Java Decaf Back for wheelchairs
The Java Decaf Back’s patented biomechanical design provides the flexibility to accurately fit both the trunk and pelvis for support, comfort and enhanced mobility. Adjustable back angle and personalized contour at pelvis helps provide balanced support and freedom of movement. The Java Decaf Back is most effective when coupled with a Ride® wheelchair cushion to aid in pressure relief.
SUPPORTS INDIVIDUAL CONTOURS
Planar, biangular and other back supports are flat from top to bottom. Attempts to adjust a flat wheelchair back with accessories can result in loss of seat depth and compromised trunk contact and support. In contrast, the Java Decaf Back can be flexed specifically to support the unique contours of a growing user’s body without loss of seat depth and to provide accurate supportive contact through the pelvis, lumbar and thoracic spine.
ADJUSTS IN MULTIPLE AXES WITH FLEXLOC® HARDWARE
Allows the Decaf Back to be adjusted in multiple axes for optimal contact: height, angle, depth, plus rotational and asymmetrical adjustments.
Adjusts to fit any wheelchair from 10 to 15 inches wide, the Decaf Back is available in both regular and tall profiles. The Decaf Back can be specifically fitted to the child regardless of his wheelchair width—replace only the back shell and insert to accommodate significant growth.
MEETS SAFETY REQUIREMENTS
The Decaf Back has undergone dynamic testing for use in a motor vehicle (RESNA WC-F:2012, Section 20; ISO 16840-4) and, along with the FlexLoc® attachment hardware, meets all applicable criteria for wheelchair back supports.
OFFERS LIGHTWEIGHT MOUNTING OPTIONS
Select fixed mount or quick-release mount for easy one-hand removal.
REDUCES HEAT AND MOISTURE BUILDUP
A spacer fabric cover promotes air circulation and wicks moisture away from the back.
ACCURACY OF FIT
Only the Ride® Custom Back, which can be made to fit virtually any size and contour, provides greater accuracy of fit.
10” (25cm), 12” (30cm), 13” (33cm), 14” (36cm)
Regular: 10” (25cm), 12” (30cm)
Tall: 13” (33cm), 15” (38cm)
Including hardware: 3.0 – 3.5 lbs (1.4 – 1.6kg); Carrying Weight: 2.2 – 2.7 lbs (1.0 – 1.2kg)
*Depends on width, depth, and height chosen
200 lbs (91kg)
Seat Depth Range of Adjustment
Up to 8.5” (22cm), depending on wheelchair width
Insert material: ½” (1.3cm) 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
Java® Decaf Back & Java® Decaf Back Tall
E2615: Positioning Wheelchair Back Cushion, Posterior-Lateral, Width Less Than 22 Inches, Any Height, Including Any Type Mounting Hardware
2017 Medicare Fee Schedule*
E2615 NU: Varies by state, please see attached spreadsheet
E2615 NU KU: $434.00
E2615 RR: Varies by state, please see attached spreadsheet
E2615 RR KU: $43.41
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
*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.
Inexpensive & Routinely Purchased
Download information sheet at right for complete funding information
Optional Quick Release Hardware:
Under Medicare guidelines, there is not a specific HCPCS code for quick release hardware to be used on a wheelchair back. As the Wheelchair Back Code specifics, any type mounting hardware is included. If the hardware is billed as a replacement part, code K0108 would have to be used; code E1028 is not allowed to be used for seat or back hardware.
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.
- Outer Cover (1)
- Adjustable Mount (1)
- Pelvic Wedges (pair)
- Flexa-just® Stays (pair)
- FlexLoc® Mounting Hardware
- Owner's Handbook (1)
- Fixed Lateral Trunk Supports, Flat and Curved (pair)
- Swing-Away Lateral Trunk Supports, Flat and Curved (pair)
- Additional Flexa-just Stays (pair)
- Universal Headrest Mounting Plate
- Extra Outer Cover
- Additional Pelvic Wedges (pair)
- Quickie® Fold-Down Push Handle Adaptor
- Ride Privacy Flap
- Growth Kit