas typically reviewed by payers, and policy or coverage topics relevant to DME for mobility and transfers.

This resource summarizes the role of E0627 in durable medical equipment coverage, highlights payer landscape coverage types, and identifies where payers commonly set medical necessity criteria. Data not available in the input is noted where applicable.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareE0627HCPCS Level IIdurable medical equipmentseat lift mechanismmobility aidshome medical equipmentDME billingassistive devicespatient transfer support

Billing Code Overview

HCPCS Level II code E0627 describes a seat lift mechanism, electric, any type. This device is an electrically powered mechanism designed to assist patients by raising and/or tilting a seating surface to facilitate standing, sitting, or transfers.

Service type: Durable medical equipment (DME) — electric seat lift mechanism
Typical site of service: Home or other outpatient settings where durable medical equipment is used (for example, patient residence, assisted living).

Clinical & Coding Specifications

Clinical Context

A typical patient is an older adult or an individual with mobility-limiting conditions (for example, advanced osteoarthritis of the knees or hips, severe chronic obstructive pulmonary disease with deconditioning, neuromuscular weakness, or morbid obesity) who requires assistance standing or transitioning from sitting to standing. The clinical workflow begins with an evaluation by a primary care provider, geriatrician, occupational therapist, or physiatrist documenting functional limitations and medical necessity for a seat lift mechanism. A durable medical equipment (DME) supplier assesses home mobility needs and home environment, obtains a physician’s order specifying the electric seat lift mechanism E0627, and coordinates delivery and patient/caregiver education on safe operation. Follow-up may include home safety evaluation and adjustments by an ATP (Assistive Technology Professional) or supplier technician. Documentation typically includes the rationale for the electric lift (inability to stand without assistance, risk of falls), objective functional assessment, physician order, and supplier delivery and setup notes.

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier — standard reporting	Use for routine billing when no special circumstances apply.

HCPCS E0198: Water Pressure Pad for Standard Mattress

HCPCS-E0171-COMMODE-CHAIR-SEAT-LIFT-NON-ELECTRIC

HCPCS Level II E0171: Commode Chair with Integrated Non-Electric Seat Lift

HCPCS-E1088-HIGH-STRENGTH-LIGHTWEIGHT-WHEELCHAIR-DETACHABLE-ARMS-ELEVATING-LEG-RESTS

HCPCS Level II E1088: High-Strength Lightweight Wheelchair, Elevating Leg Rests

HCPCS-E0156-WALKER-SEAT-ATTACHMENT

HCPCS E0156: Seat Attachment for Walker

HCPCS-E2382-POWER-WHEELCHAIR-TUBE-REPLACEMENT

HCPCS E2382: Power Wheelchair Pneumatic Tube, Replacement

HCPCS-E0630-PATIENT-LIFT-HYDRAULIC-MECHANICAL

HCPCS E0630: Patient Lift, Hydraulic or Mechanical, with Sling

HCPCS-E0440-STATIONARY-LIQUID-OXYGEN-SYSTEM-PURCHASE

HCPCS E0440: Stationary Liquid Oxygen System, Purchase

HCPCS-E0305-BED-SIDE-RAILS-HALF-LENGTH

HCPCS E0305: Bed Side Rails, Half Length

HCPCS-E0747-OSTEOGENESIS-STIMULATOR-ELECTRICAL-NON-INVASIVE

HCPCS E0747: Osteogenesis Stimulator, Electrical, Non-Invasive, Non-Spinal

HCPCS-E0148-HEAVY-DUTY-WALKER-WITHOUT-WHEELS

HCPCS E0148: Heavy-Duty Walker Without Wheels

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Taxonomy Code	Specialty	Notes
103K00000X	Physical Medicine & Rehabilitation	Physiatrists evaluate functional need and write DME orders.
2084P0800X	Physical Therapist	Evaluates mobility, recommends seat lift mechanisms, documents functional goals.
3336S0002X	Assistive Technology Provider	ATPs or DME suppliers perform device fitting, customization, and training.
207Q00000X	Family Medicine	Primary care physicians evaluate chronic conditions and authorize DME.
207L00000X	Geriatric Medicine	Geriatricians manage older adults with functional decline and prescribe appropriate mobility aids.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`M17.0`	Bilateral primary osteoarthritis of knee	Knee osteoarthritis causing difficulty standing and transfers; supports need for electric seat lift.
`M17.11`	Unilateral primary osteoarthritis, right knee	Same relevance when affecting a single knee with mobility impairment.
`M19.071`	Primary osteoarthritis, right ankle and foot	Lower-extremity degenerative disease limiting sit-to-stand ability.
`M16.11`	Unilateral primary osteoarthritis, right hip	Hip osteoarthritis causing impaired transfers and need for mechanical assistance.
`G82.20`	Paraplegia, unspecified	Significant motor impairment where an electric seat lift assists transfers and reduces caregiver burden.
`G83.4`	Cauda equina syndrome	Neurologic deficit with impaired lower-extremity function requiring transfer assistance.
`R26.2`	Difficulty in walking, not elsewhere classified	Functional gait impairment commonly documented when justifying a seat lift device.
`E66.01`	Morbid (severe) obesity due to excess calories	Severe obesity can impair ability to rise from sitting; electric lift may be medically necessary.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97110`	Therapeutic exercises to develop strength and endurance, range of motion and flexibility	Performed by physical therapy prior to device selection to document functional limitations and justify `E0627`.
`97112`	Neuromuscular reeducation of movement, balance, coordination, kinesthetic sense	Used when assessing balance and transfer deficits that support medical necessity for an electric seat lift.
`97530`	Therapeutic activities, direct (one-on-one) patient contact	Used for functional training in transfers and activities of daily living related to the use of a seat lift mechanism.
`99456`	Work-related or medical-legal evaluation (impairment/disability)	Used in specialty evaluations documenting functional impairment when needed for long-term equipment justification.
`99070`	Supplies and materials (except spectacles) provided by the physician over and above those usually included with the office visit	Billed when ancillary supplies or minor accessories associated with device fitting are provided during a visit.

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