E2364 Power Wheelchair Battery | HCPCS Reimbursement | OpenPayer

Summary & Overview

HCPCS E2364: Power Wheelchair U-1 Non-Sealed Lead Acid Battery, Each

HCPCS Level II code E2364 designates a U-1 non-sealed lead acid battery sold as a single accessory for power wheelchairs. This supply-level code matters nationally because batteries are essential to power mobility device function and recurring replacement creates ongoing cost and coverage considerations for payers, suppliers, and patients. Coverage, billing practices, and allowed amounts for replacement batteries can influence access to mobility and out-of-pocket spending.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the code’s clinical and supply context, common billing pathways, and typical sites where the item is furnished. The publication also outlines benchmarks for billing and reimbursement where available, summarizes relevant policy updates affecting DME battery replacement, and highlights operational considerations for suppliers and billing staff. Data regarding modifiers, associated taxonomies, specific ICD-10 pairing, and related codes is not available in the input. The report is intended for a national audience of payers, DME suppliers, case managers, and policy analysts seeking concise guidance on coding and coverage considerations for power wheelchair batteries.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareE2364HCPCS Level IIpower wheelchairDME accessorymobility devicelead acid batteryreplacement batterydurable medical equipment

Billing Code Overview

HCPCS Level II code E2364 describes a power wheelchair accessory: U-1 non-sealed lead acid battery, each. This item is a replacement or spare battery intended for use with a power wheelchair and is billed per battery.

Service type: Durable medical equipment accessory (power mobility supply)
Typical site of service: Durable medical equipment supply channels, home delivery, or outpatient durable medical equipment (DME) suppliers

Clinical & Coding Specifications

Clinical Context

A patient with a mobility impairment presents to a durable medical equipment (DME) supplier or mobility clinic for replacement batteries for a power wheelchair. Typical patients include those with spinal cord injury, multiple sclerosis, cerebral palsy, severe osteoarthritis, or other neuromuscular disorders who rely on a power wheelchair for community mobility. The clinical workflow: the clinician or DME specialist documents medical necessity in the patient record, including diagnosis, functional limitations, and mileage/use needs; verifies the wheelchair model and battery type; checks warranty and prior replacements; obtains any required prior authorization from the payor; orders the E2364 item (power wheelchair accessory, U-1 non-sealed lead acid battery, each); schedules delivery and installation or instructs the patient on safe battery replacement and disposal. Billing is submitted to the patient’s primary payor with applicable modifier(s) to indicate professional/technical components, rentals, or bilateral/multiple items as appropriate. Patient education on charging, safe handling, and maintenance is provided at delivery.

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier / default	Use when no special modifier applies to the supply claim.

HCPCS E2627: Wheelchair Shoulder/Elbow Mobile Arm Support

HCPCS-E0990-WHEELCHAIR-ELEVATING-LEG-REST-ASSEMBLY

HCPCS E0990: Wheelchair Elevating Leg Rest, Complete Assembly

HCPCS-E1615-DEIONIZER-WATER-PURIFICATION-HEMODIALYSIS

HCPCS E1615: Deionizer Water Purification System for Hemodialysis

HCPCS-E1038-TRANSPORT-CHAIR-ADULT-UP-TO-300LBS

HCPCS Level II E1038: Transport Chair, Adult Up to 300 Pounds

HCPCS-E0113-CRUTCH-UNDERARM-WOOD-ADJUSTABLE-FIXED-WITH-PAD-TIP-HANDGRIP

HCPCS Level II E0113: Crutch Underarm, Wood, with Pad, Tip and Handgrip

HCPCS-E0482-COUGH-STIMULATING-DEVICE-POSITIVE-NEGATIVE-AIRWAY-PRESSURE

HCPCS E0482: Cough Stimulating Device, Alternating Airway Pressure

HCPCS-E1037-TRANSPORT-CHAIR-PEDIATRIC

HCPCS Level II E1037: Pediatric Transport Chair

HCPCS-E0955-WHEELCHAIR-HEADREST-CUSHIONED

HCPCS E0955: Wheelchair Cushioned Headrest, Including Mounting Hardware

HCPCS-E0959-WHEELCHAIR-ADAPTER-AMPUTEE

HCPCS E0959: Manual Wheelchair Adapter for Amputee

HCPCS-E0118-LOWER-LEG-PLATFORM-CRUTCH-SUBSTITUTE

HCPCS E0118: Lower Leg Platform Crutch Substitute

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Taxonomy Code	Specialty	Notes
`333400000X`	Prosthetics and Orthotics	DME/prosthetic suppliers and mobility specialists who manage wheelchair accessories.
`261QM0800X`	Physical Medicine and Rehabilitation (Physiatry)	Clinicians who evaluate mobility needs and prescribe power wheelchair components.
`207Q00000X`	Orthopedic Surgery	Surgeons who may prescribe or approve complex mobility equipment after surgical intervention.
`251S00000X`	Physical Therapy	Therapists who assess functional mobility and recommend battery-powered wheelchairs and accessories.
`261QR1300X`	Neurology	Neurologists managing patients with progressive neuromuscular conditions who require power mobility solutions.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`G82.50`	Paraplegia, unspecified	Patients with paraplegia commonly use power wheelchairs and require replacement batteries for mobility.
`G82.20`	Paraplegia, incomplete	Indicates significant lower extremity impairment where a power wheelchair and reliable batteries are necessary.
`G35`	Multiple sclerosis	Progressive weakness and fatigue in MS often lead to dependence on power wheelchairs; batteries are essential accessories.
`G12.21`	Amyotrophic lateral sclerosis	Rapidly progressive motor neuron disease leading to wheelchair dependence and need for battery replacement.
`Q07.2`	Spina bifida with hydrocephalus	Congenital conditions resulting in lifelong wheelchair use and periodic battery replacement.
`M62.81`	Muscle weakness (generalized)	Generalized weakness limiting ambulation may necessitate power wheelchair use and battery replacement.
`M54.5`	Low back pain	Severe chronic spine conditions can lead to mobility limitations where power wheelchairs and batteries are used.
`R26.2`	Difficulty in walking, not elsewhere classified	Functional gait impairment often correlates with the need for power mobility and battery accessories.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97542`	Wheelchair management: assessment, fitting, adjustment (per session)	Used when a clinician assesses the patient’s seating and mobility needs and fits or adjusts the wheelchair when installing a new battery.
`97760`	Orthotic and prosthetic management and training, initial encounter	Applied when the DME supplier or therapist provides training on use and care of a power wheelchair and battery system.
`99070`	Supplies and materials (not otherwise billed)	Used for billing miscellaneous supplies associated with battery replacement when allowed by payor rules.
`99080`	Special reports and forms (e.g., detailed justification)	Used when payors require additional documentation with a supply claim for prior authorization or appeals.
`99366`	Medical team conference with multidisciplinary team (per 30 minutes)	Used when complex discharge planning or durable equipment decisions require multidisciplinary coordination involving the battery replacement decision.

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