MyMedi-AI

E2603 — Skin protection wheelchair seat cushion, width less than 22 inches, any depth

HCPCS Level II E-code · short descriptor: “Skin protect wc cus wd <22in”

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.

E2603 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $115.21 to $180.63 depending on state and rural status.

StateNon-ruralRural
AK$161.99—
AL$131.76$161.99
AR$131.76$161.99
AZ$123.75$161.99
CA$122.75$161.99
CO$125.59$161.99
CT$115.47$161.99
DC$115.21$161.99
DE$115.21$161.99
FL$131.76$161.99
GA$131.76$161.99
HI$161.99—
IA$130.91$161.99
ID$125.59$161.99
IL$128.56$161.99
IN$128.56$161.99
KS$130.91$161.99
KY$131.76$161.99
LA$131.76$161.99
MA$115.47$161.99
MD$115.21$161.99
ME$115.47$161.99
MI$128.56$161.99
MN$130.91$161.99
MO$130.91$161.99
MS$131.76$161.99
MT$125.59$161.99
NC$131.76$161.99
ND$130.91$161.99
NE$130.91$161.99
NH$115.47$161.99
NJ$115.21$161.99
NM$123.75$161.99
NV$122.75$161.99
NY$115.21$161.99
OH$128.56$161.99
OK$123.75$161.99
OR$122.75$161.99
PA$115.21$161.99
PR$180.63—
RI$115.47$161.99
SC$131.76$161.99
SD$130.91$161.99
TN$131.76$161.99
TX$123.75$161.99
UT$125.59$161.99
VA$131.76$161.99
VI$161.99—
VT$115.47$161.99
WA$122.75$161.99
WI$128.56$161.99
WV$131.76$161.99
WY$125.59$161.99

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $175.49 to $196.83 depending on state and rural status.

StateNon-ruralRural
AK$175.49—
AL—$175.49
AR—$175.49
AZ—$175.49
CA—$175.49
CO—$175.49
CT—$175.49
DC—$175.49
DE—$175.49
FL—$175.49
GA—$175.49
HI$175.49—
IA—$175.49
ID—$175.49
IL—$175.49
IN—$175.49
KS—$175.49
KY—$175.49
LA—$175.49
MA—$175.49
MD—$175.49
ME—$175.49
MI—$175.49
MN—$175.49
MO—$175.49
MS—$175.49
MT—$175.49
NC—$175.49
ND—$175.49
NE—$175.49
NH—$175.49
NJ—$175.49
NM—$175.49
NV—$175.49
NY—$175.49
OH—$175.49
OK—$175.49
OR—$175.49
PA—$175.49
PR$196.83—
RI—$175.49
SC—$175.49
SD—$175.49
TN—$175.49
TX—$175.49
UT—$175.49
VA—$175.49
VI$175.49—
VT—$175.49
WA—$175.49
WI—$175.49
WV—$175.49
WY—$175.49

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $186.19 to $223.44 depending on state and rural status.

Former-CBA payment limits: ceiling $186.19 · floor $158.26

StateNon-ruralRural
AK$186.19—
AL$186.19—
AR$186.19—
AZ$186.19—
CA$186.19—
CO$186.19—
CT$186.19—
DC$186.19—
DE$186.19—
FL$186.19—
GA$186.19—
HI$186.19—
IA$186.19—
ID$186.19—
IL$186.19—
IN$186.19—
KS$186.19—
KY$186.19—
LA$186.19—
MA$186.19—
MD$186.19—
ME$186.19—
MI$186.19—
MN$186.19—
MO$186.19—
MS$186.19—
MT$186.19—
NC$186.19—
ND$186.19—
NE$186.19—
NH$186.19—
NJ$186.19—
NM$186.19—
NV$186.19—
NY$186.19—
OH$186.19—
OK$186.19—
OR$186.19—
PA$186.19—
PR$223.44—
RI$186.19—
SC$186.19—
SD$186.19—
TN$186.19—
TX$186.19—
UT$186.19—
VA$186.19—
VI$186.19—
VT$186.19—
WA$186.19—
WI$186.19—
WV$186.19—
WY$186.19—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $11.52 to $18.06 depending on state and rural status.

StateNon-ruralRural
AK$16.21—
AL$13.18$16.21
AR$13.18$16.21
AZ$12.38$16.21
CA$12.28$16.21
CO$12.56$16.21
CT$11.55$16.21
DC$11.52$16.21
DE$11.52$16.21
FL$13.18$16.21
GA$13.18$16.21
HI$16.21—
IA$13.09$16.21
ID$12.56$16.21
IL$12.86$16.21
IN$12.86$16.21
KS$13.09$16.21
KY$13.18$16.21
LA$13.18$16.21
MA$11.55$16.21
MD$11.52$16.21
ME$11.55$16.21
MI$12.86$16.21
MN$13.09$16.21
MO$13.09$16.21
MS$13.18$16.21
MT$12.56$16.21
NC$13.18$16.21
ND$13.09$16.21
NE$13.09$16.21
NH$11.55$16.21
NJ$11.52$16.21
NM$12.38$16.21
NV$12.28$16.21
NY$11.52$16.21
OH$12.86$16.21
OK$12.38$16.21
OR$12.28$16.21
PA$11.52$16.21
PR$18.06—
RI$11.55$16.21
SC$13.18$16.21
SD$13.09$16.21
TN$13.18$16.21
TX$12.38$16.21
UT$12.56$16.21
VA$13.18$16.21
VI$16.21—
VT$11.55$16.21
WA$12.28$16.21
WI$12.86$16.21
WV$13.18$16.21
WY$12.56$16.21

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $17.56 to $19.68 depending on state and rural status.

StateNon-ruralRural
AK$17.56—
AL—$17.56
AR—$17.56
AZ—$17.56
CA—$17.56
CO—$17.56
CT—$17.56
DC—$17.56
DE—$17.56
FL—$17.56
GA—$17.56
HI$17.56—
IA—$17.56
ID—$17.56
IL—$17.56
IN—$17.56
KS—$17.56
KY—$17.56
LA—$17.56
MA—$17.56
MD—$17.56
ME—$17.56
MI—$17.56
MN—$17.56
MO—$17.56
MS—$17.56
MT—$17.56
NC—$17.56
ND—$17.56
NE—$17.56
NH—$17.56
NJ—$17.56
NM—$17.56
NV—$17.56
NY—$17.56
OH—$17.56
OK—$17.56
OR—$17.56
PA—$17.56
PR$19.68—
RI—$17.56
SC—$17.56
SD—$17.56
TN—$17.56
TX—$17.56
UT—$17.56
VA—$17.56
VI$17.56—
VT—$17.56
WA—$17.56
WI—$17.56
WV—$17.56
WY—$17.56

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $18.64 to $22.34 depending on state and rural status.

Former-CBA payment limits: ceiling $18.64 · floor $15.84

StateNon-ruralRural
AK$18.64—
AL$18.64—
AR$18.64—
AZ$18.64—
CA$18.64—
CO$18.64—
CT$18.64—
DC$18.64—
DE$18.64—
FL$18.64—
GA$18.64—
HI$18.64—
IA$18.64—
ID$18.64—
IL$18.64—
IN$18.64—
KS$18.64—
KY$18.64—
LA$18.64—
MA$18.64—
MD$18.64—
ME$18.64—
MI$18.64—
MN$18.64—
MO$18.64—
MS$18.64—
MT$18.64—
NC$18.64—
ND$18.64—
NE$18.64—
NH$18.64—
NJ$18.64—
NM$18.64—
NV$18.64—
NY$18.64—
OH$18.64—
OK$18.64—
OR$18.64—
PA$18.64—
PR$22.34—
RI$18.64—
SC$18.64—
SD$18.64—
TN$18.64—
TX$18.64—
UT$18.64—
VA$18.64—
VI$18.64—
VT$18.64—
WA$18.64—
WI$18.64—
WV$18.64—
WY$18.64—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $86.41 to $135.45 depending on state and rural status.

StateNon-ruralRural
AK$121.50—
AL$98.82$121.50
AR$98.82$121.50
AZ$92.81$121.50
CA$92.06$121.50
CO$94.19$121.50
CT$86.60$121.50
DC$86.41$121.50
DE$86.41$121.50
FL$98.82$121.50
GA$98.82$121.50
HI$121.50—
IA$98.19$121.50
ID$94.19$121.50
IL$96.43$121.50
IN$96.43$121.50
KS$98.19$121.50
KY$98.82$121.50
LA$98.82$121.50
MA$86.60$121.50
MD$86.41$121.50
ME$86.60$121.50
MI$96.43$121.50
MN$98.19$121.50
MO$98.19$121.50
MS$98.82$121.50
MT$94.19$121.50
NC$98.82$121.50
ND$98.19$121.50
NE$98.19$121.50
NH$86.60$121.50
NJ$86.41$121.50
NM$92.81$121.50
NV$92.06$121.50
NY$86.41$121.50
OH$96.43$121.50
OK$92.81$121.50
OR$92.06$121.50
PA$86.41$121.50
PR$135.45—
RI$86.60$121.50
SC$98.82$121.50
SD$98.19$121.50
TN$98.82$121.50
TX$92.81$121.50
UT$94.19$121.50
VA$98.82$121.50
VI$121.50—
VT$86.60$121.50
WA$92.06$121.50
WI$96.43$121.50
WV$98.82$121.50
WY$94.19$121.50

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $131.63 to $147.60 depending on state and rural status.

StateNon-ruralRural
AK$131.63—
AL—$131.63
AR—$131.63
AZ—$131.63
CA—$131.63
CO—$131.63
CT—$131.63
DC—$131.63
DE—$131.63
FL—$131.63
GA—$131.63
HI$131.63—
IA—$131.63
ID—$131.63
IL—$131.63
IN—$131.63
KS—$131.63
KY—$131.63
LA—$131.63
MA—$131.63
MD—$131.63
ME—$131.63
MI—$131.63
MN—$131.63
MO—$131.63
MS—$131.63
MT—$131.63
NC—$131.63
ND—$131.63
NE—$131.63
NH—$131.63
NJ—$131.63
NM—$131.63
NV—$131.63
NY—$131.63
OH—$131.63
OK—$131.63
OR—$131.63
PA—$131.63
PR$147.60—
RI—$131.63
SC—$131.63
SD—$131.63
TN—$131.63
TX—$131.63
UT—$131.63
VA—$131.63
VI$131.63—
VT—$131.63
WA—$131.63
WI—$131.63
WV—$131.63
WY—$131.63

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $139.67 to $167.56 depending on state and rural status.

Former-CBA payment limits: ceiling $139.67 · floor $118.72

StateNon-ruralRural
AK$139.67—
AL$139.67—
AR$139.67—
AZ$139.67—
CA$139.67—
CO$139.67—
CT$139.67—
DC$139.67—
DE$139.67—
FL$139.67—
GA$139.67—
HI$139.67—
IA$139.67—
ID$139.67—
IL$139.67—
IN$139.67—
KS$139.67—
KY$139.67—
LA$139.67—
MA$139.67—
MD$139.67—
ME$139.67—
MI$139.67—
MN$139.67—
MO$139.67—
MS$139.67—
MT$139.67—
NC$139.67—
ND$139.67—
NE$139.67—
NH$139.67—
NJ$139.67—
NM$139.67—
NV$139.67—
NY$139.67—
OH$139.67—
OK$139.67—
OR$139.67—
PA$139.67—
PR$167.56—
RI$139.67—
SC$139.67—
SD$139.67—
TN$139.67—
TX$139.67—
UT$139.67—
VA$139.67—
VI$139.67—
VT$139.67—
WA$139.67—
WI$139.67—
WV$139.67—
WY$139.67—
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 E2603 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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