E2623 HCPCS code: Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth
E2623 is the HCPCS Level II code for skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth. The 2026 Medicare DMEPOS fee schedule pays $491.60 to $601.72 (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 8% from 2022 to 2024 (621 to 671 services). In 2024, 300 suppliers billed Medicare for E2623 (purchases), serving 665 beneficiaries; Texas, New Jersey, New York accounted for 22% of services. Its average fee ranks 20 of 29 E26 codes billed NU (family range $62.42–$1,312.30); rural fees run 3% higher.
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 32 — DMEPOS: inexpensive or routinely purchased item |
| BETOS category | D1D — Wheelchairs |
| Added | 2011-01-01 |
| Last action effective | 2011-01-01 |
2026 Medicare DMEPOS fee schedule for E2623
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $491.60 | $601.72 | — | — |
| NU | new equipment, purchased | $518.07 | $621.69 | $518.07 | $440.36 |
| RR | rental (monthly) | $49.16 | $60.16 | — | — |
| RR | rental (monthly) | $51.83 | $62.16 | $51.83 | $44.06 |
| UE | used equipment, purchased | $368.70 | $451.30 | — | — |
| UE | used equipment, purchased | $388.56 | $466.28 | $388.56 | $330.28 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $542.40 | — |
| AL | NU | $518.07 | $542.40 |
| AR | NU | $518.07 | $542.40 |
| AZ | NU | $518.07 | $542.40 |
| CA | NU | $518.07 | $542.40 |
| CO | NU | $518.07 | $542.40 |
| CT | NU | $518.07 | $542.40 |
| DC | NU | $518.07 | $542.40 |
| DE | NU | $518.07 | $542.40 |
| FL | NU | $518.07 | $542.40 |
| GA | NU | $518.07 | $542.40 |
| HI | NU | $542.40 | — |
| IA | NU | $518.07 | $542.40 |
| ID | NU | $518.07 | $542.40 |
| IL | NU | $518.07 | $542.40 |
| IN | NU | $518.07 | $542.40 |
| KS | NU | $518.07 | $542.40 |
| KY | NU | $518.07 | $542.40 |
| LA | NU | $518.07 | $542.40 |
| MA | NU | $518.07 | $542.40 |
| MD | NU | $518.07 | $542.40 |
| ME | NU | $518.07 | $542.40 |
| MI | NU | $518.07 | $542.40 |
| MN | NU | $518.07 | $542.40 |
| MO | NU | $518.07 | $542.40 |
| MS | NU | $518.07 | $542.40 |
| MT | NU | $518.07 | $542.40 |
| NC | NU | $518.07 | $542.40 |
| ND | NU | $518.07 | $542.40 |
| NE | NU | $518.07 | $542.40 |
| NH | NU | $518.07 | $542.40 |
| NJ | NU | $518.07 | $542.40 |
| NM | NU | $518.07 | $542.40 |
| NV | NU | $518.07 | $542.40 |
| NY | NU | $518.07 | $542.40 |
| OH | NU | $518.07 | $542.40 |
| OK | NU | $518.07 | $542.40 |
| OR | NU | $518.07 | $542.40 |
| PA | NU | $518.07 | $542.40 |
| PR | NU | $621.69 | — |
| RI | NU | $518.07 | $542.40 |
| SC | NU | $518.07 | $542.40 |
| SD | NU | $518.07 | $542.40 |
| TN | NU | $518.07 | $542.40 |
| TX | NU | $518.07 | $542.40 |
| UT | NU | $518.07 | $542.40 |
| VA | NU | $518.07 | $542.40 |
| VI | NU | $542.40 | — |
| VT | NU | $518.07 | $542.40 |
| WA | NU | $518.07 | $542.40 |
| WI | NU | $518.07 | $542.40 |
| WV | NU | $518.07 | $542.40 |
| WY | NU | $518.07 | $542.40 |
| AK | RR | $54.25 | — |
| AL | RR | $51.83 | $54.25 |
| AR | RR | $51.83 | $54.25 |
| AZ | RR | $51.83 | $54.25 |
| CA | RR | $51.83 | $54.25 |
| CO | RR | $51.83 | $54.25 |
| CT | RR | $51.83 | $54.25 |
| DC | RR | $51.83 | $54.25 |
| DE | RR | $51.83 | $54.25 |
| FL | RR | $51.83 | $54.25 |
| GA | RR | $51.83 | $54.25 |
| HI | RR | $54.25 | — |
| IA | RR | $51.83 | $54.25 |
| ID | RR | $51.83 | $54.25 |
| IL | RR | $51.83 | $54.25 |
| IN | RR | $51.83 | $54.25 |
| KS | RR | $51.83 | $54.25 |
| KY | RR | $51.83 | $54.25 |
| LA | RR | $51.83 | $54.25 |
| MA | RR | $51.83 | $54.25 |
| MD | RR | $51.83 | $54.25 |
| ME | RR | $51.83 | $54.25 |
| MI | RR | $51.83 | $54.25 |
| MN | RR | $51.83 | $54.25 |
| MO | RR | $51.83 | $54.25 |
| MS | RR | $51.83 | $54.25 |
| MT | RR | $51.83 | $54.25 |
| NC | RR | $51.83 | $54.25 |
| ND | RR | $51.83 | $54.25 |
| NE | RR | $51.83 | $54.25 |
| NH | RR | $51.83 | $54.25 |
| NJ | RR | $51.83 | $54.25 |
| NM | RR | $51.83 | $54.25 |
| NV | RR | $51.83 | $54.25 |
| NY | RR | $51.83 | $54.25 |
| OH | RR | $51.83 | $54.25 |
| OK | RR | $51.83 | $54.25 |
| OR | RR | $51.83 | $54.25 |
| PA | RR | $51.83 | $54.25 |
| PR | RR | $62.16 | — |
| RI | RR | $51.83 | $54.25 |
| SC | RR | $51.83 | $54.25 |
| SD | RR | $51.83 | $54.25 |
| TN | RR | $51.83 | $54.25 |
| TX | RR | $51.83 | $54.25 |
| UT | RR | $51.83 | $54.25 |
| VA | RR | $51.83 | $54.25 |
| VI | RR | $54.25 | — |
| VT | RR | $51.83 | $54.25 |
| WA | RR | $51.83 | $54.25 |
| WI | RR | $51.83 | $54.25 |
| WV | RR | $51.83 | $54.25 |
| WY | RR | $51.83 | $54.25 |
| AK | UE | $406.79 | — |
| AL | UE | $388.56 | $406.79 |
| AR | UE | $388.56 | $406.79 |
| AZ | UE | $388.56 | $406.79 |
| CA | UE | $388.56 | $406.79 |
| CO | UE | $388.56 | $406.79 |
| CT | UE | $388.56 | $406.79 |
| DC | UE | $388.56 | $406.79 |
| DE | UE | $388.56 | $406.79 |
| FL | UE | $388.56 | $406.79 |
| GA | UE | $388.56 | $406.79 |
| HI | UE | $406.79 | — |
| IA | UE | $388.56 | $406.79 |
| ID | UE | $388.56 | $406.79 |
| IL | UE | $388.56 | $406.79 |
| IN | UE | $388.56 | $406.79 |
| KS | UE | $388.56 | $406.79 |
| KY | UE | $388.56 | $406.79 |
| LA | UE | $388.56 | $406.79 |
| MA | UE | $388.56 | $406.79 |
| MD | UE | $388.56 | $406.79 |
| ME | UE | $388.56 | $406.79 |
| MI | UE | $388.56 | $406.79 |
| MN | UE | $388.56 | $406.79 |
| MO | UE | $388.56 | $406.79 |
| MS | UE | $388.56 | $406.79 |
| MT | UE | $388.56 | $406.79 |
| NC | UE | $388.56 | $406.79 |
| ND | UE | $388.56 | $406.79 |
| NE | UE | $388.56 | $406.79 |
| NH | UE | $388.56 | $406.79 |
| NJ | UE | $388.56 | $406.79 |
| NM | UE | $388.56 | $406.79 |
| NV | UE | $388.56 | $406.79 |
| NY | UE | $388.56 | $406.79 |
| OH | UE | $388.56 | $406.79 |
| OK | UE | $388.56 | $406.79 |
| OR | UE | $388.56 | $406.79 |
| PA | UE | $388.56 | $406.79 |
| PR | UE | $466.28 | — |
| RI | UE | $388.56 | $406.79 |
| SC | UE | $388.56 | $406.79 |
| SD | UE | $388.56 | $406.79 |
| TN | UE | $388.56 | $406.79 |
| TX | UE | $388.56 | $406.79 |
| UT | UE | $388.56 | $406.79 |
| VA | UE | $388.56 | $406.79 |
| VI | UE | $406.79 | — |
| VT | UE | $388.56 | $406.79 |
| WA | UE | $388.56 | $406.79 |
| WI | UE | $388.56 | $406.79 |
| WV | UE | $388.56 | $406.79 |
| WY | UE | $388.56 | $406.79 |
How the E2623 fee compares
| Measure | Value |
|---|---|
| Rank among 29 E26 codes billed NU (lowest = 1) | 20 |
| Family fee range (average of state fees) | $62.42–$1,312.30 |
| Rural fee uplift | 2.9% |
Who bills E2623 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 300 |
| Referring clinicians | 612 |
| Medicare beneficiaries | 665 |
| States with claims | 23 |
| Share of services in top 3 states (Texas, New Jersey, New York) | 22% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 293 | 619 |
| 2023 | 300 | 614 |
| 2024 | 300 | 665 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E2623, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 621 | 619 | $434.51 | $340.30 |
| 2023 | 620 | 614 | $471.95 | $365.93 |
| 2024 | 671 | 665 | $479.93 | $371.62 |
States with the most E2623 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 47 | $369.81 |
| New Jersey | 36 | $370.20 |
| New York | 34 | $374.15 |
| California | 32 | $370.44 |
| Illinois | 31 | $356.40 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
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 E2623
- 2026-01-01: Average state fee (NU) rose 2.3%: $497.20 to $508.63
- 2026-01-01: Average state fee (RR) rose 2.3%: $49.73 to $50.87
- 2026-01-01: Average state fee (UE) rose 2.3%: $372.90 to $381.48
- 2011-01-01: E2623 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 E2623?
E2623 is the HCPCS Level II code for skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth. Short descriptor: "Adj skin pro wc cus wd>=22in".
How much does Medicare pay for E2623?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $491.60–$601.72; NU (new equipment, purchased): $518.07–$621.69; RR (rental (monthly)): $49.16–$60.16; RR (rental (monthly)): $51.83–$62.16; UE (used equipment, purchased): $368.70–$451.30; UE (used equipment, purchased): $388.56–$466.28. Rural fees can be higher.
Does Medicare cover E2623?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E2623 change in 2026?
The average non-rural state fee for NU moved from $497.20 in 2025 to $508.63 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E2623 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)
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under E2623
- Watch E2623 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E2623
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.