Java Back for wheelchairs

Widths
14” (36cm), 15” (38cm), 16” (41cm), 17” (43cm), 18” (46cm), 19” (48cm), 20” (51cm)

Heights
Regular: 14” (36cm)
Tall: 18” (46cm)
Grande: 22” (56cm)

Depths
Regular: 3” (8cm)
Deep: 6” (15cm)

Weight
Including hardware: 3.8 – 7.4 lbs (1.7 – 3.8kg), depending on size; Carrying Weight: 2.0 – 5.6 lbs (1.0 – 2.6kg)

Weight Capacity
300 lbs (136kg)

Angle/Recline
20° (5° forward, 15° backward)

Seat Depth Range of Adjustment
2” (5cm)

Construction
(Materials Used)
Insert material: ¾” (1.9cm) polyurethane foam over ¼” (0.6cm) polyethylene closed cell foam
Shell material: aluminum

Outer Cover Construction
(Outer surface that contacts skin)
Breathable polyester spacer fabric laminated to vapor permeable urethane

Safety Tested
Crash tested to meet the performance requirements for WC20 and ISO 16840-4.

Java® Back & Java Back Tall

Medicare Code
E2615: Positioning Wheelchair Back Cushion, Posterior-Lateral, width less than 22 inches, any height, including any type mounting hardware

2017 Medicare Fee Schedule*
Non-Rural Fee

E2615 / NU: Varies by state, please see complete PDF at right

E2615/NU KU: $434.00

E2615 / RR: Varies by state, please see complete PDF at right
E2615 / RR KU: $43.41

Rural Fee
E2615 / NU: $368.66
E2615 / NU KU: Medicare did not publish a set allowable
E2615 / RR: $36.87
E2615 / RR KU: Medicare did not publish a set allowable

Pricing Category
Inexpensive & Routinely Purchased
Download information sheet at right for complete funding information


 

*Allowable for KU modifier for Rural areas was not listed by Medicare, however will still be covered. The KU modifier is to be applied for items delivered January 1, 2016 - June 30, 2017 when the cushion is furnished in connection with a Group 3 complex rehabilitative power wheelchair (K0848 – K0864).

Note: If the code is subject to competitive bidding, the allowable will be based on the single payment amount for the specific area.

Java® Back (Regular/Deep), (Grande/Deep), (Tall/Deep)

Medicare Code
E2620: Positioning Wheelchair Back Cushion, Planar Back with Lateral Supports, Width Less than 22 inches, Any Height, Including Any Type Mounting Hardware

2017 Medicare Fee Schedule*
Non-Rural Fee

E2620 / NU: Varies by state, please see attached spreadsheet
E2620 / NU KU: $525.51
E2620 / RR: Varies by state, please see attached spreadsheet
E2620 / RR KU: $52.56

Rural Fee
E2620 / NU: $395.14
E2620 / NU KU: Medicare did not publish a set allowable
E2620 / RR: $39.51
E2620 / RR KU: Medicare did not publish a set allowable

Pricing Category
Inexpensive & Routinely Purchased
Download information sheet at right for complete funding information


 

*Allowable for KU modifier for Rural areas was not listed by Medicare, however will still be covered. The KU modifier is to be applied for items delivered January 1, 2016 - June 30, 2017 when the cushion is furnished in connection with a Group 3 complex rehabilitative power wheelchair (K0848 – K0864).

Note: If the code is subject to competitive bidding, the allowable will be based on the single payment amount for the specific area.

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

  • Outer Cover (1)
  • Pelvic Wedges (pair)
  • Flexa-just™ Stays
  • Owner's Handbook (1)

Additional Accessories

  • Fixed Lateral Trunk Supports, Flat and Curved
  • Swing-Away Lateral Trunk Supports, Flat and Curved (pair)
  • Additional Flexa-just Stays
  • Universal Headrest Mounting Plate
  • Extra Outer Cover
  • Additional Pelvic Wedges
  • Quickie® Fold-Down Push Handle Adaptor
  • Ride Privacy Flap
Interested in becoming a Certified Ride Provider?
Click a link at the right to download an application.