MyMedi-AI

E2602 — General use wheelchair seat cushion, width 22 inches or greater, any depth

HCPCS Level II E-code · short descriptor: “Gen w/c cushion wdth >=22 in”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
DMEPOS payment category
Inexpensive or routinely purchased
Prior authorization
Not on Medicare required-PA list
Face-to-face & WOPD
Not on the required list
MUE unit limit
1
Status
Active (HCPCS Level II October 2026)

Prior authorization

Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

Order readiness — what the written order must contain

Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):

  • Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
  • General description of the item (42 CFR 410.38(d)(1)(i)(B))
  • Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
  • Order date (42 CFR 410.38(d)(1)(i)(D))
  • Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
  • Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))

Not on the F2F/WOPD list (CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

E2602 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $95.04 to $144.22 depending on state and rural status.

StateNon-ruralRural
AK$129.54—
AL$105.77$129.54
AR$105.77$129.54
AZ$98.20$129.54
CA$100.22$129.54
CO$106.05$129.54
CT$98.09$129.54
DC$95.04$129.54
DE$95.04$129.54
FL$105.77$129.54
GA$105.77$129.54
HI$129.54—
IA$103.20$129.54
ID$106.05$129.54
IL$106.75$129.54
IN$106.75$129.54
KS$103.20$129.54
KY$105.77$129.54
LA$105.77$129.54
MA$98.09$129.54
MD$95.04$129.54
ME$98.09$129.54
MI$106.75$129.54
MN$103.20$129.54
MO$103.20$129.54
MS$105.77$129.54
MT$106.05$129.54
NC$105.77$129.54
ND$103.20$129.54
NE$103.20$129.54
NH$98.09$129.54
NJ$95.04$129.54
NM$98.20$129.54
NV$100.22$129.54
NY$95.04$129.54
OH$106.75$129.54
OK$98.20$129.54
OR$100.22$129.54
PA$95.04$129.54
PR$144.22—
RI$98.09$129.54
SC$105.77$129.54
SD$103.20$129.54
TN$105.77$129.54
TX$98.20$129.54
UT$106.05$129.54
VA$105.77$129.54
VI$129.54—
VT$98.09$129.54
WA$100.22$129.54
WI$106.75$129.54
WV$105.77$129.54
WY$106.05$129.54

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $140.17 to $156.98 depending on state and rural status.

StateNon-ruralRural
AK$140.17—
AL—$140.17
AR—$140.17
AZ—$140.17
CA—$140.17
CO—$140.17
CT—$140.17
DC—$140.17
DE—$140.17
FL—$140.17
GA—$140.17
HI$140.17—
IA—$140.17
ID—$140.17
IL—$140.17
IN—$140.17
KS—$140.17
KY—$140.17
LA—$140.17
MA—$140.17
MD—$140.17
ME—$140.17
MI—$140.17
MN—$140.17
MO—$140.17
MS—$140.17
MT—$140.17
NC—$140.17
ND—$140.17
NE—$140.17
NH—$140.17
NJ—$140.17
NM—$140.17
NV—$140.17
NY—$140.17
OH—$140.17
OK—$140.17
OR—$140.17
PA—$140.17
PR$156.98—
RI—$140.17
SC—$140.17
SD—$140.17
TN—$140.17
TX—$140.17
UT—$140.17
VA—$140.17
VI$140.17—
VT—$140.17
WA—$140.17
WI—$140.17
WV—$140.17
WY—$140.17

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $146.66 to $176.02 depending on state and rural status.

Former-CBA payment limits: ceiling $146.66 · floor $124.66

StateNon-ruralRural
AK$146.66—
AL$146.66—
AR$146.66—
AZ$146.66—
CA$146.66—
CO$146.66—
CT$146.66—
DC$146.66—
DE$146.66—
FL$146.66—
GA$146.66—
HI$146.66—
IA$146.66—
ID$146.66—
IL$146.66—
IN$146.66—
KS$146.66—
KY$146.66—
LA$146.66—
MA$146.66—
MD$146.66—
ME$146.66—
MI$146.66—
MN$146.66—
MO$146.66—
MS$146.66—
MT$146.66—
NC$146.66—
ND$146.66—
NE$146.66—
NH$146.66—
NJ$146.66—
NM$146.66—
NV$146.66—
NY$146.66—
OH$146.66—
OK$146.66—
OR$146.66—
PA$146.66—
PR$176.02—
RI$146.66—
SC$146.66—
SD$146.66—
TN$146.66—
TX$146.66—
UT$146.66—
VA$146.66—
VI$146.66—
VT$146.66—
WA$146.66—
WI$146.66—
WV$146.66—
WY$146.66—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $9.50 to $14.44 depending on state and rural status.

StateNon-ruralRural
AK$12.96—
AL$10.58$12.96
AR$10.58$12.96
AZ$9.82$12.96
CA$10.02$12.96
CO$10.61$12.96
CT$9.81$12.96
DC$9.50$12.96
DE$9.50$12.96
FL$10.58$12.96
GA$10.58$12.96
HI$12.96—
IA$10.32$12.96
ID$10.61$12.96
IL$10.67$12.96
IN$10.67$12.96
KS$10.32$12.96
KY$10.58$12.96
LA$10.58$12.96
MA$9.81$12.96
MD$9.50$12.96
ME$9.81$12.96
MI$10.67$12.96
MN$10.32$12.96
MO$10.32$12.96
MS$10.58$12.96
MT$10.61$12.96
NC$10.58$12.96
ND$10.32$12.96
NE$10.32$12.96
NH$9.81$12.96
NJ$9.50$12.96
NM$9.82$12.96
NV$10.02$12.96
NY$9.50$12.96
OH$10.67$12.96
OK$9.82$12.96
OR$10.02$12.96
PA$9.50$12.96
PR$14.44—
RI$9.81$12.96
SC$10.58$12.96
SD$10.32$12.96
TN$10.58$12.96
TX$9.82$12.96
UT$10.61$12.96
VA$10.58$12.96
VI$12.96—
VT$9.81$12.96
WA$10.02$12.96
WI$10.67$12.96
WV$10.58$12.96
WY$10.61$12.96

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $14.02 to $15.71 depending on state and rural status.

StateNon-ruralRural
AK$14.02—
AL—$14.02
AR—$14.02
AZ—$14.02
CA—$14.02
CO—$14.02
CT—$14.02
DC—$14.02
DE—$14.02
FL—$14.02
GA—$14.02
HI$14.02—
IA—$14.02
ID—$14.02
IL—$14.02
IN—$14.02
KS—$14.02
KY—$14.02
LA—$14.02
MA—$14.02
MD—$14.02
ME—$14.02
MI—$14.02
MN—$14.02
MO—$14.02
MS—$14.02
MT—$14.02
NC—$14.02
ND—$14.02
NE—$14.02
NH—$14.02
NJ—$14.02
NM—$14.02
NV—$14.02
NY—$14.02
OH—$14.02
OK—$14.02
OR—$14.02
PA—$14.02
PR$15.71—
RI—$14.02
SC—$14.02
SD—$14.02
TN—$14.02
TX—$14.02
UT—$14.02
VA—$14.02
VI$14.02—
VT—$14.02
WA—$14.02
WI—$14.02
WV—$14.02
WY—$14.02

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $14.69 to $17.65 depending on state and rural status.

Former-CBA payment limits: ceiling $14.69 · floor $12.49

StateNon-ruralRural
AK$14.69—
AL$14.69—
AR$14.69—
AZ$14.69—
CA$14.69—
CO$14.69—
CT$14.69—
DC$14.69—
DE$14.69—
FL$14.69—
GA$14.69—
HI$14.69—
IA$14.69—
ID$14.69—
IL$14.69—
IN$14.69—
KS$14.69—
KY$14.69—
LA$14.69—
MA$14.69—
MD$14.69—
ME$14.69—
MI$14.69—
MN$14.69—
MO$14.69—
MS$14.69—
MT$14.69—
NC$14.69—
ND$14.69—
NE$14.69—
NH$14.69—
NJ$14.69—
NM$14.69—
NV$14.69—
NY$14.69—
OH$14.69—
OK$14.69—
OR$14.69—
PA$14.69—
PR$17.65—
RI$14.69—
SC$14.69—
SD$14.69—
TN$14.69—
TX$14.69—
UT$14.69—
VA$14.69—
VI$14.69—
VT$14.69—
WA$14.69—
WI$14.69—
WV$14.69—
WY$14.69—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $71.28 to $108.15 depending on state and rural status.

StateNon-ruralRural
AK$97.16—
AL$79.33$97.16
AR$79.33$97.16
AZ$73.65$97.16
CA$75.16$97.16
CO$79.54$97.16
CT$73.57$97.16
DC$71.28$97.16
DE$71.28$97.16
FL$79.33$97.16
GA$79.33$97.16
HI$97.16—
IA$77.40$97.16
ID$79.54$97.16
IL$80.06$97.16
IN$80.06$97.16
KS$77.40$97.16
KY$79.33$97.16
LA$79.33$97.16
MA$73.57$97.16
MD$71.28$97.16
ME$73.57$97.16
MI$80.06$97.16
MN$77.40$97.16
MO$77.40$97.16
MS$79.33$97.16
MT$79.54$97.16
NC$79.33$97.16
ND$77.40$97.16
NE$77.40$97.16
NH$73.57$97.16
NJ$71.28$97.16
NM$73.65$97.16
NV$75.16$97.16
NY$71.28$97.16
OH$80.06$97.16
OK$73.65$97.16
OR$75.16$97.16
PA$71.28$97.16
PR$108.15—
RI$73.57$97.16
SC$79.33$97.16
SD$77.40$97.16
TN$79.33$97.16
TX$73.65$97.16
UT$79.54$97.16
VA$79.33$97.16
VI$97.16—
VT$73.57$97.16
WA$75.16$97.16
WI$80.06$97.16
WV$79.33$97.16
WY$79.54$97.16

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $105.13 to $117.72 depending on state and rural status.

StateNon-ruralRural
AK$105.13—
AL—$105.13
AR—$105.13
AZ—$105.13
CA—$105.13
CO—$105.13
CT—$105.13
DC—$105.13
DE—$105.13
FL—$105.13
GA—$105.13
HI$105.13—
IA—$105.13
ID—$105.13
IL—$105.13
IN—$105.13
KS—$105.13
KY—$105.13
LA—$105.13
MA—$105.13
MD—$105.13
ME—$105.13
MI—$105.13
MN—$105.13
MO—$105.13
MS—$105.13
MT—$105.13
NC—$105.13
ND—$105.13
NE—$105.13
NH—$105.13
NJ—$105.13
NM—$105.13
NV—$105.13
NY—$105.13
OH—$105.13
OK—$105.13
OR—$105.13
PA—$105.13
PR$117.72—
RI—$105.13
SC—$105.13
SD—$105.13
TN—$105.13
TX—$105.13
UT—$105.13
VA—$105.13
VI$105.13—
VT—$105.13
WA—$105.13
WI—$105.13
WV—$105.13
WY—$105.13

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $110.02 to $131.99 depending on state and rural status.

Former-CBA payment limits: ceiling $110.02 · floor $93.52

StateNon-ruralRural
AK$110.02—
AL$110.02—
AR$110.02—
AZ$110.02—
CA$110.02—
CO$110.02—
CT$110.02—
DC$110.02—
DE$110.02—
FL$110.02—
GA$110.02—
HI$110.02—
IA$110.02—
ID$110.02—
IL$110.02—
IN$110.02—
KS$110.02—
KY$110.02—
LA$110.02—
MA$110.02—
MD$110.02—
ME$110.02—
MI$110.02—
MN$110.02—
MO$110.02—
MS$110.02—
MT$110.02—
NC$110.02—
ND$110.02—
NE$110.02—
NH$110.02—
NJ$110.02—
NM$110.02—
NV$110.02—
NY$110.02—
OH$110.02—
OK$110.02—
OR$110.02—
PA$110.02—
PR$131.99—
RI$110.02—
SC$110.02—
SD$110.02—
TN$110.02—
TX$110.02—
UT$110.02—
VA$110.02—
VI$110.02—
VT$110.02—
WA$110.02—
WI$110.02—
WV$110.02—
WY$110.02—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps E2602 at 1 unit per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.

Common denial codes to watch

Related E-codes

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