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: High resilience 3d spacer mesh fabric or polyurethane foam, additional padding options available; Shell material: Polypropylene plastic with styrene inner shell

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

AccuSoft Cushion and Custom Back Itemized Alternative Shape Capture System Instructions BUNDLED AccuSoft Cushion and Custom Back BUNDLED Custom 2 Cushion and Custom Back Bundled Pricing Explained Certification FAQ Complete Shape Capture Tools Kit Order Form Create a RideWorks order form template Custom 2 Cushion and Custom Back Itemized Custom Shape Capture Bag Instructions Early versus Late Intervention with Custom Molded Seating Fit and Function Guarantee and Return Policy FlexLoc Adapter Plate Kit FlexLoc Change from Quick Release to Fixed Pin FlexLoc Configurations for Increased Reach How to create a time-saving order form template for RideWorks ICD-10 Backs Level 1 Custom Products Order Form Bundled Level 1 Custom Products Order Form Itemized LiDAR Scanning Instructions - Scan submitted via Email LMN Language Suggestions for Custom Products Mounting the Ride Custom Back to the Permobil 3G Direct Backrest Frame Mounting the Ride Custom Back to the Quantum Aftermarket Back Interface Parts Manual Ride Custom Back Brochure Ride Custom Back BUNDLED Ride Custom Back Funding Ride Custom Back Itemized Ride Custom Back Owner's Handbook Ride Custom Back Pattern Instructions Ride Custom Back Shape Capture Checklist Ride Custom Systems Fitting Checklist Ride Custom Systems Tools & Supplies Order Form Ride FlexLoc Owner's Handbook Ride: The Range product brochure RideWorks Shape Capture and LiDAR Scanning Instructions RideWorks Shape Capture and Scanning Instructions RideWorks Shape Capture Upgrade Kit Order Form RideWorks: Scan Orientation Pro Tip RideWorks: Scan Orientation Pro Tip Ride® Custom Back Interface with Miller's Hardware Scan a RideWorks order form to submit as a PDF Shape Capture and LiDAR Scanning Instructions Wheelchair Seating LCD Wheelchair Seating Policy Article

Ride® Custom Back

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

2022 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

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.