Summary & Overview
HCPCS E2614: Positioning Wheelchair Back Cushion, Posterior, 22+ inches
HCPCS Level II code E2614 designates a posterior positioning wheelchair back cushion measuring 22 inches or greater in width and includes mounting hardware. This code identifies a durable medical equipment (DME) seating accessory used to provide posterior trunk support and positioning for wheelchair users, relevant to clinicians, DME suppliers, and payers managing durable medical equipment benefits. Nationally, correct coding for seating and positioning devices matters for clinical safety, supplier compliance, and consistent reimbursement practices.
Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the clinical context for posterior wheelchair back cushions, typical sites of service where the device is provided, common billing considerations linked to E2614, and the payer landscape relevant to coverage and claims processing. The publication also summarizes billing benchmarks and policy updates affecting durable medical equipment for seating and positioning where available. Data not provided in the input, such as specific coverage criteria, reimbursement amounts, or associated ICD-10 diagnoses, are noted as unavailable.
Billing Code Overview
HCPCS Level II code E2614 describes a positioning wheelchair back cushion, posterior, with a width of 22 inches or greater, any height, and includes any type of mounting hardware. This item is an assistive seating device intended to provide posterior support and positioning for wheelchair users.
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Service type: Durable medical equipment (DME) - seating and positioning accessory
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Typical site of service: Durable medical equipment supplied to the home or facility setting; fitting and delivery may occur in outpatient clinics, rehabilitation centers, or the patient's residence
Clinical & Coding Specifications
Clinical Context
A 72-year-old patient with advanced Parkinson disease and chronic wheelchair dependence presents for durable medical equipment evaluation due to progressive postural instability and worsening thoracic kyphosis. The physical therapist documents poor trunk support in the current wheelchair, recurrent sliding forward in the seat, and intermittent skin redness under the lower back. The DME specialist measures the wheelchair and determines the patient requires a posterior positioning back cushion with a width of 22 inches or greater to improve upright posture, redistribute pressure, and reduce shear forces. The ordering clinician documents the medical necessity with diagnoses, functional limitations, and goals (improved seated tolerance, prevention of pressure injury, improved head/neck alignment). The DME vendor fabricates or fits the E2614 cushion, mounts the hardware to the wheelchair, performs a fit check, trains the caregiver on safe transfers and cushion maintenance, and documents delivery and patient acceptance in the medical record.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | Default/No modifier | When no other modifier applies to the item |
22 |