HCPCS code E2617 — Custom fab w/c back cushion. Status: Active. Effective Jan 1, 2005. Source: CMS HCPCS Level II.

E2617

Active

Custom fab w/c back cushion

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

Category: DME
Section: E-codes: Durable Medical Equipment
Effective: Jan 1, 2005
Code type: alphanumeric
OPPS Status: Y — Non-implantable durable medical equipment

MUE — Medically Unlikely Edits

Maximum units of E2617 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
DME Supplier 1
Outpatient Hospital 0
Practitioner Services 0

Source: CMS Medicare NCCI Medically Unlikely Edits