Table of content for "Position back cush wd <22in" (HCPCS E2613)
General information on the “E2613” code
HCPCS Code: E2613
Long Description: Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware
Short Description: Position back cush wd <22in
Original information is taken from E2613 page
Pricing indicators
Pricing Indicator Code 1: 32 – Inexpensive & routinely purchased DME (price subject to floors and ceilings). Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): D1D – Wheelchairs
Type Of Service 1: A – Used durable medical equipment (DME)
Type Of Service 2: P – Lump sum purchase of DME, prosthetics, orthotics
Type Of Service 3: R – Rental of DME
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20050101
Code Effective Date: 20050101
Action Code: N – No maintenance for this code