Summary & Overview
HCPCS E2343: Power Wheelchair Accessory, Nonstandard Seat Frame Depth 22-25 inches
HCPCS Level II code E2343 denotes a power wheelchair accessory for a nonstandard seat frame depth of 22–25 inches. This accessory supports proper seating and positioning for individuals whose body size or postural needs exceed standard seat dimensions. Nationally, such accessories are important for mobility, pressure distribution, and functional independence for users of power mobility devices.
Key payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of coverage considerations and payer scope, benchmark context where available, and the clinical context in which a nonstandard seat frame depth is relevant. The publication summarizes how payers commonly categorize this item within durable medical equipment benefits and identifies common service settings for delivery.
The report provides: a plain-language description of the item and its role in mobility provision; an outline of typical sites of service and service type; which major payers are included in the coverage comparison; and notes on where input data is not available. Data not provided in the input (including associated taxonomies, ICD-10 diagnoses, related codes, and payer-specific reimbursement amounts) are explicitly noted as not available.
Billing Code Overview
HCPCS Level II code E2343 describes a power wheelchair accessory: a nonstandard seat frame depth sized 22-25 inches. This item is an accessory component intended to modify or customize a power mobility device to accommodate a user requiring a larger-than-standard seat frame depth.
Service type: Durable Medical Equipment (Power Mobility Accessory)
Typical site of service: Durable medical equipment supplier, patient residence, or outpatient clinic
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult with mobility impairment who requires a power wheelchair with a nonstandard seat frame depth to achieve appropriate pelvic and lower-extremity support. For example, a 62-year-old patient with spinal cord injury and lower-limb weakness presents for durable medical equipment evaluation after prior off-the-shelf seating produces posterior pelvic tilt and skin breakdown risk. The DME supplier or seating specialist measures seat depth and determines a nonstandard 22–25 inch seat frame depth is required to maintain proper thigh support and pressure distribution. Clinical workflow: the prescribing clinician (physiatrist, rehabilitation physician, or primary care provider) documents functional deficits, mobility goals, and prior conservative measures; completes a detailed face-to-face evaluation including measurements and mobility assessment; writes a prescription specifying E2343 (power wheelchair accessory, nonstandard seat frame depth, 22-25 inches) with supporting narrative; the supplier prepares a mobility report, seating evaluation, and photos; prior authorization is requested from the patient’s payor; following approval the supplier fabricate/installs the customized seat frame and verifies fit and function during a delivery and training visit.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
LT | Left side (not in provided list) | Data not available in the input. |