E2620 — Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware
HCPCS Level II E-code · short descriptor: “Wc planar back cush 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
- 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.
E2620 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $428.59 to $656.64 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $589.37 | — |
| AL | $478.01 | $589.37 |
| AR | $478.01 | $589.37 |
| AZ | $463.38 | $589.37 |
| CA | $447.62 | $589.37 |
| CO | $474.59 | $589.37 |
| CT | $428.59 | $589.37 |
| DC | $431.96 | $589.37 |
| DE | $431.96 | $589.37 |
| FL | $478.01 | $589.37 |
| GA | $478.01 | $589.37 |
| HI | $589.37 | — |
| IA | $466.66 | $589.37 |
| ID | $474.59 | $589.37 |
| IL | $471.41 | $589.37 |
| IN | $471.41 | $589.37 |
| KS | $466.66 | $589.37 |
| KY | $478.01 | $589.37 |
| LA | $478.01 | $589.37 |
| MA | $428.59 | $589.37 |
| MD | $431.96 | $589.37 |
| ME | $428.59 | $589.37 |
| MI | $471.41 | $589.37 |
| MN | $466.66 | $589.37 |
| MO | $466.66 | $589.37 |
| MS | $478.01 | $589.37 |
| MT | $474.59 | $589.37 |
| NC | $478.01 | $589.37 |
| ND | $466.66 | $589.37 |
| NE | $466.66 | $589.37 |
| NH | $428.59 | $589.37 |
| NJ | $431.96 | $589.37 |
| NM | $463.38 | $589.37 |
| NV | $447.62 | $589.37 |
| NY | $431.96 | $589.37 |
| OH | $471.41 | $589.37 |
| OK | $463.38 | $589.37 |
| OR | $447.62 | $589.37 |
| PA | $431.96 | $589.37 |
| PR | $656.64 | — |
| RI | $428.59 | $589.37 |
| SC | $478.01 | $589.37 |
| SD | $466.66 | $589.37 |
| TN | $478.01 | $589.37 |
| TX | $463.38 | $589.37 |
| UT | $474.59 | $589.37 |
| VA | $478.01 | $589.37 |
| VI | $589.37 | — |
| VT | $428.59 | $589.37 |
| WA | $447.62 | $589.37 |
| WI | $471.41 | $589.37 |
| WV | $478.01 | $589.37 |
| WY | $474.59 | $589.37 |
NU + KE — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $638.15 to $715.17 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $638.15 | — |
| AL | — | $638.15 |
| AR | — | $638.15 |
| AZ | — | $638.15 |
| CA | — | $638.15 |
| CO | — | $638.15 |
| CT | — | $638.15 |
| DC | — | $638.15 |
| DE | — | $638.15 |
| FL | — | $638.15 |
| GA | — | $638.15 |
| HI | $638.15 | — |
| IA | — | $638.15 |
| ID | — | $638.15 |
| IL | — | $638.15 |
| IN | — | $638.15 |
| KS | — | $638.15 |
| KY | — | $638.15 |
| LA | — | $638.15 |
| MA | — | $638.15 |
| MD | — | $638.15 |
| ME | — | $638.15 |
| MI | — | $638.15 |
| MN | — | $638.15 |
| MO | — | $638.15 |
| MS | — | $638.15 |
| MT | — | $638.15 |
| NC | — | $638.15 |
| ND | — | $638.15 |
| NE | — | $638.15 |
| NH | — | $638.15 |
| NJ | — | $638.15 |
| NM | — | $638.15 |
| NV | — | $638.15 |
| NY | — | $638.15 |
| OH | — | $638.15 |
| OK | — | $638.15 |
| OR | — | $638.15 |
| PA | — | $638.15 |
| PR | $715.17 | — |
| RI | — | $638.15 |
| SC | — | $638.15 |
| SD | — | $638.15 |
| TN | — | $638.15 |
| TX | — | $638.15 |
| UT | — | $638.15 |
| VA | — | $638.15 |
| VI | $638.15 | — |
| VT | — | $638.15 |
| WA | — | $638.15 |
| WI | — | $638.15 |
| WV | — | $638.15 |
| WY | — | $638.15 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $672.73 to $807.29 depending on state and rural status.
Former-CBA payment limits: ceiling $672.73 · floor $571.82
| State | Non-rural | Rural |
|---|---|---|
| AK | $672.73 | — |
| AL | $672.73 | — |
| AR | $672.73 | — |
| AZ | $672.73 | — |
| CA | $672.73 | — |
| CO | $672.73 | — |
| CT | $672.73 | — |
| DC | $672.73 | — |
| DE | $672.73 | — |
| FL | $672.73 | — |
| GA | $672.73 | — |
| HI | $672.73 | — |
| IA | $672.73 | — |
| ID | $672.73 | — |
| IL | $672.73 | — |
| IN | $672.73 | — |
| KS | $672.73 | — |
| KY | $672.73 | — |
| LA | $672.73 | — |
| MA | $672.73 | — |
| MD | $672.73 | — |
| ME | $672.73 | — |
| MI | $672.73 | — |
| MN | $672.73 | — |
| MO | $672.73 | — |
| MS | $672.73 | — |
| MT | $672.73 | — |
| NC | $672.73 | — |
| ND | $672.73 | — |
| NE | $672.73 | — |
| NH | $672.73 | — |
| NJ | $672.73 | — |
| NM | $672.73 | — |
| NV | $672.73 | — |
| NY | $672.73 | — |
| OH | $672.73 | — |
| OK | $672.73 | — |
| OR | $672.73 | — |
| PA | $672.73 | — |
| PR | $807.29 | — |
| RI | $672.73 | — |
| SC | $672.73 | — |
| SD | $672.73 | — |
| TN | $672.73 | — |
| TX | $672.73 | — |
| UT | $672.73 | — |
| VA | $672.73 | — |
| VI | $672.73 | — |
| VT | $672.73 | — |
| WA | $672.73 | — |
| WI | $672.73 | — |
| WV | $672.73 | — |
| WY | $672.73 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $42.86 to $65.67 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $58.94 | — |
| AL | $47.80 | $58.94 |
| AR | $47.80 | $58.94 |
| AZ | $46.34 | $58.94 |
| CA | $44.76 | $58.94 |
| CO | $47.46 | $58.94 |
| CT | $42.86 | $58.94 |
| DC | $43.20 | $58.94 |
| DE | $43.20 | $58.94 |
| FL | $47.80 | $58.94 |
| GA | $47.80 | $58.94 |
| HI | $58.94 | — |
| IA | $46.67 | $58.94 |
| ID | $47.46 | $58.94 |
| IL | $47.14 | $58.94 |
| IN | $47.14 | $58.94 |
| KS | $46.67 | $58.94 |
| KY | $47.80 | $58.94 |
| LA | $47.80 | $58.94 |
| MA | $42.86 | $58.94 |
| MD | $43.20 | $58.94 |
| ME | $42.86 | $58.94 |
| MI | $47.14 | $58.94 |
| MN | $46.67 | $58.94 |
| MO | $46.67 | $58.94 |
| MS | $47.80 | $58.94 |
| MT | $47.46 | $58.94 |
| NC | $47.80 | $58.94 |
| ND | $46.67 | $58.94 |
| NE | $46.67 | $58.94 |
| NH | $42.86 | $58.94 |
| NJ | $43.20 | $58.94 |
| NM | $46.34 | $58.94 |
| NV | $44.76 | $58.94 |
| NY | $43.20 | $58.94 |
| OH | $47.14 | $58.94 |
| OK | $46.34 | $58.94 |
| OR | $44.76 | $58.94 |
| PA | $43.20 | $58.94 |
| PR | $65.67 | — |
| RI | $42.86 | $58.94 |
| SC | $47.80 | $58.94 |
| SD | $46.67 | $58.94 |
| TN | $47.80 | $58.94 |
| TX | $46.34 | $58.94 |
| UT | $47.46 | $58.94 |
| VA | $47.80 | $58.94 |
| VI | $58.94 | — |
| VT | $42.86 | $58.94 |
| WA | $44.76 | $58.94 |
| WI | $47.14 | $58.94 |
| WV | $47.80 | $58.94 |
| WY | $47.46 | $58.94 |
RR + KE — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $63.82 to $71.53 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $63.82 | — |
| AL | — | $63.82 |
| AR | — | $63.82 |
| AZ | — | $63.82 |
| CA | — | $63.82 |
| CO | — | $63.82 |
| CT | — | $63.82 |
| DC | — | $63.82 |
| DE | — | $63.82 |
| FL | — | $63.82 |
| GA | — | $63.82 |
| HI | $63.82 | — |
| IA | — | $63.82 |
| ID | — | $63.82 |
| IL | — | $63.82 |
| IN | — | $63.82 |
| KS | — | $63.82 |
| KY | — | $63.82 |
| LA | — | $63.82 |
| MA | — | $63.82 |
| MD | — | $63.82 |
| ME | — | $63.82 |
| MI | — | $63.82 |
| MN | — | $63.82 |
| MO | — | $63.82 |
| MS | — | $63.82 |
| MT | — | $63.82 |
| NC | — | $63.82 |
| ND | — | $63.82 |
| NE | — | $63.82 |
| NH | — | $63.82 |
| NJ | — | $63.82 |
| NM | — | $63.82 |
| NV | — | $63.82 |
| NY | — | $63.82 |
| OH | — | $63.82 |
| OK | — | $63.82 |
| OR | — | $63.82 |
| PA | — | $63.82 |
| PR | $71.53 | — |
| RI | — | $63.82 |
| SC | — | $63.82 |
| SD | — | $63.82 |
| TN | — | $63.82 |
| TX | — | $63.82 |
| UT | — | $63.82 |
| VA | — | $63.82 |
| VI | $63.82 | — |
| VT | — | $63.82 |
| WA | — | $63.82 |
| WI | — | $63.82 |
| WV | — | $63.82 |
| WY | — | $63.82 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $67.29 to $80.75 depending on state and rural status.
Former-CBA payment limits: ceiling $67.29 · floor $57.20
| State | Non-rural | Rural |
|---|---|---|
| AK | $67.29 | — |
| AL | $67.29 | — |
| AR | $67.29 | — |
| AZ | $67.29 | — |
| CA | $67.29 | — |
| CO | $67.29 | — |
| CT | $67.29 | — |
| DC | $67.29 | — |
| DE | $67.29 | — |
| FL | $67.29 | — |
| GA | $67.29 | — |
| HI | $67.29 | — |
| IA | $67.29 | — |
| ID | $67.29 | — |
| IL | $67.29 | — |
| IN | $67.29 | — |
| KS | $67.29 | — |
| KY | $67.29 | — |
| LA | $67.29 | — |
| MA | $67.29 | — |
| MD | $67.29 | — |
| ME | $67.29 | — |
| MI | $67.29 | — |
| MN | $67.29 | — |
| MO | $67.29 | — |
| MS | $67.29 | — |
| MT | $67.29 | — |
| NC | $67.29 | — |
| ND | $67.29 | — |
| NE | $67.29 | — |
| NH | $67.29 | — |
| NJ | $67.29 | — |
| NM | $67.29 | — |
| NV | $67.29 | — |
| NY | $67.29 | — |
| OH | $67.29 | — |
| OK | $67.29 | — |
| OR | $67.29 | — |
| PA | $67.29 | — |
| PR | $80.75 | — |
| RI | $67.29 | — |
| SC | $67.29 | — |
| SD | $67.29 | — |
| TN | $67.29 | — |
| TX | $67.29 | — |
| UT | $67.29 | — |
| VA | $67.29 | — |
| VI | $67.29 | — |
| VT | $67.29 | — |
| WA | $67.29 | — |
| WI | $67.29 | — |
| WV | $67.29 | — |
| WY | $67.29 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $321.45 to $492.50 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $442.04 | — |
| AL | $358.51 | $442.04 |
| AR | $358.51 | $442.04 |
| AZ | $347.53 | $442.04 |
| CA | $335.71 | $442.04 |
| CO | $355.94 | $442.04 |
| CT | $321.45 | $442.04 |
| DC | $323.97 | $442.04 |
| DE | $323.97 | $442.04 |
| FL | $358.51 | $442.04 |
| GA | $358.51 | $442.04 |
| HI | $442.04 | — |
| IA | $350.00 | $442.04 |
| ID | $355.94 | $442.04 |
| IL | $353.56 | $442.04 |
| IN | $353.56 | $442.04 |
| KS | $350.00 | $442.04 |
| KY | $358.51 | $442.04 |
| LA | $358.51 | $442.04 |
| MA | $321.45 | $442.04 |
| MD | $323.97 | $442.04 |
| ME | $321.45 | $442.04 |
| MI | $353.56 | $442.04 |
| MN | $350.00 | $442.04 |
| MO | $350.00 | $442.04 |
| MS | $358.51 | $442.04 |
| MT | $355.94 | $442.04 |
| NC | $358.51 | $442.04 |
| ND | $350.00 | $442.04 |
| NE | $350.00 | $442.04 |
| NH | $321.45 | $442.04 |
| NJ | $323.97 | $442.04 |
| NM | $347.53 | $442.04 |
| NV | $335.71 | $442.04 |
| NY | $323.97 | $442.04 |
| OH | $353.56 | $442.04 |
| OK | $347.53 | $442.04 |
| OR | $335.71 | $442.04 |
| PA | $323.97 | $442.04 |
| PR | $492.50 | — |
| RI | $321.45 | $442.04 |
| SC | $358.51 | $442.04 |
| SD | $350.00 | $442.04 |
| TN | $358.51 | $442.04 |
| TX | $347.53 | $442.04 |
| UT | $355.94 | $442.04 |
| VA | $358.51 | $442.04 |
| VI | $442.04 | — |
| VT | $321.45 | $442.04 |
| WA | $335.71 | $442.04 |
| WI | $353.56 | $442.04 |
| WV | $358.51 | $442.04 |
| WY | $355.94 | $442.04 |
UE + KE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $478.62 to $536.40 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $478.62 | — |
| AL | — | $478.62 |
| AR | — | $478.62 |
| AZ | — | $478.62 |
| CA | — | $478.62 |
| CO | — | $478.62 |
| CT | — | $478.62 |
| DC | — | $478.62 |
| DE | — | $478.62 |
| FL | — | $478.62 |
| GA | — | $478.62 |
| HI | $478.62 | — |
| IA | — | $478.62 |
| ID | — | $478.62 |
| IL | — | $478.62 |
| IN | — | $478.62 |
| KS | — | $478.62 |
| KY | — | $478.62 |
| LA | — | $478.62 |
| MA | — | $478.62 |
| MD | — | $478.62 |
| ME | — | $478.62 |
| MI | — | $478.62 |
| MN | — | $478.62 |
| MO | — | $478.62 |
| MS | — | $478.62 |
| MT | — | $478.62 |
| NC | — | $478.62 |
| ND | — | $478.62 |
| NE | — | $478.62 |
| NH | — | $478.62 |
| NJ | — | $478.62 |
| NM | — | $478.62 |
| NV | — | $478.62 |
| NY | — | $478.62 |
| OH | — | $478.62 |
| OK | — | $478.62 |
| OR | — | $478.62 |
| PA | — | $478.62 |
| PR | $536.40 | — |
| RI | — | $478.62 |
| SC | — | $478.62 |
| SD | — | $478.62 |
| TN | — | $478.62 |
| TX | — | $478.62 |
| UT | — | $478.62 |
| VA | — | $478.62 |
| VI | $478.62 | — |
| VT | — | $478.62 |
| WA | — | $478.62 |
| WI | — | $478.62 |
| WV | — | $478.62 |
| WY | — | $478.62 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $504.58 to $605.49 depending on state and rural status.
Former-CBA payment limits: ceiling $504.58 · floor $428.89
| State | Non-rural | Rural |
|---|---|---|
| AK | $504.58 | — |
| AL | $504.58 | — |
| AR | $504.58 | — |
| AZ | $504.58 | — |
| CA | $504.58 | — |
| CO | $504.58 | — |
| CT | $504.58 | — |
| DC | $504.58 | — |
| DE | $504.58 | — |
| FL | $504.58 | — |
| GA | $504.58 | — |
| HI | $504.58 | — |
| IA | $504.58 | — |
| ID | $504.58 | — |
| IL | $504.58 | — |
| IN | $504.58 | — |
| KS | $504.58 | — |
| KY | $504.58 | — |
| LA | $504.58 | — |
| MA | $504.58 | — |
| MD | $504.58 | — |
| ME | $504.58 | — |
| MI | $504.58 | — |
| MN | $504.58 | — |
| MO | $504.58 | — |
| MS | $504.58 | — |
| MT | $504.58 | — |
| NC | $504.58 | — |
| ND | $504.58 | — |
| NE | $504.58 | — |
| NH | $504.58 | — |
| NJ | $504.58 | — |
| NM | $504.58 | — |
| NV | $504.58 | — |
| NY | $504.58 | — |
| OH | $504.58 | — |
| OK | $504.58 | — |
| OR | $504.58 | — |
| PA | $504.58 | — |
| PR | $605.49 | — |
| RI | $504.58 | — |
| SC | $504.58 | — |
| SD | $504.58 | — |
| TN | $504.58 | — |
| TX | $504.58 | — |
| UT | $504.58 | — |
| VA | $504.58 | — |
| VI | $504.58 | — |
| VT | $504.58 | — |
| WA | $504.58 | — |
| WI | $504.58 | — |
| WV | $504.58 | — |
| WY | $504.58 | — |
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.
Common denial codes to watch
Related E-codes
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