Type of Service (TOS) Indicator R: Rental of DME
HCPCS codes | ||
| Code | Description | |
|---|---|---|
| A4254 | REPLACEMENT BATTERY, ANY TYPE, FOR USE WITH MEDICALLY NECESSARY HOME BLOOD GLUCOSE MONITOR OWNED BY PATIENT, EACH | |
| A4618 | Breathing circuits | |
| A4628 | Oral and/or oropharyngeal suction catheter, each | |
| A4630 | Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient | |
| A4632 | REPLACEMENT BATTERY FOR EXTERNAL INFUSION PUMP, ANY TYPE, EACH | |
| A4633 | Replacement bulb/lamp for ultraviolet light therapy system, each | |
| A4635 | Underarm pad, crutch, replacement, each | |
| A4636 | Replacement, handgrip, cane, crutch, or walker, each | |
| A4637 | Replacement, tip, cane, crutch, walker, each. | |
| A4639 | Replacement pad for infrared heating pad system, each | |
| A4640 | Replacement pad for use with medically necessary alternating pressure pad owned by patient | |
| A7000 | Canister, disposable, used with suction pump, each | |
| A7001 | Canister, non-disposable, used with suction pump, each | |
| A7002 | Tubing, used with suction pump, each | |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | |
| A7006 | Administration set, with small volume filtered pneumatic nebulizer | |
| A7009 | Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer | |
| A7012 | Water collection device, used with large volume nebulizer | |
| A7014 | Filter, nondisposable, used with aerosol compressor or ultrasonic generator | |
| A7015 | Aerosol mask, used with dme nebulizer | |
| A7016 | Dome and mouthpiece, used with small volume ultrasonic nebulizer | |
| A7017 | Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen | |
| A7020 | Interface for cough stimulating device, includes all components, replacement only | |
| A7025 | High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each | |
| A7026 | High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each | |
| A7027 | Combination oral/nasal mask, used with continuous positive airway pressure device, each | |
| A7028 | Oral cushion for combination oral/nasal mask, replacement only, each | |
| A7029 | Nasal pillows for combination oral/nasal mask, replacement only, pair | |
| A7030 | Full face mask used with positive airway pressure device, each | |
| A7031 | Face mask interface, replacement for full face mask, each | |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | |
| A7035 | Headgear used with positive airway pressure device | |
| A7036 | Chinstrap used with positive airway pressure device | |
| A7037 | Tubing used with positive airway pressure device | |
| A7038 | Filter, disposable, used with positive airway pressure device | |
| A7039 | Filter, non disposable, used with positive airway pressure device | |
| A7044 | Oral interface used with positive airway pressure device, each | |
| A7045 | Exhalation port with or without swivel used with accessories for positive airway devices, replacement only | |
| A7047 | Oral interface used with respiratory suction pump, each | |
| A8000 | Helmet, protective, soft, prefabricated, includes all components and accessories | |
| A8001 | Helmet, protective, hard, prefabricated, includes all components and accessories | |
| A8002 | Helmet, protective, soft, custom fabricated, includes all components and accessories | |
| A8003 | Helmet, protective, hard, custom fabricated, includes all components and accessories | |
| A8004 | Soft interface for helmet, replacement only | |
| A9273 | Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type | |
| A9281 | Reaching/grabbing device, any type, any length, each | |
| A9284 | Spirometer, non-electronic, includes all accessories | |
| B9000 | Enteral nutrition infusion pump - without alarm | |
| B9002 | Enteral nutrition infusion pump, any type | |
| B9004 | Parenteral nutrition infusion pump, portable | |
| B9006 | Parenteral nutrition infusion pump, stationary | |
| 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 | |
| E0117 | Crutch, underarm, articulating, spring assisted, each | |
| E0118 | Crutch substitute, lower leg platform, with or without wheels, 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 | |
| E0152 | Walker, battery powered, wheeled, folding, adjustable or fixed height | |
| 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 | |
| E0164 | COMMODE CHAIR, MOBILE, WITH FIXED ARMS | |
| E0165 | Commode chair, mobile or stationary, with detachable arms | |
| E0166 | COMMODE CHAIR, MOBILE, 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 | |
| E0169 | COMMODE CHAIR WITH SEAT LIFT MECHANISM | |
| 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 | |
| E0176 | AIR PRESSURE PAD OR CUSHION, NONPOSITIONING | |
| E0177 | WATER PRESSURE PAD OR CUSHION, NONPOSITIONING | |
| E0178 | GEL OR GEL-LIKE PRESSURE PAD OR CUSHION, NONPOSITIONING | |
| E0179 | DRY PRESSURE PAD OR CUSHION, NONPOSITIONING | |
| E0180 | PRESSURE PAD, ALTERNATING WITH PUMP | |
| 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 | |
| E0188 | Synthetic sheepskin pad | |
| E0189 | Lambswool sheepskin pad, any size | |
| E0191 | Heel or elbow protector, each | |
| E0192 | LOW PRESSURE AND POSITIONING EQUALIZATION PAD, FOR WHEELCHAIR | |
| 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 | |
| E0202 | Phototherapy (bilirubin) light with photometer | |
| E0205 | Heat lamp, with stand, includes bulb, or infrared element | |
| E0210 | Electric heat pad, standard | |
| E0215 | Electric heat pad, moist | |
| E0217 | Water circulating heat pad with pump | |
| E0218 | Fluid circulating cold pad with pump, any type | |
| E0220 | Hot water bottle | |
| E0221 | Infrared heating pad system | |
| E0225 | Hydrocollator unit, includes pads | |
| E0230 | Ice cap or collar | |
| E0231 | Non-contact wound warming device (temperature control unit, ac adapter and power cord) for use with warming card and wound cover | |
| E0235 | Paraffin bath unit, portable (see medical supply code a4265 for paraffin) | |
| E0236 | Pump for water circulating pad | |
| E0238 | Non-electric heat pad, moist | |
| E0239 | Hydrocollator unit, portable | |
| 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 | |
| E0249 | Pad for water circulating heat unit, for replacement only | |
| 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 | |
| E0273 | Bed board | |
| E0274 | Over-bed table | |
| E0275 | Bed pan, standard, metal or plastic | |
| E0276 | Bed pan, fracture, metal or plastic | |
| E0277 | Powered pressure-reducing air mattress | |
| E0280 | Bed cradle, any type | |
| 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 | |
| E0300 | Pediatric crib, hospital grade, fully enclosed, with or without top enclosure | |
| 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 | |
| E0316 | Safety enclosure frame/canopy for use with hospital bed, 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 | |
| E0370 | Air pressure elevator for heel | |
| 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 | |
| E0424 | Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing | |
| E0425 | Stationary compressed gas system, purchase; includes regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing | |
| E0430 | Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing | |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | |
| 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 | |
| E0450 | Volume control ventilator, without pressure support mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube) | |
| E0454 | PRESSURE VENTILATOR WITH PRESSURE CONTROL, PRESSURE SUPPORT AND FLOW TRIGGERING | |
| E0455 | Oxygen tent, excluding croup or pediatric tents | |
| E0457 | Chest shell (cuirass) | |
| E0459 | Chest wrap | |
| E0460 | Negative pressure ventilator; portable or stationary | |
| E0461 | Volume control ventilator, without pressure support mode, may include pressure control mode, used with non-invasive interface (e.g., mask) | |
| E0462 | Rocking bed with or without side rails | |
| E0463 | Pressure support ventilator with volume control mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube) | |
| E0464 | Pressure support ventilator with volume control mode, may include pressure control mode, used with non-invasive interface (e.g., mask) | |
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | |
| E0467 | Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions | |
| E0468 | Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions | |
| E0469 | Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device | |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | |
| E0471 | Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | |
| E0472 | Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pressure device) | |
| E0480 | Percussor, electric or pneumatic, home model | |
| E0481 | Intrapulmonary percussive ventilation system and related accessories | |
| E0482 | Cough stimulating device, alternating positive and negative airway pressure | |
| E0483 | High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each | |
| E0484 | Oscillatory positive expiratory pressure device, non-electric, any type, each | |
| E0487 | Spirometer, electronic, includes all accessories | |
| E0500 | Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source | |
| E0530 | Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type | |
| E0550 | Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery | |
| E0555 | Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter | |
| E0560 | Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery | |
| E0561 | Humidifier, non-heated, used with positive airway pressure device | |
| E0562 | Humidifier, heated, used with positive airway pressure device | |
| 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 | |
| E0605 | Vaporizer, room type | |
| E0606 | Postural drainage board | |
| E0607 | Home blood glucose monitor | |
| E0610 | Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) | |
| E0615 | Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems | |
| E0617 | External defibrillator with integrated electrocardiogram analysis | |
| E0618 | Apnea monitor, without recording feature | |
| E0619 | Apnea monitor, with recording feature | |
| E0620 | Skin piercing device for collection of capillary blood, laser, each | |
| E0621 | Sling or seat, patient lift, canvas or nylon | |
| E0625 | Patient lift, bathroom or toilet, not otherwise classified | |
| E0627 | Seat lift mechanism, electric, any type | |
| E0628 | Separate seat lift mechanism for use with patient owned furniture-electric | |
| E0629 | Seat lift mechanism, non-electric, any type | |
| E0630 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | |
| E0635 | Patient lift, electric with seat or sling | |
| E0636 | Multipositional patient support system, with integrated lift, patient accessible controls | |
| E0637 | Combination sit to stand frame/table system, any size including pediatric, with seat lift feature, with or without wheels | |
| E0638 | Standing frame/table system, one position (e.g., upright, supine or prone stander), any size including pediatric, with or without wheels | |
| E0641 | Standing frame/table system, multi-position (e.g., three-way stander), any size including pediatric, with or without wheels | |
| E0642 | Standing frame/table system, mobile (dynamic stander), any size including pediatric | |
| E0650 | Pneumatic compressor, non-segmental home model | |
| E0651 | Pneumatic compressor, segmental home model without calibrated gradient pressure | |
| E0652 | Pneumatic compressor, segmental home model with calibrated gradient pressure | |
| E0655 | Non-segmental pneumatic appliance for use with pneumatic compressor, half arm | |
| E0656 | Segmental pneumatic appliance for use with pneumatic compressor, trunk | |
| E0657 | Segmental pneumatic appliance for use with pneumatic compressor, chest | |
| E0660 | Non-segmental pneumatic appliance for use with pneumatic compressor, full leg | |
| E0665 | Non-segmental pneumatic appliance for use with pneumatic compressor, full arm | |
| E0666 | Non-segmental pneumatic appliance for use with pneumatic compressor, half leg | |
| E0667 | Segmental pneumatic appliance for use with pneumatic compressor, full leg | |
| E0668 | Segmental pneumatic appliance for use with pneumatic compressor, full arm | |
| E0669 | Segmental pneumatic appliance for use with pneumatic compressor, half leg | |
| E0670 | Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk | |
| E0671 | Segmental gradient pressure pneumatic appliance, full leg | |
| E0672 | Segmental gradient pressure pneumatic appliance, full arm | |
| E0673 | Segmental gradient pressure pneumatic appliance, half leg | |
| E0675 | Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) | |
| E0676 | Intermittent limb compression device (includes all accessories), not otherwise specified | |
| E0677 | Non-pneumatic sequential compression garment, trunk | |
| E0678 | Non-pneumatic sequential compression garment, full leg | |
| E0679 | Non-pneumatic sequential compression garment, half leg | |
| E0680 | Non-pneumatic compression controller with sequential calibrated gradient pressure | |
| E0681 | Non-pneumatic compression controller without calibrated gradient pressure | |
| E0682 | Non-pneumatic sequential compression garment, full arm | |
| E0683 | Non-pneumatic, non-sequential, peristaltic wave compression pump | |
| E0691 | Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less | |
| E0692 | Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel | |
| E0693 | Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel | |
| E0694 | Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection | |
| E0700 | Safety equipment, device or accessory, any type | |
| E0701 | HELMET WITH FACE GUARD AND SOFT INTERFACE MATERIAL, PREFABRICATED | |
| E0705 | Transfer device, any type, each | |
| E0710 | Restraints, any type (body, chest, wrist or ankle) | |
| E0711 | Upper extremity medical tubing/lines enclosure or covering device, restricts elbow range of motion | |
| E0715 | Intravaginal device intended to strengthen pelvic floor muscles during kegel exercises | |
| E0716 | Supplies and accessories for intravaginal device intended to strengthen pelvic floor muscles during kegel exercises | |
| E0720 | Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation | |
| E0721 | Transcutaneous electrical nerve stimulator for nerves in the auricular region | |
| E0730 | Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation | |
| E0731 | Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) | |
| E0732 | Cranial electrotherapy stimulation (ces) system, any type | |
| E0733 | Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve | |
| E0734 | External upper limb tremor stimulator of the peripheral nerves of the wrist | |
| E0735 | Non-invasive vagus nerve stimulator | |
| E0736 | Transcutaneous tibial nerve stimulator | |
| E0737 | Transcutaneous tibial nerve stimulator, controlled by phone application | |
| E0738 | Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories | |
| E0739 | Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors | |
| E0740 | Non-implanted pelvic floor electrical stimulator, complete system | |
| E0744 | Neuromuscular stimulator for scoliosis | |
| E0745 | Neuromuscular stimulator, electronic shock unit | |
| E0746 | Electromyography (emg), biofeedback device | |
| E0747 | Osteogenesis stimulator, electrical, non-invasive, other than spinal applications | |
| E0748 | Osteogenesis stimulator, electrical, non-invasive, spinal applications | |
| E0755 | Electronic salivary reflex stimulator (intra-oral/non-invasive) | |
| E0760 | Osteogenesis stimulator, low intensity ultrasound, non-invasive | |
| 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 | |
| E0770 | Functional electrical stimulator, transcutaneous stimulation of nerve and/or muscle groups, any type, complete system, not otherwise specified | |
| E0776 | Iv pole | |
| E0779 | Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater | |
| E0780 | Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours | |
| E0781 | Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient | |
| E0782 | Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) | |
| E0783 | Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) | |
| E0784 | External ambulatory infusion pump, insulin | |
| E0791 | Parenteral infusion pump, stationary, single or multi-channel | |
| E0840 | Traction frame, attached to headboard, cervical traction | |
| E0849 | Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible | |
| E0850 | Traction stand, free standing, cervical traction | |
| E0855 | Cervical traction equipment not requiring additional stand or frame | |
| E0856 | Cervical traction device, with inflatable air bladder(s) | |
| E0860 | Traction equipment, overdoor, cervical | |
| E0870 | Traction frame, attached to footboard, extremity traction, (e.g., buck's) | |
| E0880 | Traction stand, free standing, extremity traction | |
| E0890 | Traction frame, attached to footboard, pelvic traction | |
| E0900 | Traction stand, free standing, pelvic traction, (e.g., buck's) | |
| 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 | |
| E0920 | Fracture frame, attached to bed, includes weights | |
| E0930 | Fracture frame, free standing, includes weights | |
| E0935 | Continuous passive motion exercise device for use on knee only | |
| E0936 | Continuous passive motion exercise device for use other than knee | |
| E0940 | Trapeze bar, free standing, complete with grab bar | |
| E0941 | Gravity assisted traction device, any type | |
| E0942 | Cervical head harness/halter | |
| E0944 | Pelvic belt/harness/boot | |
| E0945 | Extremity belt/harness | |
| E0946 | Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) | |
| E0947 | Fracture frame, attachments for complex pelvic traction | |
| E0948 | Fracture frame, attachments for complex cervical traction | |
| E0950 | Wheelchair accessory, tray, each | |
| E0951 | Heel loop/holder, any type, with or without ankle strap, each | |
| E0952 | Toe loop/holder, any type, each | |
| E0953 | Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each | |
| E0954 | Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot | |
| E0955 | Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each | |
| E0956 | Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each | |
| E0957 | Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, 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 | |
| E0962 | 1" CUSHION, FOR WHEELCHAIR | |
| E0963 | 2" CUSHION, FOR WHEELCHAIR | |
| E0964 | 3" CUSHION, FOR WHEELCHAIR | |
| E0965 | 4" CUSHION, FOR WHEELCHAIR | |
| E0966 | Manual wheelchair accessory, headrest extension, each | |
| E0967 | Manual wheelchair accessory, hand rim with projections, any type, replacement only, each | |
| E0968 | Commode seat, wheelchair | |
| E0969 | Narrowing device, wheelchair | |
| E0970 | No. 2 footplates, except for elevating leg rest | |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | |
| E0972 | WHEELCHAIR ACCESSORY, TRANSFER BOARD OR DEVICE, EACH | |
| E0973 | Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each | |
| E0974 | Manual wheelchair accessory, anti-rollback device, each | |
| E0977 | WEDGE CUSHION, WHEELCHAIR | |
| E0978 | Wheelchair accessory, positioning belt/safety belt/pelvic strap, each | |
| E0980 | Safety vest, wheelchair | |
| E0981 | Wheelchair accessory, seat upholstery, replacement only, each | |
| E0982 | Wheelchair accessory, back upholstery, replacement only, each | |
| E0983 | Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control | |
| E0984 | Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control | |
| E0985 | Wheelchair accessory, seat lift mechanism | |
| E0986 | Manual wheelchair accessory, push-rim activated power assist system | |
| E0988 | Manual wheelchair accessory, lever-activated, wheel drive, pair | |
| E0990 | Wheelchair accessory, elevating leg rest, complete assembly, each | |
| E0992 | Manual wheelchair accessory, solid seat insert | |
| E0994 | Arm rest, each | |
| E0995 | Wheelchair accessory, calf rest/pad, replacement only, each | |
| E0996 | TIRE, SOLID, EACH | |
| E0997 | CASTER WITH A FORK | |
| E0998 | CASTER WITHOUT FORK | |
| E0999 | PNEUMATIC TIRE WITH WHEEL | |
| E1000 | TIRE, PNEUMATIC CASTER | |
| E1001 | WHEEL, SINGLE | |
| E1002 | Wheelchair accessory, power seating system, tilt only | |
| E1003 | Wheelchair accessory, power seating system, recline only, without shear reduction | |
| E1004 | Wheelchair accessory, power seating system, recline only, with mechanical shear reduction | |
| E1005 | Wheelchair accessory, power seatng system, recline only, with power shear reduction | |
| E1006 | Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction | |
| E1007 | Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction | |
| E1008 | Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction | |
| E1009 | Wheelchair accessory, addition to power seating system, mechanically linked leg elevation system, including pushrod and leg rest, each | |
| E1010 | Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair | |
| E1011 | Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair) | |
| E1012 | Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each | |
| E1013 | INTEGRATED SEATING SYSTEM, CONTOURED, FOR PEDIATRIC WHEELCHAIR | |
| 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 | |
| E1019 | WHEELCHAIR ACCESSORY, POWER SEATING SYSTEM, HEAVY DUTY FEATURE, PATIENT WEIGHT CAPACITY GREATER THAN 250 POUNDS AND LESS THAN OR EQUAL TO 400 POUNDS | |
| E1020 | Residual limb support system for wheelchair, any type | |
| E1021 | WHEELCHAIR ACCESSORY, POWER SEATING SYSTEM, EXTRA HEAVY DUTY FEATURE, WEIGHT CAPACITY GREATER THAN 400 POUNDS | |
| E1025 | LATERAL THORACIC SUPPORT, NON-CONTOURED, FOR PEDIATRIC WHEELCHAIR, EACH (INCLUDES HARDWARE) | |
| E1026 | LATERAL THORACIC SUPPORT, CONTOURED, FOR PEDIATRIC WHEELCHAIR, EACH (INCLUDES HARDWARE) | |
| E1027 | LATERAL/ANTERIOR SUPPORT, FOR PEDIATRIC WHEELCHAIR, EACH (INCLUDES HARDWARE) | |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory | |
| E1029 | Wheelchair accessory, ventilator tray, fixed | |
| E1030 | Wheelchair accessory, ventilator tray, gimbaled | |
| E1031 | Rollabout chair, any and all types with casters 5" or greater | |
| 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 | |
| E1100 | Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests | |
| E1110 | Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest | |
| 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 | |
| E1200 | Amputee wheelchair, fixed full length arms, swing away detachable footrest | |
| E1210 | MOTORIZED WHEELCHAIR, FIXED FULL LENGTH ARMS, SWING AWAY DETACHABLE ELEVATING LEG RESTS | |
| E1211 | MOTORIZED WHEELCHAIR, DETACHABLE ARMS DESK OR FULL LENGTH SWING AWAY,DETACHABLE ELEVATING LEG REST | |
| E1212 | MOTORIZED WHEELCHAIR, FIXED FULL LENGTH ARMS, SWING AWAY DETACHABLE FOOT RESTS | |
| E1213 | MOTORIZED WHEELCHAIR, DETACHABLE ARMS DESK OR FULL LENGTH, SWING AWAY DETACHABLE FOOT RESTS | |
| 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 | |
| E1225 | Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each | |
| E1226 | Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each | |
| E1227 | Special height arms for wheelchair | |
| E1228 | Special back height for wheelchair | |
| 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 | |
| E1239 | Power wheelchair, pediatric size, not otherwise specified | |
| 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 | |
| E1296 | Special wheelchair seat height from floor | |
| E1297 | Special wheelchair seat depth, by upholstery | |
| E1298 | Special wheelchair seat depth and/or width, by construction | |
| E1300 | Whirlpool, portable (overtub type) | |
| E1301 | Whirlpool tub, walk-in, portable | |
| E1310 | Whirlpool, non-portable (built-in type) | |
| 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 | |
| E1372 | Immersion external heater for nebulizer | |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | |
| E1391 | Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each | |
| E1392 | Portable oxygen concentrator, rental | |
| E1399 | Durable medical equipment, miscellaneous | |
| E1405 | Oxygen and water vapor enriching system with heated delivery | |
| E1406 | Oxygen and water vapor enriching system without heated delivery | |
| E1700 | Jaw motion rehabilitation system | |
| E1800 | Dynamic adjustable elbow extension/flexion device, includes soft interface material | |
| E1801 | Static progressive stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories | |
| E1802 | Dynamic adjustable forearm pronation/supination device, includes soft interface material | |
| E1805 | Dynamic adjustable wrist extension / flexion device, includes soft interface material | |
| E1806 | Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories | |
| E1810 | Dynamic adjustable knee extension / flexion device, includes soft interface material | |
| E1811 | Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories | |
| E1812 | Dynamic knee, extension/flexion device with active resistance control | |
| E1815 | Dynamic adjustable ankle extension/flexion device, includes soft interface material | |
| E1816 | Static progressive stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories | |
| E1818 | Static progressive stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories | |
| E1820 | Replacement soft interface material, dynamic adjustable extension/flexion device | |
| E1821 | Replacement soft interface material/cuffs for bi-directional static progressive stretch device | |
| E1825 | Dynamic adjustable finger extension/flexion device, includes soft interface material | |
| E1830 | Dynamic adjustable toe extension/flexion device, includes soft interface material | |
| E1831 | Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories | |
| E1840 | Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material | |
| E1841 | Static progressive stretch shoulder device, with or without range of motion adjustment, includes all components and accessories | |
| E1902 | Communication board, non-electronic augmentative or alternative communication device | |
| E2000 | Gastric suction pump, home model, portable or stationary, electric | |
| E2100 | Blood glucose monitor with integrated voice synthesizer | |
| E2101 | Blood glucose monitor with integrated lancing/blood sample | |
| E2120 | Pulse generator system for tympanic treatment of inner ear endolymphatic fluid | |
| E2201 | Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches | |
| E2202 | Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches | |
| E2203 | Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches | |
| E2204 | Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches | |
| E2205 | Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each | |
| E2206 | Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each | |
| E2207 | Wheelchair accessory, crutch and cane holder, each | |
| E2208 | Wheelchair accessory, cylinder tank carrier, each | |
| E2209 | Accessory, arm trough, with or without hand support, 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, replacement only, each | |
| E2221 | Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each | |
| E2222 | Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each | |
| E2223 | MANUAL WHEELCHAIR ACCESSORY, VALVE, ANY TYPE, REPLACEMENT ONLY, EACH | |
| E2224 | Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, 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 | |
| E2227 | Manual wheelchair accessory, gear reduction drive wheel, each | |
| E2228 | Manual wheelchair accessory, wheel braking system and lock, complete, each | |
| E2230 | Manual wheelchair accessory, manual standing system | |
| E2231 | Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware | |
| E2291 | Back, planar, for pediatric size wheelchair including fixed attaching hardware | |
| E2292 | Seat, planar, for pediatric size wheelchair including fixed attaching hardware | |
| E2293 | Back, contoured, for pediatric size wheelchair including fixed attaching hardware | |
| E2294 | Seat, contoured, for pediatric size wheelchair including fixed attaching hardware | |
| E2295 | Manual wheelchair accessory, for pediatric size wheelchair, dynamic seating frame, allows coordinated movement of multiple positioning features | |
| E2298 | Complex rehabilitative power wheelchair accessory, power seat elevation system, any type | |
| E2300 | Wheelchair accessory, power seat elevation system, any type | |
| E2301 | Wheelchair accessory, power standing system, any type | |
| E2310 | Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware | |
| E2311 | Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware | |
| E2312 | Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware | |
| E2313 | Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each | |
| E2320 | POWER WHEELCHAIR ACCESSORY, HAND OR CHIN CONTROL INTERFACE, REMOTE JOYSTICK OR TOUCHPAD, PROPORTIONAL, INCLUDING ALL RELATED ELECTRONICS, AND FIXED MOUNTING HARDWARE | |
| E2321 | Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware | |
| E2322 | Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware | |
| E2323 | Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated | |
| E2324 | Power wheelchair accessory, chin cup for chin control interface | |
| E2325 | Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware | |
| E2326 | Power wheelchair accessory, breath tube kit for sip and puff interface | |
| E2327 | Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware | |
| E2328 | Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware | |
| E2329 | Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array, and fixed mounting hardware | |
| E2330 | Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array, and fixed mounting hardware | |
| E2331 | Power wheelchair accessory, attendant control, proportional, including all related electronics and fixed mounting hardware | |
| E2340 | Power wheelchair accessory, nonstandard seat frame width, 20-23 inches | |
| E2341 | Power wheelchair accessory, nonstandard seat frame width, 24-27 inches | |
| E2342 | Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches | |
| E2343 | Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches | |
| E2351 | Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface | |
| 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, 22nf 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 | |
| E2373 | Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware | |
| E2374 | Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only | |
| E2375 | Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only | |
| E2376 | Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only | |
| E2377 | Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue | |
| E2378 | Power wheelchair component, actuator, 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 | |
| E2393 | POWER WHEELCHAIR ACCESSORY, VALVE FOR PNEUMATIC TIRE TUBE, ANY TYPE, 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 | |
| E2399 | POWER WHEELCHAIR ACCESSORY, NOT OTHERWISE CLASSIFIED INTERFACE, INCLUDING ALL RELATED ELECTRONICS AND ANY TYPE MOUNTING HARDWARE | |
| E2402 | Negative pressure wound therapy electrical pump, stationary or portable | |
| E2500 | Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time | |
| E2502 | Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time | |
| E2504 | Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time | |
| E2506 | Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time | |
| E2508 | Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device | |
| E2510 | Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access | |
| E2511 | Speech generating software program, for personal computer or personal digital assistant | |
| E2512 | Accessory for speech generating device, mounting system | |
| E2513 | Accessory for speech generating device, electromyographic sensor | |
| E2599 | Accessory for speech generating device, not otherwise classified | |
| 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 | |
| E2609 | Custom fabricated wheelchair seat cushion, any size | |
| 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 | |
| E2617 | Custom fabricated wheelchair back cushion, any size, including any type mounting hardware | |
| E2618 | WHEELCHAIR ACCESSORY, SOLID SEAT SUPPORT BASE (REPLACES SLING SEAT), FOR USE WITH MANUAL WHEELCHAIR OR LIGHTWEIGHT POWER WHEELCHAIR, INCLUDES 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 | |
| E2626 | Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable | |
| E2627 | Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type | |
| E2628 | Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining | |
| E2629 | Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints) | |
| E2630 | Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support | |
| E2631 | Wheelchair accessory, addition to mobile arm support, elevating proximal arm | |
| E2632 | Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control | |
| E2633 | Wheelchair accessory, addition to mobile arm support, supinator | |
| 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 | |
| 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 | |
| K0014 | Other motorized/power wheelchair base | |
| K0015 | Detachable, non-adjustable height armrest, replacement only, each | |
| K0017 | Detachable, adjustable height armrest, base, replacement only, each | |
| K0018 | Detachable, adjustable height armrest, upper portion, replacement only, each | |
| K0019 | Arm pad, replacement only, each | |
| K0020 | Fixed, adjustable height armrest, pair | |
| K0023 | SOLID BACK INSERT, PLANAR BACK, SINGLE DENSITY FOAM, ATTACHED WITH STRAPS | |
| K0024 | SOLID BACK INSERT, PLANAR BACK, SINGLE DENSITY FOAM, WITH ADJUSTABLE HOOK-ON HARDWARE | |
| 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, replacement only, each | |
| K0043 | Footrest, lower extension tube, replacement only, each | |
| K0044 | Footrest, upper hanger bracket, replacement only, each | |
| K0045 | Footrest, complete assembly, replacement only, each | |
| K0046 | Elevating legrest, lower extension tube, replacement only, each | |
| K0047 | Elevating legrest, upper hanger bracket, replacement only, each | |
| K0050 | Ratchet assembly, replacement only | |
| K0051 | Cam release assembly, footrest or legrest, replacement only, each | |
| K0052 | Swingaway, detachable footrests, replacement only, 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 | |
| K0059 | PLASTIC COATED HANDRIM, EACH | |
| K0060 | STEEL HANDRIM, EACH | |
| K0061 | ALUMINUM HANDRIM, EACH | |
| K0064 | ZERO PRESSURE TUBE (FLAT FREE INSERTS), ANY SIZE, EACH | |
| K0065 | Spoke protectors, each | |
| K0066 | SOLID TIRE, ANY SIZE, EACH | |
| K0067 | PNEUMATIC TIRE, ANY SIZE, EACH | |
| K0068 | PNEUMATIC TIRE TUBE, EACH | |
| K0069 | Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each | |
| K0070 | Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each | |
| K0071 | Front caster assembly, complete, with pneumatic tire, replacement only, each | |
| K0072 | Front caster assembly, complete, with semi-pneumatic tire, replacement only, each | |
| K0073 | Caster pin lock, each | |
| K0074 | PNEUMATIC CASTER TIRE, ANY SIZE, EACH | |
| K0075 | SEMI-PNEUMATIC CASTER TIRE, ANY SIZE, EACH | |
| K0076 | SOLID CASTER TIRE, ANY SIZE, EACH | |
| K0077 | Front caster assembly, complete, with solid tire, replacement only, each | |
| K0078 | PNEUMATIC CASTER TIRE TUBE, EACH | |
| K0081 | WHEEL LOCK ASSEMBLY, COMPLETE, EACH | |
| K0090 | REAR WHEEL TIRE FOR POWER WHEELCHAIR, ANY SIZE, EACH | |
| K0091 | REAR WHEEL TIRE TUBE OTHER THAN ZERO PRESSURE FOR POWER WHEELCHAIR, ANY SIZE,EACH | |
| K0092 | REAR WHEEL ASSEMBLY FOR POWER WHEELCHAIR, COMPLETE, EACH | |
| K0093 | REAR WHEEL, ZERO PRESSURE TIRE TUBE (FLAT FREE INSERT) FOR POWER WHEELCHAIR, ANY SIZE, EACH | |
| K0094 | WHEEL TIRE FOR POWER BASE, ANY SIZE, EACH | |
| K0095 | WHEEL TIRE TUBE OTHER THAN ZERO PRESSURE FOR EACH BASE, ANY SIZE, EACH | |
| K0096 | WHEEL ASSEMBLY FOR POWER BASE, COMPLETE, EACH | |
| K0097 | WHEEL ZERO PRESSURE TIRE TUBE (FLAT FREE INSERT) FOR POWER BASE, ANY SIZE, EACH | |
| K0098 | Drive belt for power wheelchair, replacement only | |
| K0099 | FRONT CASTER FOR POWER WHEELCHAIR, EACH | |
| K0102 | CRUTCH AND CANE HOLDER, EACH | |
| K0104 | CYLINDER TANK CARRIER, EACH | |
| K0105 | Iv hanger, each | |
| K0106 | ARM TROUGH, EACH | |
| K0108 | Wheelchair component or accessory, not otherwise specified | |
| K0114 | BACK SUPPORT SYSTEM FOR USE WITH A WHEELCHAIR, WITH INNER FRAME, PREFABRICATED | |
| K0115 | SEATING SYSTEM, BACK MODULE, POSTERIORLATERAL CONTROL, WITH OR WITHOUT LATERAL SUPPORTS, CUSTOM FABRICATED FOR ATTACHMENT TO WHEELCHAIR BASE | |
| K0116 | SEATING SYSTEM, COMBINED BACK AND SEAT MODULE, CUSTOM FABRICATED FOR ATTACHMENT TO WHEELCHAIR BASE | |
| K0194 | INTERMITTENT ASSIST DEVICE WITH CONTINUOUS POSITIVE AIRWAY PRESSURE, WITH HUMIDIFIER | |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | |
| K0452 | WHEELCHAIR BEARINGS, ANY TYPE | |
| K0455 | Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) | |
| K0554 | Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system | |
| K0555 | NASAL PILLOWS FOR COMBINATION ORAL/NASAL MASK, REPLACEMENT ONLY, PAIR | |
| K0600 | FUNCTIONAL NEUROMUSCULAR STIMULATOR, TRANSCUTANEOUS STIMULATION OF MUSCLES OF AMBULATION WITH COMPUTER CONTROL, USED FOR WALKING BY SPINAL CORD INJURED, ENTIRE SYSTEM, AFTER COMPLETION OF TRAINING PROGRAM | |
| K0601 | Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each | |
| K0602 | Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each | |
| K0603 | Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each | |
| K0604 | Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each | |
| K0605 | Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each | |
| K0606 | Automatic external defibrillator, with integrated electrocardiogram analysis, garment type | |
| K0607 | Replacement battery for automated external defibrillator, garment type only, each | |
| K0608 | Replacement garment for use with automated external defibrillator, each | |
| K0627 | TRACTION EQUIPMENT, CERVICAL, FREE-STANDING, PNEUMATIC, APPLYING TRACTION FORCE TO OTHER THAN MANDIBLE | |
| K0650 | GENERAL USE WHEELCHAIR SEAT CUSHION, WIDTH LESS THAN 22 INCHES, ANY DEPTH | |
| K0651 | GENERAL USE WHEELCHAIR SEAT CUSHION, WIDTH 22 INCHES OR GREATER, ANY DEPTH | |
| K0652 | SKIN PROTECTION WHEELCHAIR SEAT CUSHION, WIDTH LESS THAN 22 INCHES, ANY DEPTH | |
| K0653 | SKIN PROTECTION WHEELCHAIR SEAT CUSHION, WIDTH 22 INCHES OR GREATER, ANY DEPTH | |
| K0654 | POSITIONING WHEELCHAIR SEAT CUSHION, WIDTH LESS THAN 22 INCHES, ANY DEPTH | |
| K0655 | POSITIONING WHEELCHAIR SEAT CUSHION, WIDTH 22 INCHES OR GREATER, ANY DEPTH | |
| K0656 | SKIN PROTECTION AND POSITIONING WHEELCHAIR SEAT CUSHION, WIDTH LESS THAN 22 INCHES, ANY DEPTH | |
| K0657 | SKIN PROTECTION AND POSITIONING WHEELCHAIR SEAT CUSHION, WIDTH 22 INCHES OR GREATER, ANY DEPTH | |
| K0658 | CUSTOM FABRICATED WHEELCHAIR SEAT CUSHION, ANY SIZE | |
| K0659 | WHEELCHAIR SEAT CUSHION, POWERED | |
| K0660 | GENERAL USE WHEELCHAIR BACK CUSHION, WIDTH LESS THAN 22 INCHES, ANY HEIGHT, INCLUDING ANY TYPE MOUNTING HARDWARE | |
| K0661 | GENERAL USE WHEELCHAIR BACK CUSHION, WIDTH 22 INCHES OR GREATER, ANY HEIGHT, INCLUDING ANY TYPE MOUNTING HARDWARE | |
| K0662 | POSITIONING WHEELCHAIR BACK CUSHION, POSTERIOR, WIDTH LESS THAN 22 INCHES, ANY HEIGHT, INCLUDING ANY TYPE MOUNTING HARDWARE | |
| K0663 | POSITIONING WHEELCHAIR BACK CUSHION, POSTERIOR, WIDTH 22 INCHES OR GREATER, ANY HEIGHT, INCLUDING ANY TYPE MOUNTING HARDWARE | |
| K0664 | POSITIONING WHEELCHAIR BACK CUSHION, POSTERIOR-LATERAL, WIDTH LESS THAN 22 INCHES, ANY HEIGHT, INCLUDING ANY TYPE MOUNTING HARDWARE | |
| K0665 | POSITIONING WHEELCHAIR BACK CUSHION, POSTERIOR-LATERAL, WIDTH 22 INCHES OR GREATER, ANY HEIGHT, INCLUDING ANY TYPE MOUNTING HARDWARE | |
| K0666 | CUSTOM FABRICATED WHEELCHAIR BACK CUSHION, ANY SIZE, INCLUDING ANY TYPE MOUNTING HARDWARE | |
| K0667 | MOUNTING HARDWARE, ANY TYPE, FOR SEAT CUSHION OR SEAT SUPPORT BASE ATTACHED TO A MANUAL WHEELCHAIR OR LIGHTWEIGHT POWER WHEELCHAIR, PER CUSHION/BASE | |
| K0668 | REPLACEMENT COVER FOR WHEELCHAIR SEAT CUSHION OR BACK CUSHION, EACH | |
| K0669 | Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from dme pdac | |
| K0671 | PORTABLE OXYGEN CONCENTRATOR, RENTAL | |
| K0730 | Controlled dose inhalation drug delivery system | |
| 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 | |
| K0738 | Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing | |
| K0741 | Portable gaseous oxygen system, rental, includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing, for cluster headaches | |
| K0743 | Suction pump, home model, portable, for use on wounds | |
| 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 | |
| K0884 | Power wheelchair, group 4 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds | |
| K0885 | Power wheelchair, group 4 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds | |
| K0886 | Power wheelchair, group 4 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds | |
| K0890 | Power wheelchair, group 5 pediatric, single power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds | |
| K0891 | Power wheelchair, group 5 pediatric, multiple power option, sling/solid seat/back, patient weight capacity up to and including 125 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 | |
| L3964 | Shoulder elbow orthosis, mobile arm support attached to wheelchair, balanced, adjustable, prefabricated, includes fitting and adjustment | |
| L3965 | Shoulder elbow orthosis, mobile arm support attached to wheelchair, balanced, adjustable rancho type, prefabricated, includes fitting and adjustment | |
| L3966 | Shoulder elbow orthosis, mobile arm support attached to wheelchair, balanced, reclining, prefabricated, includes fitting and adjustment | |
| L3968 | Shoulder elbow orthosis, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints), prefabricated, includes fitting and adjustment | |
| L3969 | Shoulder elbow orthosis, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support, prefabricated, includes fitting and adjustment | |
| L3970 | Seo, addition to mobile arm support, elevating proximal arm | |
| L3972 | Seo, addition to mobile arm support, offset or lateral rocker arm with elastic balance control | |
| L3974 | Seo, addition to mobile arm support, supinator | |
| L8701 | Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated | |
| L8702 | Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated | |
| S1030 | Continuous noninvasive glucose monitoring device, purchase (for physician interpretation of data, use cpt code) | |
| S1031 | Continuous noninvasive glucose monitoring device, rental, including sensor, sensor replacement, and download to monitor (for physician interpretation of data, use cpt code) | |
Thank you for choosing Find-A-Code, please Sign In to remove ads.
Quick, Current, Complete - www.findacode.com