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Common HCPCS Codes

Last Updated: Feb 24, 2015 11:58AM EST

E0100 Cane, includes canes of all materials, adjustable or fixed, with tip
E0105 Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips
E0110 Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips
E0111 Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips
E0112 Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips
E0113 Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips
E0116 Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each
E0130 Walker, rigid (pickup), adjustable or fixed height
E0135 Walker, folding (pickup), adjustable or fixed height
E0140 Walker, with trunk support, adjustable or fixed height, any type
E0141 Walker, rigid, wheeled, adjustable or fixed height
E0143 Walker, folding, wheeled, adjustable or fixed height
E0144 Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat
E0147 Walker, heavy duty, multiple braking system, variable wheel resistance
E0148 Walker, heavy duty, without wheels, rigid or folding, any type, each
E0149 Walker, heavy duty, wheeled, rigid or folding, any type
E0153 Platform attachment, forearm crutch, each
E0154 Platform attachment, walker, each
E0155 Wheel attachment, rigid pick-up walker, per pair
E0156 Seat attachment, walker
E0157 Crutch attachment, walker, each
E0158 Leg extensions for walker, per set of four (4)
E0159 Brake attachment for wheeled walker, replacement, each
E0160 Sitz type bath or equipment, portable, used with or without commode
E0161 Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s
E0162 Sitz bath chair
E0163 Commode chair, mobile or stationary, with fixed arms
E0165 Commode chair, mobile or stationary, with detachable arms
E0167 Pail or pan for use with commode chair, replacement only
E0168 Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each
E0170 Commode chair with integrated seat lift mechanism, electric, any type
E0171 Commode chair with integrated seat lift mechanism, non-electric, any type
E0172 Seat lift mechanism placed over or on top of toilet, any type
E0175 Foot rest, for use with commode chair, each
E0181 Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty
E0182 Pump for alternating pressure pad, for replacement only
E0184 Dry pressure mattress
E0185 Gel or gel-like pressure pad for mattress, standard mattress length and width
E0186 Air pressure mattress
E0187 Water pressure mattress
E0190 Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories
E0191 Heel or elbow protector, each
E0193 Powered air flotation bed (low air loss therapy)
E0194 Air fluidized bed
E0196 Gel pressure mattress
E0197 Air pressure pad for mattress, standard mattress length and width
E0198 Water pressure pad for mattress, standard mattress length and width
E0199 Dry pressure pad for mattress, standard mattress length and width
E0200 Heat lamp, without stand (table model), includes bulb, or infrared element
E0205 Heat lamp, with stand, includes bulb, or infrared element
E0210 Electric heat pad, standard
E0215 Electric heat pad, moist
E0238 Non-electric heat pad, moist
E0239 Hydrocollator unit, portable
E0240 Bath/shower chair, with or without wheels, any size
E0241 Bath tub wall rail, each
E0242 Bath tub rail, floor base
E0243 Toilet rail, each
E0244 Raised toilet seat
E0245 Tub stool or bench
E0246 Transfer tub rail attachment
E0247 Transfer bench for tub or toilet with or without commode opening
E0248 Transfer bench, heavy duty, for tub or toilet with or without commode opening
E0250 Hospital bed, fixed height, with any type side rails, with mattress
E0251 Hospital bed, fixed height, with any type side rails, without mattress
E0255 Hospital bed, variable height, hi-lo, with any type side rails, with mattress
E0256 Hospital bed, variable height, hi-lo, with any type side rails, without mattress
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
E0261 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress
E0265 Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress
E0266 Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress
E0270 Hospital bed, institutional type includes: oscillating, circulating and stryker frame, with mattress
E0271 Mattress, innerspring
E0272 Mattress, foam rubber
E0274 Over-bed table
E0275 Bed pan, standard, metal or plastic
E0276 Bed pan, fracture, metal or plastic
E0277 Powered pressure-reducing air mattress
E0290 Hospital bed, fixed height, without side rails, with mattress
E0291 Hospital bed, fixed height, without side rails, without mattress
E0292 Hospital bed, variable height, hi-lo, without side rails, with mattress
E0293 Hospital bed, variable height, hi-lo, without side rails, without mattress
E0294 Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress
E0295 Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress
E0296 Hospital bed, total electric (head, foot and height adjustments). without side rails, with mattress
E0297 Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress
E0301 Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress
E0302 Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress
E0303 Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress
E0304 Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress
E0305 Bed side rails, half length
E0310 Bed side rails, full length
E0315 Bed accessory: board, table, or support device, any type
E0325 Urinal; male, jug-type, any material
E0326 Urinal; female, jug-type, any material
E0328 Hospital bed, pediatric, manual, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress
E0329 Hospital bed, pediatric, electric or semi-electric, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress
E0371 Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width
E0372 Powered air overlay for mattress, standard mattress length and width
E0373 Nonpowered advanced pressure reducing mattress
E0433 Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with or without supply reservoir and contents gauge
E0434 Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing
E0435 Portable liquid oxygen system, purchase; includes portable container, supply reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and refill adaptor
E0439 Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing
E0440 Stationary liquid oxygen system, purchase; includes use of reservoir, contents indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing
E0441 Stationary oxygen contents, gaseous, 1 month's supply = 1 unit
E0442 Stationary oxygen contents, liquid, 1 month's supply = 1 unit
E0443 Portable oxygen contents, gaseous, 1 month's supply = 1 unit
E0444 Portable oxygen contents, liquid, 1 month's supply = 1 unit
E0445 Oximeter device for measuring blood oxygen levels non-invasively
E0565 Compressor, air power source for equipment which is not self- contained or cylinder driven
E0570 Nebulizer, with compressor
E0571 Aerosol compressor, battery powered, for use with small volume nebulizer
E0572 Aerosol compressor, adjustable pressure, light duty for intermittent use
E0574 Ultrasonic/electronic aerosol generator with small volume nebulizer
E0575 Nebulizer, ultrasonic, large volume
E0580 Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter
E0585 Nebulizer, with compressor and heater
E0600 Respiratory suction pump, home model, portable or stationary, electric
E0601 Continuous positive airway pressure (cpap) device
E0621 Sling or seat, patient lift, canvas or nylon
E0625 Patient lift, bathroom or toilet, not otherwise classified
E0627 Seat lift mechanism incorporated into a combination lift-chair mechanism
E0628 Separate seat lift mechanism for use with patient owned furniture-electric
E0629 Separate seat lift mechanism for use with patient owned furniture-non-electric
E0630 Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)
E0635 Patient lift, electric with seat or sling
E0637 Combination sit to stand frame/table system, any size including pediatric, with seat lift feature, with or without wheels
E0639 Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories
E0705 Transfer device, any type, each
E0720 Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation
E0730 Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation
E0744 Neuromuscular stimulator for scoliosis
E0745 Neuromuscular stimulator, electronic shock unit
E0761 Non-thermal pulsed high frequency radiowaves, high peak power electromagnetic energy treatment device
E0762 Transcutaneous electrical joint stimulation device system, includes all accessories
E0764 Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completion of training program
E0765 Fda approved nerve stimulator, with replaceable batteries, for treatment of nausea and vomiting
E0766 Electrical stimulation device used for cancer treatment, includes all accessories, any type
E0769 Electrical stimulation or electromagnetic wound treatment device, not otherwise classified
E0770 Functional electrical stimulator, transcutaneous stimulation of nerve and/or muscle groups, any type, complete system, not otherwise specified
E0776 Iv pole
E0855 Cervical traction equipment not requiring additional stand or frame
E0856 Cervical traction device, cervical collar with inflatable air bladder
E0860 Traction equipment, overdoor, cervical
E0910 Trapeze bars, a/k/a patient helper, attached to bed, with grab bar
E0911 Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar
E0912 Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar
E0940 Trapeze bar, free standing, complete with grab bar
E0950 Wheelchair accessory, tray, each
E0951 Heel loop/holder, any type, with or without ankle strap, each
E0952 Toe loop/holder, any type, each
E0958 Manual wheelchair accessory, one-arm drive attachment, each
E0959 Manual wheelchair accessory, adapter for amputee, each
E0960 Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware
E0961 Manual wheelchair accessory, wheel lock brake extension (handle), each
E0966 Manual wheelchair accessory, headrest extension, each
E0967 Manual wheelchair accessory, hand rim with projections, any type, each
E0968 Commode seat, wheelchair
E0970 No.2 footplates, except for elevating leg rest
E0971 Manual wheelchair accessory, anti-tipping device, each
E0973 Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each
E0974 Manual wheelchair accessory, anti-rollback device, each
E0978 Wheelchair accessory,  positioning belt/safety belt/pelvic strap, each
E0981 Wheelchair accessory, seat upholstery, replacement only, each
E0982 Wheelchair accessory, back upholstery, replacement only, each
E0990 Wheelchair accessory, elevating leg rest, complete assembly, each
E0994 Arm rest, each
E0995 Wheelchair accessory, calf rest/pad, each
E1014 Reclining back, addition to pediatric size wheelchair
E1015 Shock absorber for manual wheelchair, each
E1016 Shock absorber for power wheelchair, each
E1017 Heavy duty shock absorber for heavy duty or extra heavy duty manual wheelchair, each
E1018 Heavy duty shock absorber for heavy duty or extra heavy duty power wheelchair, each
E1028 Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory
E1035 Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs
E1036 Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs
E1037 Transport chair, pediatric size
E1038 Transport chair, adult size, patient weight capacity up to and including 300 pounds
E1039 Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds
E1050 Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests
E1060 Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests
E1070 Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest
E1083 Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest
E1084 Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests
E1085 Hemi-wheelchair, fixed full length arms, swing away detachable foot rests
E1086 Hemi-wheelchair detachable arms desk or full length, swing away detachable footrests
E1087 High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests
E1088 High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests
E1089 High strength lightweight wheelchair, fixed length arms, swing away detachable footrest
E1090 High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable foot rests
E1092 Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests
E1093 Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests
E1130 Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests
E1140 Wheelchair, detachable arms, desk or full length, swing away detachable footrests
E1150 Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests
E1160 Wheelchair, fixed full length arms, swing away detachable elevating legrests
E1161 Manual adult size wheelchair, includes tilt in space
E1170 Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests
E1171 Amputee wheelchair, fixed full length arms, without footrests or legrest
E1172 Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest
E1180 Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests
E1190 Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests
E1195 Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests
E1221 Wheelchair with fixed arm, footrests
E1222 Wheelchair with fixed arm, elevating legrests
E1223 Wheelchair with detachable arms, footrests
E1224 Wheelchair with detachable arms, elevating legrests
E1229 Wheelchair, pediatric size, not otherwise specified
E1230 Power operated vehicle (three or four wheel nonhighway) specify brand name and model number
E1231 Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating system
E1232 Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system
E1233 Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system
E1234 Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system
E1235 Wheelchair, pediatric size, rigid, adjustable, with seating system
E1236 Wheelchair, pediatric size, folding, adjustable, with seating system
E1237 Wheelchair, pediatric size, rigid, adjustable, without seating system
E1238 Wheelchair, pediatric size, folding, adjustable, without seating system
E1240 Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest
E1250 Lightweight wheelchair, fixed full length arms, swing away detachable footrest
E1260 Lightweight wheelchair, detachable arms (desk or full length) swing away detachable footrest
E1270 Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests
E1280 Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests
E1285 Heavy duty wheelchair, fixed full length arms, swing away detachable footrest
E1290 Heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest
E1295 Heavy duty wheelchair, fixed full length arms, elevating legrest
E1352 Oxygen accessory, flow regulator capable of positive inspiratory pressure
E1353 Regulator
E1354 Oxygen accessory, wheeled cart for portable cylinder or portable concentrator, any type, replacement only, each
E1355 Stand/rack
E1356 Oxygen accessory, battery pack/cartridge for portable concentrator, any type, replacement only, each
E1357 Oxygen accessory, battery charger for portable concentrator, any type, replacement only, each
E1358 Oxygen accessory, dc power adapter for portable concentrator, any type, replacement only, each
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate
E1392 Portable oxygen concentrator, rental
E1399 Durable medical equipment, miscellaneous
E2205 Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each
E2206 Manual wheelchair accessory, wheel lock assembly, complete, each
E2207 Wheelchair accessory, crutch and cane holder, each
E2208 Wheelchair accessory, cylinder tank carrier, each
E2210 Wheelchair accessory, bearings, any type, replacement only, each
E2211 Manual wheelchair accessory, pneumatic propulsion tire, any size, each
E2212 Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each
E2213 Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each
E2214 Manual wheelchair accessory, pneumatic caster tire, any size, each
E2215 Manual wheelchair accessory, tube for pneumatic caster tire, any size, each
E2216 Manual wheelchair accessory, foam filled propulsion tire, any size, each
E2217 Manual wheelchair accessory, foam filled caster tire, any size, each
E2218 Manual wheelchair accessory, foam propulsion tire, any size, each
E2219 Manual wheelchair accessory, foam caster tire, any size, each
E2220 Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, each
E2221 Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, each
E2222 Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, each
E2224 Manual wheelchair accessory, propulsion wheel excludes tire, any size, each
E2225 Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each
E2226 Manual wheelchair accessory, caster fork, any size, replacement only, each
E2228 Manual wheelchair accessory, wheel braking system and lock, complete, each
E2358 Power wheelchair accessory, group 34 non-sealed lead acid battery, each
E2359 Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g. gel cell, absorbed glassmat)
E2360 Power wheelchair accessory, 22 nf non-sealed lead acid battery, each
E2361 Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g. gel cell, absorbed glassmat)
E2362 Power wheelchair accessory, group 24 non-sealed lead acid battery, each
E2363 Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g. gel cell, absorbed glassmat)
E2364 Power wheelchair accessory, u-1 non-sealed lead acid battery, each
E2365 Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g. gel cell, absorbed glassmat)
E2366 Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each
E2367 Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each
E2368 Power wheelchair component, drive wheel motor, replacement only
E2369 Power wheelchair component, drive wheel gear box, replacement only
E2370 Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only
E2371 Power wheelchair accessory, group 27 sealed lead acid battery, (e.g. gel cell, absorbed glassmat), each
E2372 Power wheelchair accessory, group 27 non-sealed lead acid battery, each
E2375 Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only
E2381 Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each
E2382 Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each
E2383 Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each
E2384 Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each
E2385 Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each
E2386 Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each
E2387 Power wheelchair accessory, foam filled caster tire, any size, replacement only, each
E2388 Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each
E2389 Power wheelchair accessory, foam caster tire, any size, replacement only, each
E2390 Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each
E2391 Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each
E2392 Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each
E2394 Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each
E2395 Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each
E2396 Power wheelchair accessory, caster fork, any size, replacement only, each
E2601 General use wheelchair seat cushion, width less than 22 inches, any depth
E2602 General use wheelchair seat cushion, width 22 inches or greater, any depth
E2603 Skin protection wheelchair seat cushion, width less than 22 inches, any depth
E2604 Skin protection wheelchair seat cushion, width 22 inches or greater, any depth
E2605 Positioning wheelchair seat cushion, width less than 22 inches, any depth
E2606 Positioning wheelchair seat cushion, width 22 inches or greater, any depth
E2607 Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth
E2608 Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth
E2610 Wheelchair seat cushion, powered
E2611 General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware
E2612 General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware
E2613 Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware
E2614 Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware
E2615 Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware
E2616 Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware
E2619 Replacement cover for wheelchair seat cushion or back cushion, each
E2620 Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware
E2621 Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware
E2622 Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth
E2623 Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth
E2624 Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth
E2625 Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth
E8000 Gait trainer, pediatric size, posterior support, includes all accessories and components
E8001 Gait trainer, pediatric size, upright support, includes all accessories and components
E8002 Gait trainer, pediatric size, anterior support, includes all accessories and components
K0001 Standard wheelchair
K0002 Standard hemi (low seat) wheelchair
K0003 Lightweight wheelchair
K0004 High strength, lightweight wheelchair
K0005 Ultralightweight wheelchair
K0006 Heavy duty wheelchair
K0007 Extra heavy duty wheelchair
K0008 Custom manual wheelchair/base
K0009 Other manual wheelchair/base
K0010 Standard - weight frame motorized/power wheelchair
K0011 Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking
K0012 Lightweight portable motorized/power wheelchair
K0013 Custom motorized/power wheelchair base
K0014 Other motorized/power wheelchair base
K0015 Detachable, non-adjustable height armrest, each
K0017 Detachable, adjustable height armrest, base, each
K0018 Detachable, adjustable height armrest, upper portion, each
K0019 Arm pad, each
K0020 Fixed, adjustable height armrest, pair
K0037 High mount flip-up footrest, each
K0038 Leg strap, each
K0039 Leg strap, h style, each
K0040 Adjustable angle footplate, each
K0041 Large size footplate, each
K0042 Standard size footplate, each
K0043 Footrest, lower extension tube, each
K0044 Footrest, upper hanger bracket, each
K0045 Footrest, complete assembly
K0046 Elevating legrest, lower extension tube, each
K0047 Elevating legrest, upper hanger bracket, each
K0050 Ratchet assembly
K0051 Cam release assembly, footrest or legrest, each
K0052 Swingaway, detachable footrests, each
K0053 Elevating footrests, articulating (telescoping), each
K0056 Seat height less than  17" or equal to  or greater than 21" for a high strength, lightweight, or ultralightweight wheelchair
K0065 Spoke protectors, each
K0069 Rear wheel assembly, complete, with solid tire, spokes or molded, each
K0070 Rear wheel assembly, complete, with pneumatic tire, spokes or molded, each
K0071 Front caster assembly, complete, with pneumatic tire, each
K0072 Front caster assembly, complete, with semi-pneumatic tire, each
K0073 Caster pin lock,each
K0077 Front caster assembly, complete, with solid tire, each
K0098 Drive belt for power wheelchair
K0105 Iv hanger, each
K0108 Wheelchair component or accessory, not otherwise specified
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base)
K0669 Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from dme pdac
K0733 Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)
K0734 Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth
K0735 Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth
K0736 Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth
K0737 Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth
K0739 Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes
K0800 Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds
K0801 Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds
K0802 Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds
K0806 Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds
K0807 Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds
K0808 Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds
K0812 Power operated vehicle, not otherwise classified
K0813 Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds
K0814 Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds
K0815 Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds
K0816 Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds
K0820 Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0821 Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds
K0822 Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0823 Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds
K0824 Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds
K0825 Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds
K0826 Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds
K0827 Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds
K0828 Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more
K0829 Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more
K0830 Power wheelchair, group 2 standard, seat elevator, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0831 Power wheelchair, group 2 standard, seat elevator, captains chair, patient weight capacity up to and including 300 pounds
K0835 Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0836 Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds
K0837 Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds
K0838 Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds
K0839 Power wheelchair, group 2 very heavy duty, single power option sling/solid seat/back, patient weight capacity 451 to 600 pounds
K0840 Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more
K0841 Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0842 Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds
K0843 Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds
K0848 Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0849 Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds
K0850 Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds
K0851 Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds
K0852 Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds
K0853 Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds
K0854 Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more
K0855 Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more
K0856 Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0857 Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds
K0858 Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds
K0859 Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds
K0860 Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds
K0861 Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0862 Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds
K0863 Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds
K0864 Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more
K0868 Power wheelchair, group 4 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0869 Power wheelchair, group 4 standard, captains chair, patient weight capacity up to and including 300 pounds
K0870 Power wheelchair, group 4 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds
K0871 Power wheelchair, group 4 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds
K0877 Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0878 Power wheelchair, group 4 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds
K0879 Power wheelchair, group 4 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds
K0880 Power wheelchair, group 4 very heavy duty, single power option, sling/solid seat/back, patient weight 451 to 600 pounds
K0898 Power wheelchair, not otherwise classified
K0899 Power mobility device, not coded by dme pdac or does not meet criteria
K0900 Customized durable medical equipment, other than wheelchair
 







 

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