E2603 HCPCS code: Skin protection wheelchair seat cushion, width less than 22 inches, any depth

E2603 is the HCPCS Level II code for skin protection wheelchair seat cushion, width less than 22 inches, any depth. The 2026 Medicare DMEPOS fee schedule pays $186.19 to $223.44 (NU, new equipment, purchased) depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 1 per day on DME suppliers. Medicare volume rose 11% from 2022 to 2024 (4,330 to 4,802 services). In 2024, 788 suppliers billed Medicare for E2603 (purchases), serving 4,693 beneficiaries; Florida, New York, Nevada accounted for 25% of services. Its average fee ranks 4 of 29 E26 codes billed NU (family range $62.42–$1,312.30); rural fees run 6% higher.

Code details

2026 Medicare DMEPOS fee schedule for E2603

How the E2603 fee compares

Who bills E2603 (2024)

Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.

Medicare utilization for E2603, 2022–2024

States with the most E2603 services (2024)

NCCI unit limits (MUE)

Medicare policy articles for this code

• A52505: Wheelchair Seating - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance

What changed for E2603

• 2026-01-01: Average state fee (NU) rose 2.3%: $154.97 to $158.49
• 2026-01-01: Average state fee (RR) rose 2.3%: $15.51 to $15.86
• 2026-01-01: Average state fee (UE) rose 2.3%: $116.24 to $118.88
• 2005-01-01: E2603 added to HCPCS Level II
• Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01

Frequently asked questions

What is HCPCS code E2603?

E2603 is the HCPCS Level II code for skin protection wheelchair seat cushion, width less than 22 inches, any depth. Short descriptor: "Skin protect wc cus wd <22in".

How much does Medicare pay for E2603?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $186.19–$223.44; NU (new equipment, purchased): $115.21–$196.83; RR (rental (monthly)): $11.52–$19.68; RR (rental (monthly)): $18.64–$22.34; UE (used equipment, purchased): $86.41–$147.60; UE (used equipment, purchased): $139.67–$167.56. Rural fees can be higher.

Does Medicare cover E2603?

Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.

Did the Medicare fee for E2603 change in 2026?

The average non-rural state fee for NU moved from $154.97 in 2025 to $158.49 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of E2603 can be billed per day?

1 on DME suppliers (NCCI medically unlikely edits).

Related E26 codes

• E2601 — General use wheelchair seat cushion, width less than 22 inches, any depth ($4.46–$90.13)
• E2602 — General use wheelchair seat cushion, width 22 inches or greater, any depth ($9.50–$176.02)
• E2604 — Skin protection wheelchair seat cushion, width 22 inches or greater, any depth ($16.37–$277.75)
• E2605 — Positioning wheelchair seat cushion, width less than 22 inches, any depth ($24.43–$396.77)
• E2606 — Positioning wheelchair seat cushion, width 22 inches or greater, any depth ($38.83–$618.94)
• E2607 — Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth ($23.08–$427.26)
• E2608 — Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth ($29.66–$513.08)
• E2609 — Custom fabricated wheelchair seat cushion, any size
• E2610 — Wheelchair seat cushion, powered
• E2611 — General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware ($18.00–$460.46)
• E2612 — General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware ($34.65–$622.81)
• E2613 — Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware ($35.41–$579.33)

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Next steps

• Run a reimbursement report for a device billed under E2603
• Watch E2603 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for E2603

Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.

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