| 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 |
| 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 |
| E0188 |
Synthetic sheepskin pad |
| E0189 |
Lambswool sheepskin pad, any size |
| 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 |
| E0202 |
Phototherapy (bilirubin) light with photometer |
| E0203 |
Therapeutic lightbox, minimum 10,000 lux, table top model |
| 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 |
| E0221 |
Infrared heating pad system |
| E0225 |
Hydrocollator unit, includes pads |
| E0231 |
Non-contact wound warming device (temperature control unit, ac adapter and power cord) for use with warming card and wound cover |
| E0232 |
Warming card for use with the non contact wound warming device and non contact wound warming wound cover |
| E0235 |
Paraffin bath unit, portable (see medical supply code a4265 for paraffin) |
| E0236 |
Pump for water circulating pad |
| 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 |
| 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 |
| E0350 |
Control unit for electronic bowel irrigation/evacuation system |
| E0352 |
Disposable pack (water reservoir bag, speculum, valving mechanism and collection bag/box) for use with the electronic bowel irrigation/evacuation system |
| 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 |
| 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 |
| E0446 |
Topical oxygen delivery system, not otherwise specified, includes all supplies and accessories |
| E0447 |
Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) |
| E0450 |
Volume control ventilator, without pressure support mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube) |
| 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 |
| 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, includes all accessories and supplies, each |
| E0484 |
Oscillatory positive expiratory pressure device, non-electric, any type, each |
| E0485 |
Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, prefabricated, includes fitting and adjustment |
| E0486 |
Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment |
| E0487 |
Spirometer, electronic, includes all accessories |
| E0500 |
Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source |
| 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 |
| 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 |
| E0602 |
Breast pump, manual, any type |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
| E0604 |
Breast pump, hospital grade, electric (ac and / or dc), any type |
| 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 |
| E0616 |
Implantable cardiac event recorder with memory, activator and programmer |
| 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 |
| E0639 |
Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories |
| E0640 |
Patient lift, fixed system, includes all components/accessories |
| 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 |
| 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 |
| E0705 |
Transfer device, any type, each |
| E0710 |
Restraints, any type (body, chest, wrist or ankle) |
| 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 |
| E0731 |
Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) |
| 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 |
| E0749 |
Osteogenesis stimulator, electrical, surgically implanted |
| E0755 |
Electronic salivary reflex stimulator (intra-oral/non-invasive) |
| E0760 |
Osteogenesis stimulator, low intensity ultrasound, non-invasive |
| 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 |
| 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 |
| E0785 |
Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement |
| E0786 |
Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) |
| E0787 |
External ambulatory infusion pump, insulin, dosage rate adjustment using therapeutic continuous glucose sensing |
| E0791 |
Parenteral infusion pump, stationary, single or multi-channel |
| E0830 |
Ambulatory traction device, all types, each |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| E1020 |
Residual limb support system for wheelchair, any type |
| 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 |
| E1220 |
Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification |
| 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) |
| E1310 |
Whirlpool, non-portable (built-in type) |
| 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 |
| 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 |
| E1500 |
Centrifuge, for dialysis |
| E1510 |
Kidney, dialysate delivery syst kidney machine, pump recirculating, air removal syst, flowrate meter, power off, heater and temperature control with alarm, i.v. poles, pressure gauge, concentrate container |
| E1520 |
Heparin infusion pump for hemodialysis |
| E1530 |
Air bubble detector for hemodialysis, each, replacement |
| E1540 |
Pressure alarm for hemodialysis, each, replacement |
| E1550 |
Bath conductivity meter for hemodialysis, each |
| E1560 |
Blood leak detector for hemodialysis, each, replacement |
| E1570 |
Adjustable chair, for esrd patients |
| E1575 |
Transducer protectors/fluid barriers, for hemodialysis, any size, per 10 |
| E1580 |
Unipuncture control system for hemodialysis |
| E1590 |
Hemodialysis machine |
| E1592 |
Automatic intermittent peritoneal dialysis system |
| E1594 |
Cycler dialysis machine for peritoneal dialysis |
| E1600 |
Delivery and/or installation charges for hemodialysis equipment |
| E1610 |
Reverse osmosis water purification system, for hemodialysis |
| E1615 |
Deionizer water purification system, for hemodialysis |
| E1620 |
Blood pump for hemodialysis, replacement |
| E1625 |
Water softening system, for hemodialysis |
| E1630 |
Reciprocating peritoneal dialysis system |
| E1632 |
Wearable artificial kidney, each |
| E1634 |
Peritoneal dialysis clamps, each |
| E1635 |
Compact (portable) travel hemodialyzer system |
| E1636 |
Sorbent cartridges, for hemodialysis, per 10 |
| E1637 |
Hemostats, each |
| E1639 |
Scale, each |
| E1699 |
Dialysis equipment, not otherwise specified |
| E1700 |
Jaw motion rehabilitation system |
| E1701 |
Replacement cushions for jaw motion rehabilitation system, pkg. of 6 |
| E1702 |
Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| E2397 |
Power wheelchair accessory, lithium-based battery, each |
| E2398 |
Wheelchair accessory, dynamic positioning hardware for back |
| 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 |
| 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 |
| 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 |
| 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 |