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

E2616 is the HCPCS Level II code for positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware. The 2026 Medicare DMEPOS fee schedule pays $545.28 to $886.21 (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 fell 53% from 2022 to 2024 (97 to 46 services). In 2024, 35 suppliers billed Medicare for E2616 (purchases), serving 46 beneficiaries. Its average fee ranks 24 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 E2616

How the E2616 fee compares

Who bills E2616 (2024)

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

Medicare utilization for E2616, 2022–2024

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 E2616

• 2026-01-01: Average state fee (NU) rose 2.3%: $661.57 to $676.74
• 2026-01-01: Average state fee (RR) rose 2.3%: $66.15 to $67.67
• 2026-01-01: Average state fee (UE) rose 2.3%: $496.17 to $507.55
• 2005-01-01: E2616 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 E2616?

E2616 is the HCPCS Level II code for positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware. Short descriptor: "Pos back post/lat wdth>=22in".

How much does Medicare pay for E2616?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $545.28–$886.21; NU (new equipment, purchased): $747.55–$897.06; RR (rental (monthly)): $74.75–$89.70; RR (rental (monthly)): $54.53–$88.61; UE (used equipment, purchased): $408.96–$664.64; UE (used equipment, purchased): $560.65–$672.76. Rural fees can be higher.

Does Medicare cover E2616?

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

Did the Medicare fee for E2616 change in 2026?

The average non-rural state fee for NU moved from $661.57 in 2025 to $676.74 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of E2616 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)
• E2603 — Skin protection wheelchair seat cushion, width less than 22 inches, any depth ($11.52–$223.44)
• 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)

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Next steps

• Run a reimbursement report for a device billed under E2616
• Watch E2616 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for E2616

Sources: CMS HCPCS Level II release October 2026; 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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