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

AccuSoft Cushion and Custom Back Order Form Alternative Shape Capture System Instructions Create a RideWorks order form template Custom Shape Capture Bag Instructions Early versus Late Intervention with Custom Molded Seating Fillable Custom Order Form 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 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 Order Form Ride Custom Back Funding Ride Custom Back Order Form 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 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 US and Canada BUNDLED Custom AccuSoft Cushion and Custom Back Order Form US and Canada BUNDLED Ride Custom 2 Cushion and Ride Custom Back Order Form 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

2018 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.