HCPCS Level II E0629: Seat Lift Mechanism, Non-Electric - OpenPayer

Summary & Overview

HCPCS Level II E0629: Seat Lift Mechanism, Non-Electric

HCPCS Level II code E0629 denotes a non-electric seat lift mechanism used as a component of seating systems to assist patients with transfers and posture support. Nationally, this code is relevant to durable medical equipment (DME) coverage, home health services, and long-term care providers because it affects functional independence for patients with mobility impairments and can influence care needs and costs. Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.

Readers will find an overview of what E0629 represents clinically and operationally, common payer coverage considerations, and the types of service settings where the device is used. The publication includes benchmarks and policy context where available, outlines documentation and coding considerations for claims, and summarizes payer-specific coverage patterns and limitations when data is present. This resource is intended to help billing professionals, DME suppliers, and health policy stakeholders understand the role of E0629 in patient care pathways and reimbursement workflows. Data not available in the input will be indicated as such in relevant sections.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareE0629HCPCS Level IIdurable medical equipmentseat lift mechanismnon-electrichome healthlong-term caremedical billingDME coding

Billing Code Overview

HCPCS Level II code E0629 describes a seat lift mechanism, non-electric, any type. This item is used to assist patients with mobility limitations by facilitating standing or sitting transitions through a mechanical lifting feature integrated into a seating device.

Service type: Durable medical equipment (DME) component.

Typical site of service: Home or long-term care settings, where the equipment is used as part of a patient’s seating system to improve independence and reduce caregiver strain.

Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A 78-year-old patient with progressive knee osteoarthritis and limited lower-extremity strength has difficulty rising from seated positions at home. The clinician documents reduced lower extremity strength and recurrent falls during transfers. The durable medical equipment (DME) supplier assesses the home layout and prescribes a non-electric seat lift mechanism to retrofit an existing armchair, to assist standing and reduce fall risk. The clinical workflow includes: clinician evaluation and documentation of functional impairment and medical necessity; order for DME using billing code E0629; supplier fitting and delivery; patient education on safe use; and follow-up to assess fall frequency and device effectiveness. Typical sites of service are the patient’s home or long-term care facility where the mechanized or manual lift seat will be installed.

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier / default	Use when no other modifier applies to the DME claim
`22`	Increased procedural services	Use if additional complexity or time was required for custom fitting beyond usual service

HCPCS E2395: Power Wheelchair Caster Wheel Replacement

HCPCS-E2330-POWER-WHEELCHAIR-HEAD-CONTROL-PROXIMITY-SWITCH

HCPCS E2330: Power Wheelchair Head Control, Proximity Switch

HCPCS-E2323-POWER-WHEELCHAIR-SPECIALTY-JOYSTICK-HANDLE

HCPCS E2323: Power Wheelchair Specialty Joystick Handle

HCPCS-E1180-AMPUTEE-WHEELCHAIR-DETACHABLE-ARMS-SWING-AWAY-FOOTRESTS

HCPCS Level II E1180: Amputee Wheelchair with Detachable Arms and Swing-Away Footrests

HCPCS-E1018-HEAVY-DUTY-SHOCK-ABSORBER-POWER-WHEELCHAIR

HCPCS Level II E1018: Heavy Duty Shock Absorber for Power Wheelchair

HCPCS-E0658-SEGMENTAL-PNEUMATIC-APPLIANCE-2-ARMS-CHEST

HCPCS Level II E0658: Segmental Pneumatic Appliance for 2 Arms and Chest

HCPCS-E2220-WHEELCHAIR-SOLID-PROPULSION-TIRE-REPLACEMENT

HCPCS E2220: Manual Wheelchair Solid Propulsion Tire, Replacement Only

HCPCS-E1530-AIR-BUBBLE-DETECTOR-HEMODIALYSIS-REPLACEMENT

HCPCS Level II E1530: Air Bubble Detector for Hemodialysis, Replacement

HCPCS-E0764-FUNCTIONAL-NEUROMUSCULAR-STIMULATION-WALKING-SYSTEM

HCPCS E0764: Functional Neuromuscular Stimulation Walking System

HCPCS-E0992-MANUAL-WHEELCHAIR-SOLID-SEAT-INSERT

HCPCS E0992: Manual Wheelchair Solid Seat Insert

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Taxonomy Code	Specialty	Notes
251B00000X	Physical Medicine & Rehabilitation	Providers who evaluate functional impairment and prescribe DME
207L00000X	Physical Therapy	Clinicians who perform functional assessment and recommend assistive seating adaptations
331K00000X	Occupational Therapy	Clinicians who perform home assessments and device training
3336C0002X	Durable Medical Equipment & Medical Supply	Suppliers and vendors who furnish and fit `E0629` devices
261QP2300X	Geriatric Medicine	Providers focused on fall risk reduction and mobility aids

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`M17.11`	Unilateral primary osteoarthritis, right knee	Knee osteoarthritis causing difficulty rising from seated positions and need for seat lift support
`M17.12`	Unilateral primary osteoarthritis, left knee	Same relevance when left knee is affected
`R26.2`	Difficulty in walking, not elsewhere classified	Mobility impairment where a seat lift can assist with sit-to-stand transfers
`M62.81`	Muscle weakness (generalized)	Reduced lower-extremity strength supporting need for mechanical seated assistance
`Z91.81`	History of falling	Prior falls increase justification for assistive devices to reduce risk

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97161`	Physical therapy evaluation: low complexity	Initial PT evaluation documenting mobility limitations that support DME need
`97162`	Physical therapy evaluation: moderate complexity	More detailed PT evaluation justifying need for seat lift due to functional deficits
`97530`	Therapeutic activities, direct (one-on-one)	Training in transfers and use of the seat lift mechanism during therapy sessions
`99456`	Work-related or medical disability evaluation	Functional capacity evaluations that may support DME necessity (if applicable)
`99499`	Unlisted evaluation and management service	Use when billing for non-standard consultative services related to DME justification

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