Medicare Codes

AireRx AireFlow Wheelchair Cushions are designed to meet the specifications of Medicare (CMS) for insurance coverage of the product purchase. Medicare covers 80% of the cost they approve for wheelchair cushions.

The patient must meet certain medical criteria to qualify for corresponding equipment codes that define the features and functions of the products.

The equipment codes and qualifying criteria that correspond to the AireFlow wheelchair cushions for the following categories:

• E2601 General Use Wheelchair Cushion
• E2603 Skin Protection Wheelchair Cushion
• E2607 Skin Protection and Positioning Wheelchair Cushion

To receive coverage for a general use wheelchair cushion, the patient must qualify for a Medicare-covered wheelchair.

To receive coverage for a Skin Protection Wheelchair Cushion, the patient must qualify for a Medicare-covered wheelchair

meet one of the following three indications:

1. The patient has a pressure ulcer or has had a pressure ulcer previously, in the area where the patient’s skin contacts the cushion, or
2. The patient has limited sensation in the area where the patient’s skin contacts the cushion, or
3. The patient has limitations in carrying out a functional weight shift due to a medical diagnoses of:
   • spinal cord injury resulting in quadriplegia or paraplegia;
   • other spinal cord disease;
   • multiple sclerosis;
   • other demyelinating disease;
   • cerebral palsy;
   • anterior horn cell diseases including amyotrophic lateral sclerosis;
   • post polio paralysis;
   • traumatic brain injury resulting in quadriplegia;
   • spina bifida;
   • childhood cerebral degeneration;
   • Alzheimer's disease;
   • Parkinson's disease;

To receive coverage for a Skin Protection and Positioning Wheelchair Cushion, the patient must qualify for a Medicare-covered wheelchair

meet one of the following three indications:

1. The patient has a pressure ulcer or has had a pressure ulcer previously, in the area where the patient’s skin contacts the cushion, or
2. The patient has limited sensation in the area where the patient’s skin contacts the cushion, or
3. the patient has limitations in carrying out a functional weight shift due to one of:
   • spinal cord injury resulting in quadriplegia or paraplegia;
   • other spinal cord disease;
   • multiple sclerosis;
   • other demyelinating disease;
   • cerebral palsy;
   • anterior horn cell diseases including amyotrophic lateral sclerosis;
   • post polio paralysis;
   • traumatic brain injury resulting in quadriplegia;
   • spina bifida;
   • childhood cerebral degeneration;
   • Alzheimer's disease;
   • Parkinson's disease;
   and the patient must have postural asymmetries that are due to one of the diagnoses listed above or to:
   • monoplegia of the lower limb;
   • hemiplegia due to stroke, traumatic brain injury, or other etiology;
   • muscular dystrophy;
   • torsion dystonias;
   • spinocerebellar disease;