MyMedi-AI

E2625 — Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth

HCPCS Level II E-code · short descriptor: “Adj skin pro/pos wc cus>=22”

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.

E2625 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $488.89 to $556.25 depending on state and rural status.

StateNon-ruralRural
AK$504.27—
AL$488.89$504.27
AR$488.89$504.27
AZ$488.89$504.27
CA$488.89$504.27
CO$488.89$504.27
CT$488.89$504.27
DC$488.89$504.27
DE$488.89$504.27
FL$488.89$504.27
GA$488.89$504.27
HI$504.27—
IA$488.89$504.27
ID$488.89$504.27
IL$488.89$504.27
IN$488.89$504.27
KS$488.89$504.27
KY$488.89$504.27
LA$488.89$504.27
MA$488.89$504.27
MD$488.89$504.27
ME$488.89$504.27
MI$488.89$504.27
MN$488.89$504.27
MO$488.89$504.27
MS$488.89$504.27
MT$488.89$504.27
NC$488.89$504.27
ND$488.89$504.27
NE$488.89$504.27
NH$488.89$504.27
NJ$488.89$504.27
NM$488.89$504.27
NV$488.89$504.27
NY$488.89$504.27
OH$488.89$504.27
OK$488.89$504.27
OR$488.89$504.27
PA$488.89$504.27
PR$556.25—
RI$488.89$504.27
SC$488.89$504.27
SD$488.89$504.27
TN$488.89$504.27
TX$488.89$504.27
UT$488.89$504.27
VA$488.89$504.27
VI$504.27—
VT$488.89$504.27
WA$488.89$504.27
WI$488.89$504.27
WV$488.89$504.27
WY$488.89$504.27

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $541.95 to $601.46 depending on state and rural status.

StateNon-ruralRural
AK$541.95—
AL—$541.95
AR—$541.95
AZ—$541.95
CA—$541.95
CO—$541.95
CT—$541.95
DC—$541.95
DE—$541.95
FL—$541.95
GA—$541.95
HI$541.95—
IA—$541.95
ID—$541.95
IL—$541.95
IN—$541.95
KS—$541.95
KY—$541.95
LA—$541.95
MA—$541.95
MD—$541.95
ME—$541.95
MI—$541.95
MN—$541.95
MO—$541.95
MS—$541.95
MT—$541.95
NC—$541.95
ND—$541.95
NE—$541.95
NH—$541.95
NJ—$541.95
NM—$541.95
NV—$541.95
NY—$541.95
OH—$541.95
OK—$541.95
OR—$541.95
PA—$541.95
PR$601.46—
RI—$541.95
SC—$541.95
SD—$541.95
TN—$541.95
TX—$541.95
UT—$541.95
VA—$541.95
VI$541.95—
VT—$541.95
WA—$541.95
WI—$541.95
WV—$541.95
WY—$541.95

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $519.67 to $623.63 depending on state and rural status.

Former-CBA payment limits: ceiling $519.67 · floor $441.72

StateNon-ruralRural
AK$519.67—
AL$519.67—
AR$519.67—
AZ$519.67—
CA$519.67—
CO$519.67—
CT$519.67—
DC$519.67—
DE$519.67—
FL$519.67—
GA$519.67—
HI$519.67—
IA$519.67—
ID$519.67—
IL$519.67—
IN$519.67—
KS$519.67—
KY$519.67—
LA$519.67—
MA$519.67—
MD$519.67—
ME$519.67—
MI$519.67—
MN$519.67—
MO$519.67—
MS$519.67—
MT$519.67—
NC$519.67—
ND$519.67—
NE$519.67—
NH$519.67—
NJ$519.67—
NM$519.67—
NV$519.67—
NY$519.67—
OH$519.67—
OK$519.67—
OR$519.67—
PA$519.67—
PR$623.63—
RI$519.67—
SC$519.67—
SD$519.67—
TN$519.67—
TX$519.67—
UT$519.67—
VA$519.67—
VI$519.67—
VT$519.67—
WA$519.67—
WI$519.67—
WV$519.67—
WY$519.67—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $48.89 to $55.63 depending on state and rural status.

StateNon-ruralRural
AK$50.42—
AL$48.89$50.42
AR$48.89$50.42
AZ$48.89$50.42
CA$48.89$50.42
CO$48.89$50.42
CT$48.89$50.42
DC$48.89$50.42
DE$48.89$50.42
FL$48.89$50.42
GA$48.89$50.42
HI$50.42—
IA$48.89$50.42
ID$48.89$50.42
IL$48.89$50.42
IN$48.89$50.42
KS$48.89$50.42
KY$48.89$50.42
LA$48.89$50.42
MA$48.89$50.42
MD$48.89$50.42
ME$48.89$50.42
MI$48.89$50.42
MN$48.89$50.42
MO$48.89$50.42
MS$48.89$50.42
MT$48.89$50.42
NC$48.89$50.42
ND$48.89$50.42
NE$48.89$50.42
NH$48.89$50.42
NJ$48.89$50.42
NM$48.89$50.42
NV$48.89$50.42
NY$48.89$50.42
OH$48.89$50.42
OK$48.89$50.42
OR$48.89$50.42
PA$48.89$50.42
PR$55.63—
RI$48.89$50.42
SC$48.89$50.42
SD$48.89$50.42
TN$48.89$50.42
TX$48.89$50.42
UT$48.89$50.42
VA$48.89$50.42
VI$50.42—
VT$48.89$50.42
WA$48.89$50.42
WI$48.89$50.42
WV$48.89$50.42
WY$48.89$50.42

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $54.19 to $60.15 depending on state and rural status.

StateNon-ruralRural
AK$54.19—
AL—$54.19
AR—$54.19
AZ—$54.19
CA—$54.19
CO—$54.19
CT—$54.19
DC—$54.19
DE—$54.19
FL—$54.19
GA—$54.19
HI$54.19—
IA—$54.19
ID—$54.19
IL—$54.19
IN—$54.19
KS—$54.19
KY—$54.19
LA—$54.19
MA—$54.19
MD—$54.19
ME—$54.19
MI—$54.19
MN—$54.19
MO—$54.19
MS—$54.19
MT—$54.19
NC—$54.19
ND—$54.19
NE—$54.19
NH—$54.19
NJ—$54.19
NM—$54.19
NV—$54.19
NY—$54.19
OH—$54.19
OK—$54.19
OR—$54.19
PA—$54.19
PR$60.15—
RI—$54.19
SC—$54.19
SD—$54.19
TN—$54.19
TX—$54.19
UT—$54.19
VA—$54.19
VI$54.19—
VT—$54.19
WA—$54.19
WI—$54.19
WV—$54.19
WY—$54.19

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $51.94 to $62.36 depending on state and rural status.

Former-CBA payment limits: ceiling $51.94 · floor $44.15

StateNon-ruralRural
AK$51.94—
AL$51.94—
AR$51.94—
AZ$51.94—
CA$51.94—
CO$51.94—
CT$51.94—
DC$51.94—
DE$51.94—
FL$51.94—
GA$51.94—
HI$51.94—
IA$51.94—
ID$51.94—
IL$51.94—
IN$51.94—
KS$51.94—
KY$51.94—
LA$51.94—
MA$51.94—
MD$51.94—
ME$51.94—
MI$51.94—
MN$51.94—
MO$51.94—
MS$51.94—
MT$51.94—
NC$51.94—
ND$51.94—
NE$51.94—
NH$51.94—
NJ$51.94—
NM$51.94—
NV$51.94—
NY$51.94—
OH$51.94—
OK$51.94—
OR$51.94—
PA$51.94—
PR$62.36—
RI$51.94—
SC$51.94—
SD$51.94—
TN$51.94—
TX$51.94—
UT$51.94—
VA$51.94—
VI$51.94—
VT$51.94—
WA$51.94—
WI$51.94—
WV$51.94—
WY$51.94—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $366.67 to $417.18 depending on state and rural status.

StateNon-ruralRural
AK$378.20—
AL$366.67$378.20
AR$366.67$378.20
AZ$366.67$378.20
CA$366.67$378.20
CO$366.67$378.20
CT$366.67$378.20
DC$366.67$378.20
DE$366.67$378.20
FL$366.67$378.20
GA$366.67$378.20
HI$378.20—
IA$366.67$378.20
ID$366.67$378.20
IL$366.67$378.20
IN$366.67$378.20
KS$366.67$378.20
KY$366.67$378.20
LA$366.67$378.20
MA$366.67$378.20
MD$366.67$378.20
ME$366.67$378.20
MI$366.67$378.20
MN$366.67$378.20
MO$366.67$378.20
MS$366.67$378.20
MT$366.67$378.20
NC$366.67$378.20
ND$366.67$378.20
NE$366.67$378.20
NH$366.67$378.20
NJ$366.67$378.20
NM$366.67$378.20
NV$366.67$378.20
NY$366.67$378.20
OH$366.67$378.20
OK$366.67$378.20
OR$366.67$378.20
PA$366.67$378.20
PR$417.18—
RI$366.67$378.20
SC$366.67$378.20
SD$366.67$378.20
TN$366.67$378.20
TX$366.67$378.20
UT$366.67$378.20
VA$366.67$378.20
VI$378.20—
VT$366.67$378.20
WA$366.67$378.20
WI$366.67$378.20
WV$366.67$378.20
WY$366.67$378.20

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $406.46 to $451.09 depending on state and rural status.

StateNon-ruralRural
AK$406.46—
AL—$406.46
AR—$406.46
AZ—$406.46
CA—$406.46
CO—$406.46
CT—$406.46
DC—$406.46
DE—$406.46
FL—$406.46
GA—$406.46
HI$406.46—
IA—$406.46
ID—$406.46
IL—$406.46
IN—$406.46
KS—$406.46
KY—$406.46
LA—$406.46
MA—$406.46
MD—$406.46
ME—$406.46
MI—$406.46
MN—$406.46
MO—$406.46
MS—$406.46
MT—$406.46
NC—$406.46
ND—$406.46
NE—$406.46
NH—$406.46
NJ—$406.46
NM—$406.46
NV—$406.46
NY—$406.46
OH—$406.46
OK—$406.46
OR—$406.46
PA—$406.46
PR$451.09—
RI—$406.46
SC—$406.46
SD—$406.46
TN—$406.46
TX—$406.46
UT—$406.46
VA—$406.46
VI$406.46—
VT—$406.46
WA—$406.46
WI—$406.46
WV—$406.46
WY—$406.46

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $389.76 to $467.70 depending on state and rural status.

Former-CBA payment limits: ceiling $389.76 · floor $331.30

StateNon-ruralRural
AK$389.76—
AL$389.76—
AR$389.76—
AZ$389.76—
CA$389.76—
CO$389.76—
CT$389.76—
DC$389.76—
DE$389.76—
FL$389.76—
GA$389.76—
HI$389.76—
IA$389.76—
ID$389.76—
IL$389.76—
IN$389.76—
KS$389.76—
KY$389.76—
LA$389.76—
MA$389.76—
MD$389.76—
ME$389.76—
MI$389.76—
MN$389.76—
MO$389.76—
MS$389.76—
MT$389.76—
NC$389.76—
ND$389.76—
NE$389.76—
NH$389.76—
NJ$389.76—
NM$389.76—
NV$389.76—
NY$389.76—
OH$389.76—
OK$389.76—
OR$389.76—
PA$389.76—
PR$467.70—
RI$389.76—
SC$389.76—
SD$389.76—
TN$389.76—
TX$389.76—
UT$389.76—
VA$389.76—
VI$389.76—
VT$389.76—
WA$389.76—
WI$389.76—
WV$389.76—
WY$389.76—
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

CO-50 medical necessity

Related E-codes

E2601E2602E2603E2604E2605E2606E2607E2608E2609E2610E2611E2612

Bill E2625 with confidence

MyMedi-AI scrubs whole claims against NCCI pairs, MUE limits, modifier rules, and PA flags before you submit — built for DME teams, no PHI stored on our servers.

Start free trial   Run a CMS-0057-F readiness check

Prefer DIY compliance? Self-audit documentation kits for DME suppliers →