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E2628
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Procedure Codes
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Procedure Codes
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HCPCS Level II
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Durable Medical Equipment
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E2000–E2633
E2628
Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining
Back
E2000
Gastric suction pump, home model, portable or stationary, electric
→
E2001
Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system
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E2100
Blood glucose monitor with integrated voice synthesizer
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E2101
Blood glucose monitor with integrated lancing/blood sample
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E2102
Adjunctive, non-implanted continuous glucose monitor or receiver
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E2103
Non-adjunctive, non-implanted continuous glucose monitor or receiver
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E2104
Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge
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E2120
Pulse generator system for tympanic treatment of inner ear endolymphatic fluid
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E2201
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches
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E2202
Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches
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E2203
Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches
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E2204
Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches
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E2205
Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each
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E2206
Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each
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E2207
Wheelchair accessory, crutch and cane holder, each
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E2208
Wheelchair accessory, cylinder tank carrier, each
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E2209
Accessory, arm trough, with or without hand support, each
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E2210
Wheelchair accessory, bearings, any type, replacement only, each
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E2211
Manual wheelchair accessory, pneumatic propulsion tire, any size, each
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E2212
Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each
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E2213
Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each
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E2214
Manual wheelchair accessory, pneumatic caster tire, any size, each
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E2215
Manual wheelchair accessory, tube for pneumatic caster tire, any size, each
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E2216
Manual wheelchair accessory, foam filled propulsion tire, any size, each
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E2217
Manual wheelchair accessory, foam filled caster tire, any size, each
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E2218
Manual wheelchair accessory, foam propulsion tire, any size, each
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E2219
Manual wheelchair accessory, foam caster tire, any size, each
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E2220
Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each
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E2221
Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each
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E2222
Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each
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E2224
Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each
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E2225
Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each
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E2226
Manual wheelchair accessory, caster fork, any size, replacement only, each
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E2227
Manual wheelchair accessory, gear reduction drive wheel, each
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E2228
Manual wheelchair accessory, wheel braking system and lock, complete, each
→
E2230
Manual wheelchair accessory, manual standing system
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E2231
Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware
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E2291
Back, planar, for pediatric size wheelchair including fixed attaching hardware
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E2292
Seat, planar, for pediatric size wheelchair including fixed attaching hardware
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E2293
Back, contoured, for pediatric size wheelchair including fixed attaching hardware
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E2294
Seat, contoured, for pediatric size wheelchair including fixed attaching hardware
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E2295
Manual wheelchair accessory, for pediatric size wheelchair, dynamic seating frame, allows coordinated movement of multiple positioning features
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E2298
Complex rehabilitative power wheelchair accessory, power seat elevation system, any type
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E2301
Wheelchair accessory, power standing system, any type
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E2310
Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware
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E2311
Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware
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E2312
Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware
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E2313
Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each
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E2321
Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware
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E2322
Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware
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E2323
Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated
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E2324
Power wheelchair accessory, chin cup for chin control interface
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E2325
Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware
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E2326
Power wheelchair accessory, breath tube kit for sip and puff interface
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E2327
Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware
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E2328
Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware
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E2329
Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array, and fixed mounting hardware
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E2330
Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array, and fixed mounting hardware
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E2331
Power wheelchair accessory, attendant control, proportional, including all related electronics and fixed mounting hardware
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E2340
Power wheelchair accessory, nonstandard seat frame width, 20-23 inches
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E2341
Power wheelchair accessory, nonstandard seat frame width, 24-27 inches
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E2342
Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches
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E2343
Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches
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E2351
Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface
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E2358
Power wheelchair accessory, group 34 non-sealed lead acid battery, each
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E2359
Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)
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E2360
Power wheelchair accessory, 22nf non-sealed lead acid battery, each
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E2361
Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat)
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E2362
Power wheelchair accessory, group 24 non-sealed lead acid battery, each
→
E2363
Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)
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E2364
Power wheelchair accessory, u-1 non-sealed lead acid battery, each
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E2365
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)
→
E2366
Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each
→
E2367
Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each
→
E2368
Power wheelchair component, drive wheel motor, replacement only
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E2369
Power wheelchair component, drive wheel gear box, replacement only
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E2370
Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only
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E2371
Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each
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E2372
Power wheelchair accessory, group 27 non-sealed lead acid battery, each
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E2373
Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware
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E2374
Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only
→
E2375
Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only
→
E2376
Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only
→
E2377
Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue
→
E2378
Power wheelchair component, actuator, replacement only
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E2381
Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each
→
E2382
Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each
→
E2383
Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each
→
E2384
Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each
→
E2385
Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each
→
E2386
Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each
→
E2387
Power wheelchair accessory, foam filled caster tire, any size, replacement only, each
→
E2388
Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each
→
E2389
Power wheelchair accessory, foam caster tire, any size, replacement only, each
→
E2390
Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each
→
E2391
Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each
→
E2392
Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each
→
E2394
Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each
→
E2395
Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each
→
E2396
Power wheelchair accessory, caster fork, any size, replacement only, each
→
E2397
Power wheelchair accessory, lithium-based battery, each
→
E2398
Wheelchair accessory, dynamic positioning hardware for back
→
E2402
Negative pressure wound therapy electrical pump, stationary or portable
→
E2403
External ocular negative pressure pump, electric
→
E2500
Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time
→
E2502
Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time
→
E2504
Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time
→
E2506
Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time
→
E2508
Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device
→
E2510
Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access
→
E2511
Speech generating software program, for personal computer or personal digital assistant
→
E2512
Accessory for speech generating device, mounting system
→
E2513
Accessory for speech generating device, electromyographic sensor
→
E2599
Accessory for speech generating device, not otherwise classified
→
E2601
General use wheelchair seat cushion, width less than 22 inches, any depth
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E2602
General use wheelchair seat cushion, width 22 inches or greater, any depth
→
E2603
Skin protection wheelchair seat cushion, width less than 22 inches, any depth
→
E2604
Skin protection wheelchair seat cushion, width 22 inches or greater, any depth
→
E2605
Positioning wheelchair seat cushion, width less than 22 inches, any depth
→
E2606
Positioning wheelchair seat cushion, width 22 inches or greater, any depth
→
E2607
Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth
→
E2608
Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth
→
E2609
Custom fabricated wheelchair seat cushion, any size
→
E2610
Wheelchair seat cushion, powered
→
E2611
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware
→
E2612
General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware
→
E2613
Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware
→
E2614
Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware
→
E2615
Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware
→
E2616
Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware
→
E2617
Custom fabricated wheelchair back cushion, any size, including any type mounting hardware
→
E2619
Replacement cover for wheelchair seat cushion or back cushion, each
→
E2620
Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware
→
E2621
Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware
→
E2622
Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth
→
E2623
Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth
→
E2624
Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth
→
E2625
Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth
→
E2626
Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable
→
E2627
Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type
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E2628
Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining
→
E2629
Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints)
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E2630
Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support
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E2631
Wheelchair accessory, addition to mobile arm support, elevating proximal arm
→
E2632
Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control
→
E2633
Wheelchair accessory, addition to mobile arm support, supinator
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Procedure code
CODABLE
E2628
Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining
Part
HCPCS Level II
E
Durable Medical Equipment
E2
E2000–E2633
Source
CMS — ICD-10-PCS FY2026, HCPCS Level II october 2026, Procedure Codes 2026.
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