Summary & Overview
HCPCS E2207: Wheelchair Crutch and Cane Holder, Each
HCPCS Level II code E2207 denotes a wheelchair accessory specifically for a crutch and cane holder, billed per item. This accessory supports mobility and independence for patients who use both wheelchairs and ambulatory aids. Nationally, DME accessories like E2207 matter for functional outcomes, durable medical equipment coordination, and billing consistency across payers.
Key payers in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the code’s clinical purpose, typical sites of service, and which payers commonly cover such DME accessories. The publication also outlines what to expect in payer coverage policies, common billing modifiers associated with DME supply transactions (listed separately), and typical documentation elements needed to support medical necessity.
This summary provides benchmarks and policy context for billing and coverage of wheelchair accessories, clarifies the role of E2207 in the broader DME supply category, and identifies practical considerations in claims submission and documentation. Data not available in the input where specific coverage rules, reimbursement rates, or associated ICD-10 diagnoses would normally be listed.
Billing Code Overview
HCPCS Level II code E2207 describes a wheelchair accessory: a crutch and cane holder, billed per item (each). The service type is an assistive-device accessory intended to secure crutches or canes to a wheelchair.
Typical site of service is durable medical equipment (DME) use with patient mobility devices, including home, outpatient clinics, rehabilitation facilities, and other settings where wheelchairs are used.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult or pediatric wheelchair user who requires a mounted holder to secure a cane or crutch to the wheelchair frame for safe transport and consistent accessibility. The durable medical equipment (DME) supplier receives an order from a rehabilitation physician, physical therapist, or orthotist following an evaluation that documents the patients need to carry a mobility aid while seated in the wheelchair. The workflow includes: the clinician documents functional limitations and justification for the accessory in the medical record; the DME supplier verifies payer coverage, obtains any required prior authorization, fits and attaches the E2207 crutch/cane holder to the patients wheelchair, and provides brief user training on safe attachment and removal. Follow-up includes verifying secure mounting at delivery and periodic checks during routine visits or DME servicing.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier specified by payer | When no specific modifier applies and payer requires explicit 00 reporting |
22 |