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E2615 — Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware

HCPCS Level II E-code · short descriptor: “Pos back post/lat wdth <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
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

E2615 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $414.63 to $569.42 depending on state and rural status.

StateNon-ruralRural
AK$513.83
AL$432.88$513.83
AR$432.88$513.83
AZ$424.17$513.83
CA$414.63$513.83
CO$431.13$513.83
CT$433.20$513.83
DC$417.41$513.83
DE$417.41$513.83
FL$432.88$513.83
GA$432.88$513.83
HI$513.83
IA$435.73$513.83
ID$431.13$513.83
IL$434.04$513.83
IN$434.04$513.83
KS$435.73$513.83
KY$432.88$513.83
LA$432.88$513.83
MA$433.20$513.83
MD$417.41$513.83
ME$433.20$513.83
MI$434.04$513.83
MN$435.73$513.83
MO$435.73$513.83
MS$432.88$513.83
MT$431.13$513.83
NC$432.88$513.83
ND$435.73$513.83
NE$435.73$513.83
NH$433.20$513.83
NJ$417.41$513.83
NM$424.17$513.83
NV$414.63$513.83
NY$417.41$513.83
OH$434.04$513.83
OK$424.17$513.83
OR$414.63$513.83
PA$417.41$513.83
PR$569.42
RI$433.20$513.83
SC$432.88$513.83
SD$435.73$513.83
TN$432.88$513.83
TX$424.17$513.83
UT$431.13$513.83
VA$432.88$513.83
VI$513.83
VT$433.20$513.83
WA$414.63$513.83
WI$434.04$513.83
WV$432.88$513.83
WY$431.13$513.83

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $554.11 to $617.76 depending on state and rural status.

StateNon-ruralRural
AK$554.11
AL$554.11
AR$554.11
AZ$554.11
CA$554.11
CO$554.11
CT$554.11
DC$554.11
DE$554.11
FL$554.11
GA$554.11
HI$554.11
IA$554.11
ID$554.11
IL$554.11
IN$554.11
KS$554.11
KY$554.11
LA$554.11
MA$554.11
MD$554.11
ME$554.11
MI$554.11
MN$554.11
MO$554.11
MS$554.11
MT$554.11
NC$554.11
ND$554.11
NE$554.11
NH$554.11
NJ$554.11
NM$554.11
NV$554.11
NY$554.11
OH$554.11
OK$554.11
OR$554.11
PA$554.11
PR$617.76
RI$554.11
SC$554.11
SD$554.11
TN$554.11
TX$554.11
UT$554.11
VA$554.11
VI$554.11
VT$554.11
WA$554.11
WI$554.11
WV$554.11
WY$554.11

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $555.58 to $666.76 depending on state and rural status.

Former-CBA payment limits: ceiling $555.58 · floor $472.24

StateNon-ruralRural
AK$555.58
AL$555.58
AR$555.58
AZ$555.58
CA$555.58
CO$555.58
CT$555.58
DC$555.58
DE$555.58
FL$555.58
GA$555.58
HI$555.58
IA$555.58
ID$555.58
IL$555.58
IN$555.58
KS$555.58
KY$555.58
LA$555.58
MA$555.58
MD$555.58
ME$555.58
MI$555.58
MN$555.58
MO$555.58
MS$555.58
MT$555.58
NC$555.58
ND$555.58
NE$555.58
NH$555.58
NJ$555.58
NM$555.58
NV$555.58
NY$555.58
OH$555.58
OK$555.58
OR$555.58
PA$555.58
PR$666.76
RI$555.58
SC$555.58
SD$555.58
TN$555.58
TX$555.58
UT$555.58
VA$555.58
VI$555.58
VT$555.58
WA$555.58
WI$555.58
WV$555.58
WY$555.58

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $41.46 to $56.94 depending on state and rural status.

StateNon-ruralRural
AK$51.39
AL$43.29$51.39
AR$43.29$51.39
AZ$42.42$51.39
CA$41.46$51.39
CO$43.11$51.39
CT$43.32$51.39
DC$41.74$51.39
DE$41.74$51.39
FL$43.29$51.39
GA$43.29$51.39
HI$51.39
IA$43.57$51.39
ID$43.11$51.39
IL$43.40$51.39
IN$43.40$51.39
KS$43.57$51.39
KY$43.29$51.39
LA$43.29$51.39
MA$43.32$51.39
MD$41.74$51.39
ME$43.32$51.39
MI$43.40$51.39
MN$43.57$51.39
MO$43.57$51.39
MS$43.29$51.39
MT$43.11$51.39
NC$43.29$51.39
ND$43.57$51.39
NE$43.57$51.39
NH$43.32$51.39
NJ$41.74$51.39
NM$42.42$51.39
NV$41.46$51.39
NY$41.74$51.39
OH$43.40$51.39
OK$42.42$51.39
OR$41.46$51.39
PA$41.74$51.39
PR$56.94
RI$43.32$51.39
SC$43.29$51.39
SD$43.57$51.39
TN$43.29$51.39
TX$42.42$51.39
UT$43.11$51.39
VA$43.29$51.39
VI$51.39
VT$43.32$51.39
WA$41.46$51.39
WI$43.40$51.39
WV$43.29$51.39
WY$43.11$51.39

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $55.42 to $61.78 depending on state and rural status.

StateNon-ruralRural
AK$55.42
AL$55.42
AR$55.42
AZ$55.42
CA$55.42
CO$55.42
CT$55.42
DC$55.42
DE$55.42
FL$55.42
GA$55.42
HI$55.42
IA$55.42
ID$55.42
IL$55.42
IN$55.42
KS$55.42
KY$55.42
LA$55.42
MA$55.42
MD$55.42
ME$55.42
MI$55.42
MN$55.42
MO$55.42
MS$55.42
MT$55.42
NC$55.42
ND$55.42
NE$55.42
NH$55.42
NJ$55.42
NM$55.42
NV$55.42
NY$55.42
OH$55.42
OK$55.42
OR$55.42
PA$55.42
PR$61.78
RI$55.42
SC$55.42
SD$55.42
TN$55.42
TX$55.42
UT$55.42
VA$55.42
VI$55.42
VT$55.42
WA$55.42
WI$55.42
WV$55.42
WY$55.42

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $55.57 to $66.67 depending on state and rural status.

Former-CBA payment limits: ceiling $55.57 · floor $47.23

StateNon-ruralRural
AK$55.57
AL$55.57
AR$55.57
AZ$55.57
CA$55.57
CO$55.57
CT$55.57
DC$55.57
DE$55.57
FL$55.57
GA$55.57
HI$55.57
IA$55.57
ID$55.57
IL$55.57
IN$55.57
KS$55.57
KY$55.57
LA$55.57
MA$55.57
MD$55.57
ME$55.57
MI$55.57
MN$55.57
MO$55.57
MS$55.57
MT$55.57
NC$55.57
ND$55.57
NE$55.57
NH$55.57
NJ$55.57
NM$55.57
NV$55.57
NY$55.57
OH$55.57
OK$55.57
OR$55.57
PA$55.57
PR$66.67
RI$55.57
SC$55.57
SD$55.57
TN$55.57
TX$55.57
UT$55.57
VA$55.57
VI$55.57
VT$55.57
WA$55.57
WI$55.57
WV$55.57
WY$55.57

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $310.97 to $427.06 depending on state and rural status.

StateNon-ruralRural
AK$385.38
AL$324.66$385.38
AR$324.66$385.38
AZ$318.13$385.38
CA$310.97$385.38
CO$323.35$385.38
CT$324.91$385.38
DC$313.06$385.38
DE$313.06$385.38
FL$324.66$385.38
GA$324.66$385.38
HI$385.38
IA$326.80$385.38
ID$323.35$385.38
IL$325.53$385.38
IN$325.53$385.38
KS$326.80$385.38
KY$324.66$385.38
LA$324.66$385.38
MA$324.91$385.38
MD$313.06$385.38
ME$324.91$385.38
MI$325.53$385.38
MN$326.80$385.38
MO$326.80$385.38
MS$324.66$385.38
MT$323.35$385.38
NC$324.66$385.38
ND$326.80$385.38
NE$326.80$385.38
NH$324.91$385.38
NJ$313.06$385.38
NM$318.13$385.38
NV$310.97$385.38
NY$313.06$385.38
OH$325.53$385.38
OK$318.13$385.38
OR$310.97$385.38
PA$313.06$385.38
PR$427.06
RI$324.91$385.38
SC$324.66$385.38
SD$326.80$385.38
TN$324.66$385.38
TX$318.13$385.38
UT$323.35$385.38
VA$324.66$385.38
VI$385.38
VT$324.91$385.38
WA$310.97$385.38
WI$325.53$385.38
WV$324.66$385.38
WY$323.35$385.38

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $415.59 to $463.31 depending on state and rural status.

StateNon-ruralRural
AK$415.59
AL$415.59
AR$415.59
AZ$415.59
CA$415.59
CO$415.59
CT$415.59
DC$415.59
DE$415.59
FL$415.59
GA$415.59
HI$415.59
IA$415.59
ID$415.59
IL$415.59
IN$415.59
KS$415.59
KY$415.59
LA$415.59
MA$415.59
MD$415.59
ME$415.59
MI$415.59
MN$415.59
MO$415.59
MS$415.59
MT$415.59
NC$415.59
ND$415.59
NE$415.59
NH$415.59
NJ$415.59
NM$415.59
NV$415.59
NY$415.59
OH$415.59
OK$415.59
OR$415.59
PA$415.59
PR$463.31
RI$415.59
SC$415.59
SD$415.59
TN$415.59
TX$415.59
UT$415.59
VA$415.59
VI$415.59
VT$415.59
WA$415.59
WI$415.59
WV$415.59
WY$415.59

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $416.68 to $500.07 depending on state and rural status.

Former-CBA payment limits: ceiling $416.68 · floor $354.18

StateNon-ruralRural
AK$416.68
AL$416.68
AR$416.68
AZ$416.68
CA$416.68
CO$416.68
CT$416.68
DC$416.68
DE$416.68
FL$416.68
GA$416.68
HI$416.68
IA$416.68
ID$416.68
IL$416.68
IN$416.68
KS$416.68
KY$416.68
LA$416.68
MA$416.68
MD$416.68
ME$416.68
MI$416.68
MN$416.68
MO$416.68
MS$416.68
MT$416.68
NC$416.68
ND$416.68
NE$416.68
NH$416.68
NJ$416.68
NM$416.68
NV$416.68
NY$416.68
OH$416.68
OK$416.68
OR$416.68
PA$416.68
PR$500.07
RI$416.68
SC$416.68
SD$416.68
TN$416.68
TX$416.68
UT$416.68
VA$416.68
VI$416.68
VT$416.68
WA$416.68
WI$416.68
WV$416.68
WY$416.68
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. 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.

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