Ride Custom Back for wheelchairs

Widths
Virtually any width

Heights
Virtually any height

Weight
Including hardware: Varies depending on back size, options, and hardware selected

Weight Capacity
250 lbs (113kg)

Angle/Recline
Infinite, when mounted with single FlexLoc hardware option

Seat Depth Range of Adjustment
Up to and potentially beyond 10.5” (26.7cm) depending on hardware configuration chosen

Construction
(Materials Used)
Insert material: Brock® Composite material, additional padding options available; Shell material: Polypropylene plastic with styrene inner shell

Outer Cover Construction
(Outer surface that contacts skin)
Breathable polyester spacer fabric

Ride® Custom Back

Medicare Code
E2617: Custom Fabricated Wheelchair Back Cushion, Any Size, Including Any Type Mounting Hardware

2017 Medicare Fee Schedule
There is no set Medicare Fee Schedule for this HCPCS Code. This item is individually priced. Be sure to include the Manufacturer name and model name/number, and the MSRP. All parts and pieces tied to the custom back should be grouped into this one line when billing Medicare.

Download information sheet at right for complete funding information

Please Note

Ride Designs does not sell directly to the public, rather through Ride® certified providers. Please call the Ride Customer Service team at 866-781-1633 for assistance in finding your closest Ride supplier.

Questions?

Check out our FAQ section, send us an email, or give us a call at 866-781-1633.

Standard Accessories -
Ride Custom Back

  • Outer Cover (1)
  • Owner's Handbook (1)

Standard Accessories -
Ride Custom Back for Commode

  • Outer Cover (1)
  • Owner's Handbook (1)

Additional Accessories

  • Universal Headrest Mounting Plate
  • Integrated Headrest/Accessories Mount (1)
  • Shoulder Harness Guides (pair, loose)
  • Shoulder Harness Guides (pair, installed)
  • Privacy Flap
  • Abdominal Support Panel
  • Extra Outer Cover
  • Growth Kit
Interested in becoming a Certified Ride Provider?
Click a link at the right to download an application.