E0978 — Wheelchair accessory, positioning belt/safety belt/pelvic strap, each
E0978 is a HCPCS Level II code for wheelchair accessory, positioning belt/safety belt/pelvic strap, each. It belongs to the Durable Medical Equipment section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits — units per day
The most units of E0978 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 1 unit MAI 3 — Date of Service Edit: Clinical · Nature of Equipment
- DME supplier
- 1 unit MAI 3 — Date of Service Edit: Clinical · Nature of Equipment
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for E0978
- Long descriptor
- Wheelchair accessory, positioning belt/safety belt/pelvic strap, each
- Short descriptor
- W/c acc,saf belt pelv strap
- Added
- January 1, 1986
- BETOS
- D1D
- Pricing indicator
- 32 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Inexpensive and routinely purchased DME. Price subject to floors and ceilings.
Codes adjacent to E0978
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E0978 is not quite right, the correct code is very often within a few positions of it.
- E0966Manual wheelchair accessory, headrest extension, each
- E0967Manual wheelchair accessory, hand rim with projections, any type, replacement only, each
- E0968Commode seat, wheelchair
- E0969Narrowing device, wheelchair
- E0970No. 2 footplates, except for elevating leg rest
- E0971Manual wheelchair accessory, anti-tipping device, each
- E0973Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each
- E0974Manual wheelchair accessory, anti-rollback device, each
- E0980Safety vest, wheelchair
- E0981Wheelchair accessory, seat upholstery, replacement only, each
- E0982Wheelchair accessory, back upholstery, replacement only, each
- E0983Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control
- E0984Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control
- E0985Wheelchair accessory, seat lift mechanism
- E0986Manual wheelchair accessory, power assist system
- E0988Manual wheelchair accessory, lever-activated, wheel drive, pair
Questions about E0978
What is HCPCS code E0978?
E0978 is a HCPCS Level II code for wheelchair accessory, positioning belt/safety belt/pelvic strap, each. It sits in the Durable Medical Equipment section.
Does Medicare cover E0978?
The CMS HCPCS file marks E0978 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.