Summary & Overview
HCPCS Level II E2292: Pediatric Planar Wheelchair Seat, Fixed Hardware
HCPCS Level II code E2292 denotes a planar pediatric wheelchair seat supplied with fixed attaching hardware. Nationally, this code identifies a commonly billed durable medical equipment (DME) component used in pediatric mobility and seating management. Proper coding of E2292 affects claim routing, supplier reimbursement, and access to appropriate seating solutions for children with mobility or postural needs.
Key payers in scope for national benchmarking include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for pediatric planar seating, typical sites of service, and the payer landscape that affects coverage and prior authorization workflows. The publication outlines common modifiers used with DME supplies, notes where data are not provided in the input, and summarizes policy and billing considerations relevant to suppliers and billing professionals.
This analysis is intended to inform billing staff, DME suppliers, and care managers about the code's meaning, expected use settings, and what to look for in payer communications and claim adjudication. Data not available in the input are identified where applicable.
Billing Code Overview
HCPCS Level II code E2292 describes a seat, planar, for pediatric size wheelchair including fixed attaching hardware. This item is a durable medical equipment component intended to provide a flat (planar) seating surface sized for pediatric users and delivered with fixed hardware to attach the seat to a wheelchair frame.
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Service type: Durable medical equipment (wheelchair seating component)
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Typical site of service: Durable medical equipment suppliers, outpatient clinics, pediatric rehabilitation settings, and home delivery
Clinical & Coding Specifications
Clinical Context
A pediatric patient with neuromuscular weakness or fixed musculoskeletal deformity is evaluated for seating support to improve posture, pressure distribution, and functional access to mobility. Typical candidates include children with cerebral palsy, spina bifida, muscular dystrophy, or acquired spinal cord injury who require a custom or device-specific planar seat for a pediatric-size wheelchair. The clinical workflow begins with a referral from a pediatrician, physiatrist, or pediatric neurologist to a pediatric rehabilitation team. An occupational therapist or physical therapist performs a seating assessment documenting postural needs, skin integrity risk, measurements, and goals for mobility and activities of daily living. The supplier fabricates or fits the planar seat described by HCPCS code E2292 and attaches fixed hardware to the pediatric wheelchair frame. A demonstration and caregiver training session is provided to ensure safe transfers and pressure management. Follow-up visits assess fit, comfort, skin condition, and need for adjustments as the child grows or clinical status changes.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Standard reporting when no modifier applies |
22 |