Summary & Overview
HCPCS E2322: Power Wheelchair Hand Control Interface, Nonproportional
HCPCS Level II code E2322 designates a nonproportional hand control interface for power wheelchairs that uses multiple mechanical switches and includes associated electronics, a mechanical stop switch, and fixed mounting hardware. Nationally, this code matters because it identifies a specific mobility accessory that supports independence for individuals with upper-limb limitations and informs coverage and billing for durable medical equipment programs. Major payers considered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will learn what the code represents clinically and operationally, which payers commonly cover services under this code, and where to expect this accessory to be supplied and used. The publication summarizes benchmark payment considerations and common billing pathways, outlines policy and coding context relevant to durable medical equipment suppliers and clinicians, and clarifies typical sites of service such as DME suppliers, outpatient clinics, long-term care settings, and patient homes. Where specific payer policies or fee schedules are unavailable in the input, the report notes that data is not available and focuses on the descriptive, coding, and service-context information for E2322 to inform billing and administrative workflows.
Billing Code Overview
HCPCS Level II code E2322 describes a power wheelchair accessory: hand control interface with multiple mechanical switches, nonproportional, and includes all related electronics, a mechanical stop switch, and fixed mounting hardware. This device enables users with limited hand or arm function to operate a power wheelchair through multiple discrete switches rather than a proportional joystick.
Service type: Durable medical equipment accessory for power mobility.
Typical site of service: Durable medical equipment suppliers, outpatient clinics, long-term care facilities, and patient homes where power mobility devices are used.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult with limited hand function due to spinal cord injury, stroke, or progressive neuromuscular disease who requires a power wheelchair and alternative drive controls. The patient presents to a durable medical equipment (DME) clinic or an outpatient rehabilitation center for evaluation by a clinician (physiatrist, occupational therapist, or DME specialist). The evaluation documents the patient’s functional deficits, range of motion, cognitive status, and need for a nonproportional multiple-switch hand control interface to operate the power wheelchair safely. A trial of the device or bench testing is often performed, followed by ordering and fabrication, fitting, and training in the outpatient DME setting. Typical site of service is an outpatient DME supplier or rehabilitation clinic; installation and final adjustments occur at the clinic or the patient’s home during a home visit if mounting or environmental issues require it. Billing uses HCPCS code E2322 for the accessory; claims may include appropriate modifiers for circumstances such as unusual services, different billing components, or demonstration/trial versus permanent provision.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
52 | Reduced services | Use when the accessory is provided with reduced scope or functionality compared to the full service ordered. |