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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