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See a sample rate comparisonHCPCS E2612 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Wheelchair Seat and Back Cushions |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for E2612 |
National average reimbursement for HCPCS E2612 by major payers:
$250.33
$262.52
$244.79
$444.89
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HCPCS E2612
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$650.84Published rateChatuge Regional Hospital Inc
$274.64Published rateNgmc Barrow LLC, Ngmc Barrow
Gainesville Radiology Group
$187.14Published rateChristopher Raio
Mercy Medical Center
$65.65Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$13.47Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E2612 vs. Other Wheelchair Seat and Back Cushions Codes
The HCPCS E2612 code is part of the Durable Medical Equipment services used for Wheelchair Seat and Back Cushions. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS E2612 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| E2611-HCPCS | Low | General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
| E2612-HCPCS | Moderate | General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware |
| E2613-HCPCS | Moderate | Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E2612. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E2612 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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