HCPCS Code E2617

Custom fabricated wheelchair back cushion, any size, including any type mounting hardware
Code effective Jan 01, 2005

HCPCS Section
Durable Medical Equipment (DME)

E2617 is a valid 2026 HCPCS code meaning Custom fabricated wheelchair back cushion, any size, including any type mounting hardware or (Custom fab w/c back cushion) for short. HCPCS E2617 has been effective since 01/01/2005 and applies to Used durable medical equipment (DME).

HCPCS Code Details - E2617

HCPCS Level II Code
Section E - Durable Medical Equipment (DME)
HCPCS Code E2617
Description

Long description:
Custom fabricated wheelchair back cushion, any size, including any type mounting hardware

Short description:
Custom fab w/c back cushion

HCPCS Pricing indicator 32 - Inexpensive & routinely purchased DME (price subject to floors and ceilings)
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
BETOS2 code D1D - Wheelchairs
HCPCS Action code N - No maintenance for this code
Type of service A - Used durable medical equipment (DME)
Effective date Effective Jan 01, 2005
Date added Added Jan 01, 2005

See also

  • HCPCS E2616 · Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware

  • HCPCS E2609 · Custom fabricated wheelchair seat cushion, any size

  • HCPCS E2619 · Replacement cover for wheelchair seat cushion or back cushion, each

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”

HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.