Summary & Overview
HCPCS Level II E2375: Power Wheelchair Non-Expandable Controller, Replacement
HCPCS Level II code E2375 designates a non-expandable controller for a power wheelchair, including all electronics and mounting hardware, supplied as a replacement item. This accessory supports mobility for individuals who use powered wheelchairs and represents a common durable medical equipment (DME) billing item across outpatient DME suppliers and home installation or repair services. Nationally, replacement accessories such as this are important for continuity of mobility and may influence DME utilization and cost patterns.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code’s clinical purpose and service context, payer coverage considerations, and benchmarks where available. The publication outlines typical billing contexts, common reimbursement considerations, and relevant policy or coverage update summaries that affect accessory replacement claims. The content is intended for billing professionals, DME suppliers, policy analysts, and clinicians coordinating durable medical equipment services.
Billing Code Overview
HCPCS Level II code E2375 describes a power wheelchair accessory: a non-expandable controller including all related electronics and mounting hardware, provided as a replacement only.
Service type: Durable Medical Equipment accessory — power wheelchair controller replacement.
Typical site of service: Outpatient durable medical equipment supply or home use installation/repair setting.
Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult or pediatric power wheelchair user who presents when the original non-expandable electronic controller on their powered mobility device fails, is damaged, or requires replacement due to wear or warranty expiration. The patient may report loss of drive control, intermittent joystick response, inability to change speed or direction, or visible physical damage to the controller housing or mounting hardware. The durable medical equipment (DME) supplier or seating/mobility clinic receives the order from a physician, verifies the power base and controller compatibility, authorizes the replacement through the patient’s payor, and schedules a delivery and fitting.
During the clinical workflow, the supplier confirms diagnosis and mobility needs, evaluates the existing controller and mounting system, orders the exact replacement part described by E2375 (power wheelchair accessory, non-expandable controller), and coordinates with the clinician or ATP (Assistive Technology Professional) for programming, mounting, and basic user instruction. A brief in-person or remote check confirms safe operation, seating and positioning adjustments as needed, and documentation of the exchanged controller, serial numbers, and clinical justification in the patient chart for reimbursement and future reference.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier or not applicable |