E2609 — Custom fabricated wheelchair seat cushion, any size
E2609 is a HCPCS Level II code for custom fabricated wheelchair seat cushion, any size. 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 E2609 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
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- DME supplier
- 1 unit MAI 2 — Date of Service Edit: Policy · Code Descriptor / CPT Instruction
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 E2609
- Long descriptor
- Custom fabricated wheelchair seat cushion, any size
- Short descriptor
- Custom fabricate w/c cushion
- Added
- January 1, 2005
- 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 E2609
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E2609 is not quite right, the correct code is very often within a few positions of it.
- E2601General use wheelchair seat cushion, width less than 22 inches, any depth
- E2602General use wheelchair seat cushion, width 22 inches or greater, any depth
- E2603Skin protection wheelchair seat cushion, width less than 22 inches, any depth
- E2604Skin protection wheelchair seat cushion, width 22 inches or greater, any depth
- E2605Positioning wheelchair seat cushion, width less than 22 inches, any depth
- E2606Positioning wheelchair seat cushion, width 22 inches or greater, any depth
- E2607Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth
- E2608Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth
- E2610Wheelchair seat cushion, powered
- E2611General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware
- E2612General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware
- E2613Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware
- E2614Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware
- E2615Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware
- E2616Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware
- E2617Custom fabricated wheelchair back cushion, any size, including any type mounting hardware
Questions about E2609
What is HCPCS code E2609?
E2609 is a HCPCS Level II code for custom fabricated wheelchair seat cushion, any size. It sits in the Durable Medical Equipment section.
Does Medicare cover E2609?
The CMS HCPCS file marks E2609 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.