E2617 HCPCS code: Custom fabricated wheelchair back cushion, any size, including any type mounting hardware

E2617 is the HCPCS Level II code for custom fabricated wheelchair back cushion, any size, including any type mounting hardware. In 2024 Medicare paid an average of $1,625.94 per service for E2617 across 3,196 services. 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 10% from 2022 to 2024 (2,899 to 3,196 services). In 2024, 440 suppliers billed Medicare for E2617 (purchases), serving 3,187 beneficiaries; Ohio, New York, Illinois accounted for 33% of services.

Code details

FieldValue
SectionE codes — Durable medical equipment
Coverage codeC — Carrier judgment
Pricing indicator32 — DMEPOS: inexpensive or routinely purchased item
BETOS categoryD1D — Wheelchairs
Added2005-01-01
Last action effective2005-01-01

Who bills E2617 (2024)

MeasureValue
Suppliers billing rentals—
Suppliers billing purchases440
Referring clinicians2,326
Medicare beneficiaries3,187
States with claims42
Share of services in top 3 states (Ohio, New York, Illinois)33%
YearSuppliersBeneficiaries
20223932,895
20234233,037
20244403,187

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

Medicare utilization for E2617, 2022–2024

YearServicesBeneficiariesAvg. allowedAvg. paid
20222,8992,895$1,811.64$1,422.06
20233,0443,037$1,924.74$1,502.08
20243,1963,187$2,086.87$1,625.94

States with the most E2617 services (2024)

StateServicesAvg. paid
Ohio408$1,613.23
New York383$1,656.41
Illinois237$1,470.68
California216$1,834.14
Texas186$1,761.00

NCCI unit limits (MUE)

Claim typeMax units per dayRationale
DME suppliers1Code Descriptor / CPT Instruction

Medicare policy articles for this code

What changed for E2617

Frequently asked questions

What is HCPCS code E2617?

E2617 is the HCPCS Level II code for custom fabricated wheelchair back cushion, any size, including any type mounting hardware. Short descriptor: "Custom fab w/c back cushion".

How much does Medicare pay for E2617?

In 2024, the average Medicare payment was $1,625.94 per service (average allowed $2,086.87).

Does Medicare cover E2617?

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

How many units of E2617 can be billed per day?

1 on DME suppliers (NCCI medically unlikely edits).

Related E26 codes

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Next steps

Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; 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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