Summary & Overview
HCPCS E0958: Manual Wheelchair One-Arm Drive Attachment, Each
HCPCS Level II code E0958 identifies a manual wheelchair accessory: a one-arm drive attachment (each). Nationally, this code matters because it represents assistive technology that enables unilateral propulsion for patients with limited use of one arm, supporting mobility, independence, and participation in daily activities. The code is used by durable medical equipment suppliers and outpatient clinics to bill for the attachment when provided and fitted.
Key payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the code’s clinical function and service context, a review of payer coverage scope, and practical benchmarks for billing and documentation where available. The publication highlights payment considerations, typical sites of service, common billing modifiers (listed separately), and coding contexts relevant to mobility device provision.
This analysis is intended for clinicians, billing professionals, and policy analysts seeking a national overview of HCPCS Level II code E0958, its clinical role, and its place in durable medical equipment billing streams. Data not available in the input is noted where applicable.
Billing Code Overview
HCPCS Level II code E0958 describes a manual wheelchair accessory consisting of a one-arm drive attachment, billed each. The service type is the provision of a durable medical equipment accessory designed to convert or adapt a standard manual wheelchair so that it can be operated using one arm. The typical site of service is durable medical equipment suppliers or outpatient clinical settings where mobility aids are provided and fitted.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A 62-year-old patient with left-sided hemiplegia following an ischemic stroke requires a one-arm drive attachment to enable independent manual propulsion of a standard wheelchair using the functional upper extremity. The durable medical equipment (DME) evaluation is performed in an outpatient rehabilitation clinic. The occupational therapist documents upper-limb strength, range of motion, trunk stability, and cognitive ability to safely operate a one-arm drive. The supplier verifies wheelchair frame compatibility and fits the E0958 one-arm drive attachment to the patient’s existing manual wheelchair during a home or clinic visit. Training on safe transfers, propulsion technique, and maintenance is provided. Documentation includes the DME order, justification for the accessory, skilled evaluation notes, product model and serial number, and proof of delivery.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
26 | Professional component | Use when reporting the professional portion of a service when split billing applies for related services (e.g., therapy evaluation billed separately). |
52 |