MyMedi-AI

E2605 — Positioning wheelchair seat cushion, width less than 22 inches, any depth

HCPCS Level II E-code · short descriptor: “Position wc cush 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.

E2605 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $244.34 to $362.94 depending on state and rural status.

StateNon-ruralRural
AK$329.87—
AL$256.84$305.91
AR$256.84$305.91
AZ$253.76$305.91
CA$250.48$305.91
CO$261.07$305.91
CT$253.26$305.91
DC$244.34$305.91
DE$244.34$305.91
FL$256.84$305.91
GA$256.84$305.91
HI$329.87—
IA$261.41$305.91
ID$261.07$305.91
IL$261.24$305.91
IN$261.24$305.91
KS$261.41$305.91
KY$256.84$305.91
LA$256.84$305.91
MA$253.26$305.91
MD$244.34$305.91
ME$253.26$305.91
MI$261.24$305.91
MN$261.41$305.91
MO$261.41$305.91
MS$256.84$305.91
MT$261.07$305.91
NC$256.84$305.91
ND$261.41$305.91
NE$261.41$305.91
NH$253.26$305.91
NJ$244.34$305.91
NM$253.76$305.91
NV$250.48$305.91
NY$244.34$305.91
OH$261.24$305.91
OK$253.76$305.91
OR$250.48$305.91
PA$244.34$305.91
PR$362.94—
RI$253.26$305.91
SC$256.84$305.91
SD$261.41$305.91
TN$256.84$305.91
TX$253.76$305.91
UT$261.07$305.91
VA$256.84$305.91
VI$329.87—
VT$253.26$305.91
WA$250.48$305.91
WI$261.24$305.91
WV$256.84$305.91
WY$261.07$305.91

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $329.89 to $391.70 depending on state and rural status.

StateNon-ruralRural
AK$353.84—
AL—$329.89
AR—$329.89
AZ—$329.89
CA—$329.89
CO—$329.89
CT—$329.89
DC—$329.89
DE—$329.89
FL—$329.89
GA—$329.89
HI$353.84—
IA—$329.89
ID—$329.89
IL—$329.89
IN—$329.89
KS—$329.89
KY—$329.89
LA—$329.89
MA—$329.89
MD—$329.89
ME—$329.89
MI—$329.89
MN—$329.89
MO—$329.89
MS—$329.89
MT—$329.89
NC—$329.89
ND—$329.89
NE—$329.89
NH—$329.89
NJ—$329.89
NM—$329.89
NV—$329.89
NY—$329.89
OH—$329.89
OK—$329.89
OR—$329.89
PA—$329.89
PR$391.70—
RI—$329.89
SC—$329.89
SD—$329.89
TN—$329.89
TX—$329.89
UT—$329.89
VA—$329.89
VI$353.84—
VT—$329.89
WA—$329.89
WI—$329.89
WV—$329.89
WY—$329.89

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $330.63 to $396.77 depending on state and rural status.

Former-CBA payment limits: ceiling $330.63 · floor $281.04

StateNon-ruralRural
AK$330.63—
AL$330.63—
AR$330.63—
AZ$330.63—
CA$330.63—
CO$330.63—
CT$330.63—
DC$330.63—
DE$330.63—
FL$330.63—
GA$330.63—
HI$330.63—
IA$330.63—
ID$330.63—
IL$330.63—
IN$330.63—
KS$330.63—
KY$330.63—
LA$330.63—
MA$330.63—
MD$330.63—
ME$330.63—
MI$330.63—
MN$330.63—
MO$330.63—
MS$330.63—
MT$330.63—
NC$330.63—
ND$330.63—
NE$330.63—
NH$330.63—
NJ$330.63—
NM$330.63—
NV$330.63—
NY$330.63—
OH$330.63—
OK$330.63—
OR$330.63—
PA$330.63—
PR$396.77—
RI$330.63—
SC$330.63—
SD$330.63—
TN$330.63—
TX$330.63—
UT$330.63—
VA$330.63—
VI$330.63—
VT$330.63—
WA$330.63—
WI$330.63—
WV$330.63—
WY$330.63—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $24.43 to $36.29 depending on state and rural status.

StateNon-ruralRural
AK$32.99—
AL$25.69$30.60
AR$25.69$30.60
AZ$25.38$30.60
CA$25.05$30.60
CO$26.11$30.60
CT$25.33$30.60
DC$24.43$30.60
DE$24.43$30.60
FL$25.69$30.60
GA$25.69$30.60
HI$32.99—
IA$26.14$30.60
ID$26.11$30.60
IL$26.12$30.60
IN$26.12$30.60
KS$26.14$30.60
KY$25.69$30.60
LA$25.69$30.60
MA$25.33$30.60
MD$24.43$30.60
ME$25.33$30.60
MI$26.12$30.60
MN$26.14$30.60
MO$26.14$30.60
MS$25.69$30.60
MT$26.11$30.60
NC$25.69$30.60
ND$26.14$30.60
NE$26.14$30.60
NH$25.33$30.60
NJ$24.43$30.60
NM$25.38$30.60
NV$25.05$30.60
NY$24.43$30.60
OH$26.12$30.60
OK$25.38$30.60
OR$25.05$30.60
PA$24.43$30.60
PR$36.29—
RI$25.33$30.60
SC$25.69$30.60
SD$26.14$30.60
TN$25.69$30.60
TX$25.38$30.60
UT$26.11$30.60
VA$25.69$30.60
VI$32.99—
VT$25.33$30.60
WA$25.05$30.60
WI$26.12$30.60
WV$25.69$30.60
WY$26.11$30.60

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $33.00 to $39.17 depending on state and rural status.

StateNon-ruralRural
AK$35.39—
AL—$33.00
AR—$33.00
AZ—$33.00
CA—$33.00
CO—$33.00
CT—$33.00
DC—$33.00
DE—$33.00
FL—$33.00
GA—$33.00
HI$35.39—
IA—$33.00
ID—$33.00
IL—$33.00
IN—$33.00
KS—$33.00
KY—$33.00
LA—$33.00
MA—$33.00
MD—$33.00
ME—$33.00
MI—$33.00
MN—$33.00
MO—$33.00
MS—$33.00
MT—$33.00
NC—$33.00
ND—$33.00
NE—$33.00
NH—$33.00
NJ—$33.00
NM—$33.00
NV—$33.00
NY—$33.00
OH—$33.00
OK—$33.00
OR—$33.00
PA—$33.00
PR$39.17—
RI—$33.00
SC—$33.00
SD—$33.00
TN—$33.00
TX—$33.00
UT—$33.00
VA—$33.00
VI$35.39—
VT—$33.00
WA—$33.00
WI—$33.00
WV—$33.00
WY—$33.00

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $33.07 to $39.67 depending on state and rural status.

Former-CBA payment limits: ceiling $33.07 · floor $28.11

StateNon-ruralRural
AK$33.07—
AL$33.07—
AR$33.07—
AZ$33.07—
CA$33.07—
CO$33.07—
CT$33.07—
DC$33.07—
DE$33.07—
FL$33.07—
GA$33.07—
HI$33.07—
IA$33.07—
ID$33.07—
IL$33.07—
IN$33.07—
KS$33.07—
KY$33.07—
LA$33.07—
MA$33.07—
MD$33.07—
ME$33.07—
MI$33.07—
MN$33.07—
MO$33.07—
MS$33.07—
MT$33.07—
NC$33.07—
ND$33.07—
NE$33.07—
NH$33.07—
NJ$33.07—
NM$33.07—
NV$33.07—
NY$33.07—
OH$33.07—
OK$33.07—
OR$33.07—
PA$33.07—
PR$39.67—
RI$33.07—
SC$33.07—
SD$33.07—
TN$33.07—
TX$33.07—
UT$33.07—
VA$33.07—
VI$33.07—
VT$33.07—
WA$33.07—
WI$33.07—
WV$33.07—
WY$33.07—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $183.26 to $272.21 depending on state and rural status.

StateNon-ruralRural
AK$247.42—
AL$192.63$229.45
AR$192.63$229.45
AZ$190.32$229.45
CA$187.86$229.45
CO$195.80$229.45
CT$189.95$229.45
DC$183.26$229.45
DE$183.26$229.45
FL$192.63$229.45
GA$192.63$229.45
HI$247.42—
IA$196.06$229.45
ID$195.80$229.45
IL$195.93$229.45
IN$195.93$229.45
KS$196.06$229.45
KY$192.63$229.45
LA$192.63$229.45
MA$189.95$229.45
MD$183.26$229.45
ME$189.95$229.45
MI$195.93$229.45
MN$196.06$229.45
MO$196.06$229.45
MS$192.63$229.45
MT$195.80$229.45
NC$192.63$229.45
ND$196.06$229.45
NE$196.06$229.45
NH$189.95$229.45
NJ$183.26$229.45
NM$190.32$229.45
NV$187.86$229.45
NY$183.26$229.45
OH$195.93$229.45
OK$190.32$229.45
OR$187.86$229.45
PA$183.26$229.45
PR$272.21—
RI$189.95$229.45
SC$192.63$229.45
SD$196.06$229.45
TN$192.63$229.45
TX$190.32$229.45
UT$195.80$229.45
VA$192.63$229.45
VI$247.42—
VT$189.95$229.45
WA$187.86$229.45
WI$195.93$229.45
WV$192.63$229.45
WY$195.80$229.45

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $247.44 to $293.78 depending on state and rural status.

StateNon-ruralRural
AK$265.40—
AL—$247.44
AR—$247.44
AZ—$247.44
CA—$247.44
CO—$247.44
CT—$247.44
DC—$247.44
DE—$247.44
FL—$247.44
GA—$247.44
HI$265.40—
IA—$247.44
ID—$247.44
IL—$247.44
IN—$247.44
KS—$247.44
KY—$247.44
LA—$247.44
MA—$247.44
MD—$247.44
ME—$247.44
MI—$247.44
MN—$247.44
MO—$247.44
MS—$247.44
MT—$247.44
NC—$247.44
ND—$247.44
NE—$247.44
NH—$247.44
NJ—$247.44
NM—$247.44
NV—$247.44
NY—$247.44
OH—$247.44
OK—$247.44
OR—$247.44
PA—$247.44
PR$293.78—
RI—$247.44
SC—$247.44
SD—$247.44
TN—$247.44
TX—$247.44
UT—$247.44
VA—$247.44
VI$265.40—
VT—$247.44
WA—$247.44
WI—$247.44
WV—$247.44
WY—$247.44

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $248.01 to $297.61 depending on state and rural status.

Former-CBA payment limits: ceiling $248.01 · floor $210.81

StateNon-ruralRural
AK$248.01—
AL$248.01—
AR$248.01—
AZ$248.01—
CA$248.01—
CO$248.01—
CT$248.01—
DC$248.01—
DE$248.01—
FL$248.01—
GA$248.01—
HI$248.01—
IA$248.01—
ID$248.01—
IL$248.01—
IN$248.01—
KS$248.01—
KY$248.01—
LA$248.01—
MA$248.01—
MD$248.01—
ME$248.01—
MI$248.01—
MN$248.01—
MO$248.01—
MS$248.01—
MT$248.01—
NC$248.01—
ND$248.01—
NE$248.01—
NH$248.01—
NJ$248.01—
NM$248.01—
NV$248.01—
NY$248.01—
OH$248.01—
OK$248.01—
OR$248.01—
PA$248.01—
PR$297.61—
RI$248.01—
SC$248.01—
SD$248.01—
TN$248.01—
TX$248.01—
UT$248.01—
VA$248.01—
VI$248.01—
VT$248.01—
WA$248.01—
WI$248.01—
WV$248.01—
WY$248.01—
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 E2605 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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