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ACTIVE/REHABLONG TERM CARE
LONG TERM CARE
The Comfort Company's Long Term Care product offering is specifically designed for the needs of the geriatric patient. All products are designed to be durable, easily maintained, and easily installed. Hundreds of product options make it easy to find the ideal seating and positioning solution for any patient within a long term care facility.
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MEDICARE REIMBURSEMENT SCHEDULE

HCPCS CodesWheelchair Seat Cushion DescriptionProduct InformationPDFNew Purchase Allowable w/ KE Modifier (Manual Chair)New Purchase Allowable w/o KE Modifier (Power Chair)Retail
CUSHIONS
E2601General Use Wheelchair Seat Cushion, width less than 22 inches, any depthCurve ®Curve®$66.23$57.07$88.00
Elements® Gel Elements$66.23$57.07$109.00
E2602General Use Wheelchair Seat Cushion, width 22 inches or greater, any depthCurve®Curve®$129.28$111.42$185.00
Elements® GelElements®$129.28$111.42$195.00
E2603Skin Protection Wheelchair Cushion, width less than 22 inches, any depthAscentAscent$164.13$141.16$245.00
Hyalite®Hyalite®$164.13$141.46$237.00
TruFormTruForm$164.13$141.46$195.00
E2604Skin Protection Wheelchair Cushion, width 22 inches or greater, any depthAscentAscent$203.99$175.83$306.00
Hyalite®Hyalite®$203.99$175.83$309.00
E2605Positioning Wheelchair Seat Cushion, width less than 22 inches, any depthRidgeRidge$291.44$251.19$394.00
E2606Positioning Wheelchair Seat Cushion, width 22 inches or greater, any depthRidge Ridge$454.67$391.88$498.00
E2607Skin Protection and Positioning Wheelchair Cushion, width less than 22 inches, any depthM2M2$313.83$270.49$312.00
MaxxMaxx$313.83$270.49$372.00
E2608Skin Protection and Positioning Wheelchair Cushion, width 22 inches or greater, any depthM2M2$376.87$324.83$418.00
MaxxMaxx$376.87$324.83$448.00
Saddle 7 SeriesSaddle 7 Series$376.87$324.83$473.00
E2609Custom fabricated wheelchair seat cushion, any sizeComfort Designs Custom Cushion $varies$varies$324.00
E2622Adjustable Skin Protection Wheelchair Cushion, width less than 22 inches, any depthAdjuster w/Vicair®Adjuster®$355.88$309.32$441.00
E2623Adjustable Skin Protection Wheelchair Cushion, width 22 inches or greater, any depthAdjuster w/Vicair®Adjuster$456.67$393.60$488.00
E2624Adjustable Skin Protection and Positioning Wheelchair Cushion, width less than 22 inches, any depthVector w/Vicair®Vector®$361.83$311.87$462.00
E2625Adjustable Skin Protection and Positioning Wheelchair Cushion, width 22 inches or greater, any depthVector w/Vicair®Vector®$458.06$394.80$509.00
BACKS
E2611General Use Wheelchair Back Cushion, width less than 22 inches, any height, including any type mounting hardwareElements BackElements Back$338.18$291.49$354.00
Radius Back®Radius Back®$338.18$291.49$481.00
Visco-Back®Visco-Back®$338.18$291.49$439.00
E2612General Use Wheelchair Back Cushion, width 22 inches or greater, any height, including any type mounting hardwareElements BackElements Back$457.50$394.32$482.00
Radius Back®Radius Back$457.50$394.32$534.00
Visco-Back®Visco-Back®$457.50$394.32$514.00
E2613Positioning Wheelchair Back Cushion, Posterior, width less than 22 inches, any height, including any type mounting hardwareActa-Back®Acta-Back®$425.55$366.78$507.00
IncrediBack®Incrediback®$425.55$366.78$435.00
E2614Positioning Wheelchair Back Cushion, Posterior, width 22 inches or greater, any height, including any type mounting hardwareActa-Back®Acta-Back®$588.92$507.60$596.00
IncrediBack®Incrediback®$588.92$507.60$536.00
E2615Positioning Wheelchair Back Cushion, Posterior Lateral, width less than 22 inches, any height, including any type mounting hardwareActa-Back® DeepActa-Back® Deep$489.75$422.10$601.00
IncrediBack® DeepIncrediback® Deep$489.75$422.10$493.00
E2616Positioning Wheelchair Back Cushion, Posterior Lateral, width 22 inches or greater, any height, including any type mounting hardwareActa-Back® DeepActa-Back® Deep$658.92$567.93$677.00
IncrediBack® DeepIncrediback®$658.92$567.93$621.00
E2617Custom Fabricated Wheelchair Back CushionCustom ActaRelief Back $varies$varies$810.00
Custom ActaBack $varies$varies$672.00
Custom ActaBack Deep $varies$varies$778.00
Custom Embrace Back $varies$varies$672.00
E2620Positioning Wheelchair Back Cushion, Planar with Lateral Supports, width less than 22 inches, any height, including any type mounting hardwareSpider Deep BackSpider-Back$593.01$511.11$719.00
Visco-Back® DeepVisco-Back® Deep$593.01$511.11$539.00
E2621Positioning Wheelchair Back Cushion, Planar with Lateral Supports, width 22 inches or greater, any height, including any type mounting hardwareSpider Deep BackSpider-Back$622.31$536.37$797.00
Visco-Back® DeepVisco-Back® Deep$622.31$536.37$613.00
ACCESSORIES
E1020Residual Limb Support for a wheelchairAmpAmp$263.54$227.15$338.00
Swing Away AmpSwing Away Amp$263.54$227.15$348.00
E1028Manual swing away, retractable or removable, mounting hardwareSwing Away Arm HardwareSwing Away Amp$223.62$192.74$263.00
EAD Arm Hardware $223.62$192.74$322.00
DuraSoft Half Lap Tray HardwareLap Trays$223.62$192.74$243.00
Swing Away Lateral HardwareSwing Away Amp$223.62$192.74$263.00
Headrest HardwareHeadrest$223.62$192.74$211.00
E2209Arm trough with or without hand supportComfort Arm®Comfort Arm®$116.03$100.00$138.00
Molded ArmMolded Arm$116.03$100.00$73.00
E0956Lateral trunk or hip support, any type including fixed mounting hardwareFlat Top Lateral RollFlat Top Lateral Roll$106.74$91.99$72.00
Lateral PadsLaterals$106.74$91.99$79.00
E0955Cushioned headrest, any type including fixed mounting hardwareHeadrestHeadrest$218.91$188.68$230.00
E0995Calf rest/padCalf ProtectorCalf Protector$32.92$28.37$55.00
E0978Positioning belt/safety belt, pelvic strapGait BeltGait Belt$46.25$39.85$20.00
E0950TrayDuraSoft Lap TrayLap Trays$112.55$97.01$166.00
DuraSoft Half TrayLap Trays$112.55$97.01$127.00
Flip-Up Half TrayLap Trays$112.55$97.01$156.00
EconoSoft Lap TrayLap Trays$112.55$97.01$84.00
E2619Replacement Cushion CoverReplacement Cushion CoverReplacement Cushion Cover$55.57$47.88$60.00
E0992Solid Seat InsertRigid InsertRigid Insert$N/A$103.03$63.00
K0108Wheelchair Accessory, not otherwise specifiedWheelchair Accessory $$$

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