Summary & Overview
HCPCS Level II E2358: Power Wheelchair Group 34 Non-Sealed Lead Acid Battery
HCPCS Level II code E2358 identifies a power wheelchair accessory: a group 34 non-sealed lead acid battery, each. This code captures a common replaceable component for power mobility devices and matters nationally because durable medical equipment (DME) accessories affect patient mobility, equipment maintenance costs, and supplier billing practices across payers. Accessory codes such as E2358 also influence coverage determinations and claims processing for power wheelchair repairs and replacements.
Key payers in scope include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise policy and billing-focused overview covering national relevance, typical sites of service, and the clinical context in which this accessory is used. The publication outlines expected benchmarks and billing considerations for suppliers and payers, notes common modifiers where available, and summarizes policy themes that affect coverage and reimbursement for power wheelchair batteries.
The report is written for a national audience and provides practical reference material on coding, billing workflow, and the role of accessory codes in DME management. Data not available in the input for payor-specific rates, taxonomies, and ICD-10 pairings is clearly noted where applicable.
Billing Code Overview
HCPCS Level II code E2358 denotes a power wheelchair accessory described as a group 34 non-sealed lead acid battery, each. This item is an accessory component intended for use with power wheelchairs and supplies a replaceable battery unit.
Service type: Durable medical equipment accessory
Typical site of service: Ambulatory equipment supplier, home delivery, or durable medical equipment (DME) provider
Clinical & Coding Specifications
Clinical Context
A power wheelchair user presents to a durable medical equipment (DME) provider or home medical equipment (HME) clinic requiring replacement batteries for their power wheelchair. The user reports decreased run-time and difficulty powering the chair through a full day of use. The DME clinician confirms that the existing non-sealed lead-acid battery has reached end of service life, tests battery performance, documents voltage and load test results, and orders a replacement battery item billed with E2358 (Power wheelchair accessory, group 34 non-sealed lead acid battery, each). The process includes verification of medical necessity, chart review for mobility limitations, coordination with the manufacturer or supplier for a compatible battery, delivery scheduling to the patient’s home or outpatient clinic, and documentation of serial numbers, patient instruction on safe battery handling and charging, and disposal or recycling of the old battery per local regulations. Typical sites of service are DME/HME supplier locations, outpatient rehabilitation clinics, or the patient’s home for delivery and setup. Typical patient scenarios include individuals with mobility impairment due to spinal cord injury, neuromuscular disease, multiple sclerosis, cerebrovascular accident with chronic wheelchair dependence, or severe osteoarthritis limiting ambulation who rely on a power wheelchair for community mobility and activities of daily living.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 |