OMB Memorandum: Managing Federal Contract Performance Issues Associated with the Novel Coronavirus (March 20th, 2020)
E0100–E9999: Durable Medical Equipment
HCPC | SEQNUM | RECID | LONG DESCRIPTION | SHORT DESCRIPTION |
---|---|---|---|---|
E0100 | 0010 | 3 | Cane, includes canes of all materials, adjustable or fixed, with tip | Cane adjust/fixed with tip |
E0105 | 0010 | 3 | Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips | Cane adjust/fixed quad/3 pro |
E0110 | 0010 | 3 | Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips | Crutch forearm pair |
E0111 | 0010 | 3 | Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips | Crutch forearm each |
E0112 | 0010 | 3 | Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips | Crutch underarm pair wood |
E0113 | 0010 | 3 | Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip | Crutch underarm each wood |
E0114 | 0010 | 3 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | Crutch underarm pair no wood |
E0116 | 0010 | 3 | Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each | Crutch underarm each no wood |
E0117 | 0010 | 3 | Crutch, underarm, articulating, spring assisted, each | Underarm springassist crutch |
E0118 | 0010 | 3 | Crutch substitute, lower leg platform, with or without wheels, each | Crutch substitute |
E0130 | 0010 | 3 | Walker, rigid (pickup), adjustable or fixed height | Walker rigid adjust/fixed ht |
E0135 | 0010 | 3 | Walker, folding (pickup), adjustable or fixed height | Walker folding adjust/fixed |
E0140 | 0010 | 3 | Walker, with trunk support, adjustable or fixed height, any type | Walker w trunk support |
E0141 | 0010 | 3 | Walker, rigid, wheeled, adjustable or fixed height | Rigid wheeled walker adj/fix |
E0143 | 0010 | 3 | Walker, folding, wheeled, adjustable or fixed height | Walker folding wheeled w/o s |
E0144 | 0010 | 3 | Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat | Enclosed walker w rear seat |
E0147 | 0010 | 3 | Walker, heavy duty, multiple braking system, variable wheel resistance | Walker variable wheel resist |
E0148 | 0010 | 3 | Walker, heavy duty, without wheels, rigid or folding, any type, each | Heavyduty walker no wheels |
E0149 | 0010 | 3 | Walker, heavy duty, wheeled, rigid or folding, any type | Heavy duty wheeled walker |
E0153 | 0010 | 3 | Platform attachment, forearm crutch, each | Forearm crutch platform atta |
E0154 | 0010 | 3 | Platform attachment, walker, each | Walker platform attachment |
E0155 | 0010 | 3 | Wheel attachment, rigid pick-up walker, per pair | Walker wheel attachment,pair |
E0156 | 0010 | 3 | Seat attachment, walker | Walker seat attachment |
E0157 | 0010 | 3 | Crutch attachment, walker, each | Walker crutch attachment |
E0158 | 0010 | 3 | Leg extensions for walker, per set of four (4) | Walker leg extenders set of4 |
E0159 | 0010 | 3 | Brake attachment for wheeled walker, replacement, each | Brake for wheeled walker |
E0160 | 0010 | 3 | Sitz type bath or equipment, portable, used with or without commode | Sitz type bath or equipment |
E0161 | 0010 | 3 | Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s | Sitz bath/equipment w/faucet |
E0162 | 0010 | 3 | Sitz bath chair | Sitz bath chair |
E0163 | 0010 | 3 | Commode chair, mobile or stationary, with fixed arms | Commode chair with fixed arm |
E0165 | 0010 | 3 | Commode chair, mobile or stationary, with detachable arms | Commode chair with detacharm |
E0167 | 0010 | 3 | Pail or pan for use with commode chair, replacement only | Commode chair pail or pan |
E0168 | 0010 | 3 | Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each | Heavyduty/wide commode chair |
E0170 | 0010 | 3 | Commode chair with integrated seat lift mechanism, electric, any type | Commode chair electric |
E0171 | 0010 | 3 | Commode chair with integrated seat lift mechanism, non-electric, any type | Commode chair non-electric |
E0172 | 0010 | 3 | Seat lift mechanism placed over or on top of toilet, any type | Seat lift mechanism toilet |
E0175 | 0010 | 3 | Foot rest, for use with commode chair, each | Commode chair foot rest |
E0181 | 0010 | 3 | Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty | Press pad alternating w/ pum |
E0182 | 0010 | 3 | Pump for alternating pressure pad, for replacement only | Replace pump, alt press pad |
E0184 | 0010 | 3 | Dry pressure mattress | Dry pressure mattress |
E0185 | 0010 | 3 | Gel or gel-like pressure pad for mattress, standard mattress length and width | Gel pressure mattress pad |
E0186 | 0010 | 3 | Air pressure mattress | Air pressure mattress |
E0187 | 0010 | 3 | Water pressure mattress | Water pressure mattress |
E0188 | 0010 | 3 | Synthetic sheepskin pad | Synthetic sheepskin pad |
E0189 | 0010 | 3 | Lambswool sheepskin pad, any size | Lambswool sheepskin pad |
E0190 | 0010 | 3 | Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories | Positioning cushion |
E0191 | 0010 | 3 | Heel or elbow protector, each | Protector heel or elbow |
E0193 | 0010 | 3 | Powered air flotation bed (low air loss therapy) | Powered air flotation bed |
E0194 | 0010 | 3 | Air fluidized bed | Air fluidized bed |
E0196 | 0010 | 3 | Gel pressure mattress | Gel pressure mattress |
E0197 | 0010 | 3 | Air pressure pad for mattress, standard mattress length and width | Air pressure pad for mattres |
E0198 | 0010 | 3 | Water pressure pad for mattress, standard mattress length and width | Water pressure pad for mattr |
E0199 | 0010 | 3 | Dry pressure pad for mattress, standard mattress length and width | Dry pressure pad for mattres |
E0200 | 0010 | 3 | Heat lamp, without stand (table model), includes bulb, or infrared element | Heat lamp without stand |
E0202 | 0010 | 3 | Phototherapy (bilirubin) light with photometer | Phototherapy light w/ photom |
E0203 | 0010 | 3 | Therapeutic lightbox, minimum 10,000 lux, table top model | Therapeutic lightbox tabletp |
E0205 | 0010 | 3 | Heat lamp, with stand, includes bulb, or infrared element | Heat lamp with stand |
E0210 | 0010 | 3 | Electric heat pad, standard | Electric heat pad standard |
E0215 | 0010 | 3 | Electric heat pad, moist | Electric heat pad moist |
E0217 | 0010 | 3 | Water circulating heat pad with pump | Water circ heat pad w pump |
E0218 | 0010 | 3 | Fluid circulating cold pad with pump, any type | Fluid circ cold pad w pump |
E0221 | 0010 | 3 | Infrared heating pad system | Infrared heating pad system |
E0225 | 0010 | 3 | Hydrocollator unit, includes pads | Hydrocollator unit |
E0231 | 0010 | 3 | Non-contact wound warming device (temperature control unit, ac adapter and power cord) for use with warming card and wound cover | Wound warming device |
E0232 | 0010 | 3 | Warming card for use with the non contact wound warming device and non contact wound warming wound cover | Warming card for nwt |
E0235 | 0010 | 3 | Paraffin bath unit, portable (see medical supply code a4265 for paraffin) | Paraffin bath unit portable |
E0236 | 0010 | 3 | Pump for water circulating pad | Pump for water circulating p |
E0239 | 0010 | 3 | Hydrocollator unit, portable | Hydrocollator unit portable |
E0240 | 0010 | 3 | Bath/shower chair, with or without wheels, any size | Bath/shower chair |
E0241 | 0010 | 3 | Bath tub wall rail, each | Bath tub wall rail |
E0242 | 0010 | 3 | Bath tub rail, floor base | Bath tub rail floor |
E0243 | 0010 | 3 | Toilet rail, each | Toilet rail |
E0244 | 0010 | 3 | Raised toilet seat | Toilet seat raised |
E0245 | 0010 | 3 | Tub stool or bench | Tub stool or bench |
E0246 | 0010 | 3 | Transfer tub rail attachment | Transfer tub rail attachment |
E0247 | 0010 | 3 | Transfer bench for tub or toilet with or without commode opening | Trans bench w/wo comm open |
E0248 | 0010 | 3 | Transfer bench, heavy duty, for tub or toilet with or without commode opening | Hdtrans bench w/wo comm open |
E0249 | 0010 | 3 | Pad for water circulating heat unit, for replacement only | Pad water circulating heat u |
E0250 | 0010 | 3 | Hospital bed, fixed height, with any type side rails, with mattress | Hosp bed fixed ht w/ mattres |
E0251 | 0010 | 3 | Hospital bed, fixed height, with any type side rails, without mattress | Hosp bed fixd ht w/o mattres |
E0255 | 0010 | 3 | Hospital bed, variable height, hi-lo, with any type side rails, with mattress | Hospital bed var ht w/ mattr |
E0256 | 0010 | 3 | Hospital bed, variable height, hi-lo, with any type side rails, without mattress | Hospital bed var ht w/o matt |
E0260 | 0010 | 3 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | Hosp bed semi-electr w/ matt |
E0261 | 0010 | 3 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress | Hosp bed semi-electr w/o mat |
E0265 | 0010 | 3 | Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress | Hosp bed total electr w/ mat |
E0266 | 0010 | 3 | Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress | Hosp bed total elec w/o matt |
E0270 | 0010 | 3 | Hospital bed, institutional type includes: oscillating, circulating and stryker frame, with mattress | Hospital bed institutional t |
E0271 | 0010 | 3 | Mattress, innerspring | Mattress innerspring |
E0272 | 0010 | 3 | Mattress, foam rubber | Mattress foam rubber |
E0273 | 0010 | 3 | Bed board | Bed board |
E0274 | 0010 | 3 | Over-bed table | Over-bed table |
E0275 | 0010 | 3 | Bed pan, standard, metal or plastic | Bed pan standard |
E0276 | 0010 | 3 | Bed pan, fracture, metal or plastic | Bed pan fracture |
E0277 | 0010 | 3 | Powered pressure-reducing air mattress | Powered pres-redu air mattrs |
E0280 | 0010 | 3 | Bed cradle, any type | Bed cradle |
E0290 | 0010 | 3 | Hospital bed, fixed height, without side rails, with mattress | Hosp bed fx ht w/o rails w/m |
E0291 | 0010 | 3 | Hospital bed, fixed height, without side rails, without mattress | Hosp bed fx ht w/o rail w/o |
E0292 | 0010 | 3 | Hospital bed, variable height, hi-lo, without side rails, with mattress | Hosp bed var ht no sr w/matt |
E0293 | 0010 | 3 | Hospital bed, variable height, hi-lo, without side rails, without mattress | Hosp bed var ht no sr no mat |
E0294 | 0010 | 3 | Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress | Hosp bed semi-elect w/ mattr |
E0295 | 0010 | 3 | Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress | Hosp bed semi-elect w/o matt |
E0296 | 0010 | 3 | Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress | Hosp bed total elect w/ matt |
E0297 | 0010 | 3 | Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress | Hosp bed total elect w/o mat |
E0300 | 0010 | 3 | Pediatric crib, hospital grade, fully enclosed, with or without top enclosure | Enclosed ped crib hosp grade |
E0301 | 0010 | 3 | 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 | Hd hosp bed, 350-600 lbs |
E0302 | 0010 | 3 | Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress | Ex hd hosp bed > 600 lbs |
E0303 | 0010 | 3 | 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 | Hosp bed hvy dty xtra wide |
E0304 | 0010 | 3 | Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress | Hosp bed xtra hvy dty x wide |
E0305 | 0010 | 3 | Bed side rails, half length | Rails bed side half length |
E0310 | 0010 | 3 | Bed side rails, full length | Rails bed side full length |
E0315 | 0010 | 3 | Bed accessory: board, table, or support device, any type | Bed accessory brd/tbl/supprt |
E0316 | 0010 | 3 | Safety enclosure frame/canopy for use with hospital bed, any type | Bed safety enclosure |
E0325 | 0010 | 3 | Urinal; male, jug-type, any material | Urinal male jug-type |
E0326 | 0010 | 3 | Urinal; female, jug-type, any material | Urinal female jug-type |
E0328 | 0010 | 3 | Hospital bed, pediatric, manual, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress | Ped hospital bed, manual |
E0329 | 0010 | 3 | 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 | Ped hospital bed semi/elect |
E0350 | 0010 | 3 | Control unit for electronic bowel irrigation/evacuation system | Control unit bowel system |
E0352 | 0010 | 3 | Disposable pack (water reservoir bag, speculum, valving mechanism and collection bag/box) for use with the electronic bowel irrigation/evacuation system | Disposable pack w/bowel syst |
E0370 | 0010 | 3 | Air pressure elevator for heel | Air elevator for heel |
E0371 | 0010 | 3 | Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width | Nonpower mattress overlay |
E0372 | 0010 | 3 | Powered air overlay for mattress, standard mattress length and width | Powered air mattress overlay |
E0373 | 0010 | 3 | Nonpowered advanced pressure reducing mattress | Nonpowered pressure mattress |
E0424 | 0010 | 3 | Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing | Stationary compressed gas 02 |
E0425 | 0010 | 3 | Stationary compressed gas system, purchase; includes regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing | Gas system stationary compre |
E0430 | 0010 | 3 | Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing | Oxygen system gas portable |
E0431 | 0010 | 3 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | Portable gaseous 02 |
E0433 | 0010 | 3 | 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 | Portable liquid oxygen sys |
E0434 | 0010 | 3 | Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing | Portable liquid 02 |
E0435 | 0010 | 3 | Portable liquid oxygen system, purchase; includes portable container, supply reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and refill adaptor | Oxygen system liquid portabl |
E0439 | 0010 | 3 | Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing | Stationary liquid 02 |
E0440 | 0010 | 3 | Stationary liquid oxygen system, purchase; includes use of reservoir, contents indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing | Oxygen system liquid station |
E0441 | 0010 | 3 | Stationary oxygen contents, gaseous, 1 month’s supply = 1 unit | Stationary o2 contents, gas |
E0442 | 0010 | 3 | Stationary oxygen contents, liquid, 1 month’s supply = 1 unit | Stationary o2 contents, liq |
E0443 | 0010 | 3 | Portable oxygen contents, gaseous, 1 month’s supply = 1 unit | Portable 02 contents, gas |
E0444 | 0010 | 3 | Portable oxygen contents, liquid, 1 month’s supply = 1 unit | Portable 02 contents, liquid |
E0445 | 0010 | 3 | Oximeter device for measuring blood oxygen levels non-invasively | Oximeter non-invasive |
E0446 | 0010 | 3 | Topical oxygen delivery system, not otherwise specified, includes all supplies and accessories | Topical ox deliver sys, nos |
E0447 | 0010 | 3 | Portable oxygen contents, liquid, 1 month’s supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) | Port o2 cont, liq over 4 lpm |
E0450 | 0010 | 3 | Volume control ventilator, without pressure support mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube) | Vol control vent invasiv int |
E0455 | 0010 | 3 | Oxygen tent, excluding croup or pediatric tents | Oxygen tent excl croup/ped t |
E0457 | 0010 | 3 | Chest shell (cuirass) | Chest shell |
E0459 | 0010 | 3 | Chest wrap | Chest wrap |
E0460 | 0010 | 3 | Negative pressure ventilator; portable or stationary | Neg press vent portabl/statn |
E0461 | 0010 | 3 | Volume control ventilator, without pressure support mode, may include pressure control mode, used with non-invasive interface (e.g., mask) | Vol control vent noninv int |
E0462 | 0010 | 3 | Rocking bed with or without side rails | Rocking bed w/ or w/o side r |
E0463 | 0010 | 3 | Pressure support ventilator with volume control mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube) | Press supp vent invasive int |
E0464 | 0010 | 3 | Pressure support ventilator with volume control mode, may include pressure control mode, used with non-invasive interface (e.g., mask) | Press supp vent noninv int |
E0465 | 0010 | 3 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | Home vent invasive interface |
E0466 | 0010 | 3 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | Home vent non-invasive inter |
E0467 | 0010 | 3 | 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 | Home vent multi-function |
E0470 | 0010 | 3 | 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) | Rad w/o backup non-inv intfc |
E0471 | 0010 | 3 | 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) | Rad w/backup non inv intrfc |
E0472 | 0010 | 3 | 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) | Rad w backup invasive intrfc |
E0480 | 0010 | 3 | Percussor, electric or pneumatic, home model | Percussor elect/pneum home m |
E0481 | 0010 | 3 | Intrapulmonary percussive ventilation system and related accessories | Intrpulmnry percuss vent sys |
E0482 | 0010 | 3 | Cough stimulating device, alternating positive and negative airway pressure | Cough stimulating device |
E0483 | 0010 | 3 | High frequency chest wall oscillation system, includes all accessories and supplies, each | Hi freq chest wall oscil sys |
E0484 | 0010 | 3 | Oscillatory positive expiratory pressure device, non-electric, any type, each | Non-elec oscillatory pep dvc |
E0485 | 0010 | 3 | Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, prefabricated, includes fitting and adjustment | Oral device/appliance prefab |
E0486 | 0010 | 3 | Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment | Oral device/appliance cusfab |
E0487 | 0010 | 3 | Spirometer, electronic, includes all accessories | Electronic spirometer |
E0500 | 0010 | 3 | Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source | Ippb all types |
E0550 | 0010 | 3 | Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery | Humidif extens supple w ippb |
E0555 | 0010 | 3 | Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter | Humidifier for use w/ regula |
E0560 | 0010 | 3 | Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery | Humidifier supplemental w/ i |
E0561 | 0010 | 3 | Humidifier, non-heated, used with positive airway pressure device | Humidifier nonheated w pap |
E0562 | 0010 | 3 | Humidifier, heated, used with positive airway pressure device | Humidifier heated used w pap |
E0565 | 0010 | 3 | Compressor, air power source for equipment which is not self-contained or cylinder driven | Compressor air power source |
E0570 | 0010 | 3 | Nebulizer, with compressor | Nebulizer with compression |
E0572 | 0010 | 3 | Aerosol compressor, adjustable pressure, light duty for intermittent use | Aerosol compressor adjust pr |
E0574 | 0010 | 3 | Ultrasonic/electronic aerosol generator with small volume nebulizer | Ultrasonic generator w svneb |
E0575 | 0010 | 3 | Nebulizer, ultrasonic, large volume | Nebulizer ultrasonic |
E0580 | 0010 | 3 | Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter | Nebulizer for use w/ regulat |
E0585 | 0010 | 3 | Nebulizer, with compressor and heater | Nebulizer w/ compressor & he |
E0600 | 0010 | 3 | Respiratory suction pump, home model, portable or stationary, electric | Suction pump portab hom modl |
E0601 | 0010 | 3 | Continuous positive airway pressure (cpap) device | Cont airway pressure device |
E0602 | 0010 | 3 | Breast pump, manual, any type | Manual breast pump |
E0603 | 0010 | 3 | Breast pump, electric (ac and/or dc), any type | Electric breast pump |
E0604 | 0010 | 3 | Breast pump, hospital grade, electric (ac and / or dc), any type | Hosp grade elec breast pump |
E0605 | 0010 | 3 | Vaporizer, room type | Vaporizer room type |
E0606 | 0010 | 3 | Postural drainage board | Drainage board postural |
E0607 | 0010 | 3 | Home blood glucose monitor | Blood glucose monitor home |
E0610 | 0010 | 3 | Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) | Pacemaker monitr audible/vis |
E0615 | 0010 | 3 | Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems | Pacemaker monitr digital/vis |
E0616 | 0010 | 3 | Implantable cardiac event recorder with memory, activator and programmer | Cardiac event recorder |
E0617 | 0010 | 3 | External defibrillator with integrated electrocardiogram analysis | Automatic ext defibrillator |
E0618 | 0010 | 3 | Apnea monitor, without recording feature | Apnea monitor |
E0619 | 0010 | 3 | Apnea monitor, with recording feature | Apnea monitor w recorder |
E0620 | 0010 | 3 | Skin piercing device for collection of capillary blood, laser, each | Cap bld skin piercing laser |
E0621 | 0010 | 3 | Sling or seat, patient lift, canvas or nylon | Patient lift sling or seat |
E0625 | 0010 | 3 | Patient lift, bathroom or toilet, not otherwise classified | Patient lift bathroom or toi |
E0627 | 0010 | 3 | Seat lift mechanism, electric, any type | Seat lift mech, electric any |
E0628 | 0010 | 3 | Separate seat lift mechanism for use with patient owned furniture-electric | Seat lift for pt furn-electr |
E0629 | 0010 | 3 | Seat lift mechanism, non-electric, any type | Seat lift mech, non-electric |
E0630 | 0010 | 3 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | Patient lift hydraulic |
E0635 | 0010 | 3 | Patient lift, electric with seat or sling | Patient lift electric |
E0636 | 0010 | 3 | Multipositional patient support system, with integrated lift, patient accessible controls | Pt support & positioning sys |
E0637 | 0010 | 3 | Combination sit to stand frame/table system, any size including pediatric, with seat lift feature, with or without wheels | Combination sit to stand sys |
E0638 | 0010 | 3 | Standing frame/table system, one position (e.g., upright, supine or prone stander), any size including pediatric, with or without wheels | Standing frame sys |
E0639 | 0010 | 3 | Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories | Moveable patient lift system |
E0640 | 0010 | 3 | Patient lift, fixed system, includes all components/accessories | Fixed patient lift system |
E0641 | 0010 | 3 | Standing frame/table system, multi-position (e.g., three-way stander), any size including pediatric, with or without wheels | Multi-position stnd fram sys |
E0642 | 0010 | 3 | Standing frame/table system, mobile (dynamic stander), any size including pediatric | Dynamic standing frame |
E0650 | 0010 | 3 | Pneumatic compressor, non-segmental home model | Pneuma compresor non-segment |
E0651 | 0010 | 3 | Pneumatic compressor, segmental home model without calibrated gradient pressure | Pneum compressor segmental |
E0652 | 0010 | 3 | Pneumatic compressor, segmental home model with calibrated gradient pressure | Pneum compres w/cal pressure |
E0655 | 0010 | 3 | Non-segmental pneumatic appliance for use with pneumatic compressor, half arm | Pneumatic appliance half arm |
E0656 | 0010 | 3 | Segmental pneumatic appliance for use with pneumatic compressor, trunk | Segmental pneumatic trunk |
E0657 | 0010 | 3 | Segmental pneumatic appliance for use with pneumatic compressor, chest | Segmental pneumatic chest |
E0660 | 0010 | 3 | Non-segmental pneumatic appliance for use with pneumatic compressor, full leg | Pneumatic appliance full leg |
E0665 | 0010 | 3 | Non-segmental pneumatic appliance for use with pneumatic compressor, full arm | Pneumatic appliance full arm |
E0666 | 0010 | 3 | Non-segmental pneumatic appliance for use with pneumatic compressor, half leg | Pneumatic appliance half leg |
E0667 | 0010 | 3 | Segmental pneumatic appliance for use with pneumatic compressor, full leg | Seg pneumatic appl full leg |
E0668 | 0010 | 3 | Segmental pneumatic appliance for use with pneumatic compressor, full arm | Seg pneumatic appl full arm |
E0669 | 0010 | 3 | Segmental pneumatic appliance for use with pneumatic compressor, half leg | Seg pneumatic appli half leg |
E0670 | 0010 | 3 | Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk | Seg pneum int legs/trunk |
E0671 | 0010 | 3 | Segmental gradient pressure pneumatic appliance, full leg | Pressure pneum appl full leg |
E0672 | 0010 | 3 | Segmental gradient pressure pneumatic appliance, full arm | Pressure pneum appl full arm |
E0673 | 0010 | 3 | Segmental gradient pressure pneumatic appliance, half leg | Pressure pneum appl half leg |
E0675 | 0010 | 3 | Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) | Pneumatic compression device |
E0676 | 0010 | 3 | Intermittent limb compression device (includes all accessories), not otherwise specified | Inter limb compress dev nos |
E0691 | 0010 | 3 | Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less | Uvl pnl 2 sq ft or less |
E0692 | 0010 | 3 | Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel | Uvl sys panel 4 ft |
E0693 | 0010 | 3 | Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel | Uvl sys panel 6 ft |
E0694 | 0010 | 3 | Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection | Uvl md cabinet sys 6 ft |
E0700 | 0010 | 3 | Safety equipment, device or accessory, any type | Safety equipment |
E0705 | 0010 | 3 | Transfer device, any type, each | Transfer device |
E0710 | 0010 | 3 | Restraints, any type (body, chest, wrist or ankle) | Restraints any type |
E0720 | 0010 | 3 | Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation | Tens two lead |
E0730 | 0010 | 3 | Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation | Tens four lead |
E0731 | 0010 | 3 | Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient’s skin by layers of fabric) | Conductive garment for tens/ |
E0740 | 0010 | 3 | Non-implanted pelvic floor electrical stimulator, complete system | Non-implant pelv flr e-stim |
E0744 | 0010 | 3 | Neuromuscular stimulator for scoliosis | Neuromuscular stim for scoli |
E0745 | 0010 | 3 | Neuromuscular stimulator, electronic shock unit | Neuromuscular stim for shock |
E0746 | 0010 | 3 | Electromyography (emg), biofeedback device | Electromyograph biofeedback |
E0747 | 0010 | 3 | Osteogenesis stimulator, electrical, non-invasive, other than spinal applications | Elec osteogen stim not spine |
E0748 | 0010 | 3 | Osteogenesis stimulator, electrical, non-invasive, spinal applications | Elec osteogen stim spinal |
E0749 | 0010 | 3 | Osteogenesis stimulator, electrical, surgically implanted | Elec osteogen stim implanted |
E0755 | 0010 | 3 | Electronic salivary reflex stimulator (intra-oral/non-invasive) | Electronic salivary reflex s |
E0760 | 0010 | 3 | Osteogenesis stimulator, low intensity ultrasound, non-invasive | Osteogen ultrasound stimltor |
E0761 | 0010 | 3 | Non-thermal pulsed high frequency radiowaves, high peak power electromagnetic energy treatment device | Nontherm electromgntc device |
E0762 | 0010 | 3 | Transcutaneous electrical joint stimulation device system, includes all accessories | Trans elec jt stim dev sys |
E0764 | 0010 | 3 | 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 | Functional neuromuscularstim |
E0765 | 0010 | 3 | Fda approved nerve stimulator, with replaceable batteries, for treatment of nausea and vomiting | Nerve stimulator for tx n&v |
E0766 | 0010 | 3 | Electrical stimulation device used for cancer treatment, includes all accessories, any type | Elec stim cancer treatment |
E0769 | 0010 | 3 | Electrical stimulation or electromagnetic wound treatment device, not otherwise classified | Electric wound treatment dev |
E0770 | 0010 | 3 | Functional electrical stimulator, transcutaneous stimulation of nerve and/or muscle groups, any type, complete system, not otherwise specified | Functional electric stim nos |
E0776 | 0010 | 3 | Iv pole | Iv pole |
E0779 | 0010 | 3 | Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater | Amb infusion pump mechanical |
E0780 | 0010 | 3 | Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours | Mech amb infusion pump <8hrs |
E0781 | 0010 | 3 | Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient | External ambulatory infus pu |
E0782 | 0010 | 3 | Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) | Non-programble infusion pump |
E0783 | 0010 | 3 | Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) | Programmable infusion pump |
E0784 | 0010 | 3 | External ambulatory infusion pump, insulin | Ext amb infusn pump insulin |
E0785 | 0010 | 3 | Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement | Replacement impl pump cathet |
E0786 | 0010 | 3 | Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) | Implantable pump replacement |
E0787 | 0010 | 3 | External ambulatory infusion pump, insulin, dosage rate adjustment using therapeutic continuous glucose sensing | Cgs dose adj insulin inf pmp |
E0791 | 0010 | 3 | Parenteral infusion pump, stationary, single or multi-channel | Parenteral infusion pump sta |
E0830 | 0010 | 3 | Ambulatory traction device, all types, each | Ambulatory traction device |
E0840 | 0010 | 3 | Traction frame, attached to headboard, cervical traction | Tract frame attach headboard |
E0849 | 0010 | 3 | Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible | Cervical pneum trac equip |
E0850 | 0010 | 3 | Traction stand, free standing, cervical traction | Traction stand free standing |
E0855 | 0010 | 3 | Cervical traction equipment not requiring additional stand or frame | Cervical traction equipment |
E0856 | 0010 | 3 | Cervical traction device, with inflatable air bladder(s) | Cervic collar w air bladders |
E0860 | 0010 | 3 | Traction equipment, overdoor, cervical | Tract equip cervical tract |
E0870 | 0010 | 3 | Traction frame, attached to footboard, extremity traction, (e.g., buck’s) | Tract frame attach footboard |
E0880 | 0010 | 3 | Traction stand, free standing, extremity traction, (e.g., buck’s) | Trac stand free stand extrem |
E0890 | 0010 | 3 | Traction frame, attached to footboard, pelvic traction | Traction frame attach pelvic |
E0900 | 0010 | 3 | Traction stand, free standing, pelvic traction, (e.g., buck’s) | Trac stand free stand pelvic |
E0910 | 0010 | 3 | Trapeze bars, a/k/a patient helper, attached to bed, with grab bar | Trapeze bar attached to bed |
E0911 | 0010 | 3 | Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar | Hd trapeze bar attach to bed |
E0912 | 0010 | 3 | Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar | Hd trapeze bar free standing |
E0920 | 0010 | 3 | Fracture frame, attached to bed, includes weights | Fracture frame attached to b |
E0930 | 0010 | 3 | Fracture frame, free standing, includes weights | Fracture frame free standing |
E0935 | 0010 | 3 | Continuous passive motion exercise device for use on knee only | Cont pas motion exercise dev |
E0936 | 0010 | 3 | Continuous passive motion exercise device for use other than knee | Cpm device, other than knee |
E0940 | 0010 | 3 | Trapeze bar, free standing, complete with grab bar | Trapeze bar free standing |
E0941 | 0010 | 3 | Gravity assisted traction device, any type | Gravity assisted traction de |
E0942 | 0010 | 3 | Cervical head harness/halter | Cervical head harness/halter |
E0944 | 0010 | 3 | Pelvic belt/harness/boot | Pelvic belt/harness/boot |
E0945 | 0010 | 3 | Extremity belt/harness | Belt/harness extremity |
E0946 | 0010 | 3 | Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) | Fracture frame dual w cross |
E0947 | 0010 | 3 | Fracture frame, attachments for complex pelvic traction | Fracture frame attachmnts pe |
E0948 | 0010 | 3 | Fracture frame, attachments for complex cervical traction | Fracture frame attachmnts ce |
E0950 | 0010 | 3 | Wheelchair accessory, tray, each | Tray |
E0951 | 0010 | 3 | Heel loop/holder, any type, with or without ankle strap, each | Loop heel |
E0952 | 0010 | 3 | Toe loop/holder, any type, each | Toe loop/holder, each |
E0953 | 0010 | 3 | Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each | W/c lateral thigh/knee sup |
E0954 | 0010 | 3 | Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot | Foot box, any type each foot |
E0955 | 0010 | 3 | Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each | Cushioned headrest |
E0956 | 0010 | 3 | Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each | W/c lateral trunk/hip suppor |
E0957 | 0010 | 3 | Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each | W/c medial thigh support |
E0958 | 0010 | 3 | Manual wheelchair accessory, one-arm drive attachment, each | Whlchr att- conv 1 arm drive |
E0959 | 0010 | 3 | Manual wheelchair accessory, adapter for amputee, each | Amputee adapter |
E0960 | 0010 | 3 | Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware | W/c shoulder harness/straps |
E0961 | 0010 | 3 | Manual wheelchair accessory, wheel lock brake extension (handle), each | Wheelchair brake extension |
E0966 | 0010 | 3 | Manual wheelchair accessory, headrest extension, each | Wheelchair head rest extensi |
E0967 | 0010 | 3 | Manual wheelchair accessory, hand rim with projections, any type, replacement only, each | Man wc rim/projection rep ea |
E0968 | 0010 | 3 | Commode seat, wheelchair | Wheelchair commode seat |
E0969 | 0010 | 3 | Narrowing device, wheelchair | Wheelchair narrowing device |
E0970 | 0010 | 3 | No. 2 footplates, except for elevating leg rest | Wheelchair no. 2 footplates |
E0971 | 0010 | 3 | Manual wheelchair accessory, anti-tipping device, each | Wheelchair anti-tipping devi |
E0973 | 0010 | 3 | Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each | W/ch access det adj armrest |
E0974 | 0010 | 3 | Manual wheelchair accessory, anti-rollback device, each | W/ch access anti-rollback |
E0978 | 0010 | 3 | Wheelchair accessory, positioning belt/safety belt/pelvic strap, each | W/c acc,saf belt pelv strap |
E0980 | 0010 | 3 | Safety vest, wheelchair | Wheelchair safety vest |
E0981 | 0010 | 3 | Wheelchair accessory, seat upholstery, replacement only, each | Seat upholstery, replacement |
E0982 | 0010 | 3 | Wheelchair accessory, back upholstery, replacement only, each | Back upholstery, replacement |
E0983 | 0010 | 3 | Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control | Add pwr joystick |
E0984 | 0010 | 3 | Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control | Add pwr tiller |
E0985 | 0010 | 3 | Wheelchair accessory, seat lift mechanism | W/c seat lift mechanism |
E0986 | 0010 | 3 | Manual wheelchair accessory, push-rim activated power assist system | Man w/c push-rim powr system |
E0988 | 0010 | 3 | Manual wheelchair accessory, lever-activated, wheel drive, pair | Lever-activated wheel drive |
E0990 | 0010 | 3 | Wheelchair accessory, elevating leg rest, complete assembly, each | Wheelchair elevating leg res |
E0992 | 0010 | 3 | Manual wheelchair accessory, solid seat insert | Wheelchair solid seat insert |
E0994 | 0010 | 3 | Arm rest, each | Wheelchair arm rest |
E0995 | 0010 | 3 | Wheelchair accessory, calf rest/pad, replacement only, each | Wc calf rest, pad replacemnt |
E1002 | 0010 | 3 | Wheelchair accessory, power seating system, tilt only | Pwr seat tilt |
E1003 | 0010 | 3 | Wheelchair accessory, power seating system, recline only, without shear reduction | Pwr seat recline |
E1004 | 0010 | 3 | Wheelchair accessory, power seating system, recline only, with mechanical shear reduction | Pwr seat recline mech |
E1005 | 0010 | 3 | Wheelchair accessory, power seatng system, recline only, with power shear reduction | Pwr seat recline pwr |
E1006 | 0010 | 3 | Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction | Pwr seat combo w/o shear |
E1007 | 0010 | 3 | Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction | Pwr seat combo w/shear |
E1008 | 0010 | 3 | Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction | Pwr seat combo pwr shear |
E1009 | 0010 | 3 | Wheelchair accessory, addition to power seating system, mechanically linked leg elevation system, including pushrod and leg rest, each | Add mech leg elevation |
E1010 | 0010 | 3 | Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair | Add pwr leg elevation |
E1011 | 0010 | 3 | Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair) | Ped wc modify width adjustm |
E1012 | 0010 | 3 | Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each | Ctr mount pwr elev leg rest |
E1014 | 0010 | 3 | Reclining back, addition to pediatric size wheelchair | Reclining back add ped w/c |
E1015 | 0010 | 3 | Shock absorber for manual wheelchair, each | Shock absorber for man w/c |
E1016 | 0010 | 3 | Shock absorber for power wheelchair, each | Shock absorber for power w/c |
E1017 | 0010 | 3 | Heavy duty shock absorber for heavy duty or extra heavy duty manual wheelchair, each | Hd shck absrbr for hd man wc |
E1018 | 0010 | 3 | Heavy duty shock absorber for heavy duty or extra heavy duty power wheelchair, each | Hd shck absrber for hd powwc |
E1020 | 0010 | 3 | Residual limb support system for wheelchair, any type | Residual limb support system |
E1028 | 0010 | 3 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory | W/c manual swingaway |
E1029 | 0010 | 3 | Wheelchair accessory, ventilator tray, fixed | W/c vent tray fixed |
E1030 | 0010 | 3 | Wheelchair accessory, ventilator tray, gimbaled | W/c vent tray gimbaled |
E1031 | 0010 | 3 | Rollabout chair, any and all types with casters 5” or greater | Rollabout chair with casters |
E1035 | 0010 | 3 | Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs | Patient transfer system <300 |
E1036 | 0010 | 3 | Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs | Patient transfer system >300 |
E1037 | 0010 | 3 | Transport chair, pediatric size | Transport chair, ped size |
E1038 | 0010 | 3 | Transport chair, adult size, patient weight capacity up to and including 300 pounds | Transport chair pt wt<=300lb |
E1039 | 0010 | 3 | Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds | Transport chair pt wt >300lb |
E1050 | 0010 | 3 | Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests | Whelchr fxd full length arms |
E1060 | 0010 | 3 | Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests | Wheelchair detachable arms |
E1070 | 0010 | 3 | Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest | Wheelchair detachable foot r |
E1083 | 0010 | 3 | Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest | Hemi-wheelchair fixed arms |
E1084 | 0010 | 3 | Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests | Hemi-wheelchair detachable a |
E1085 | 0010 | 3 | Hemi-wheelchair, fixed full length arms, swing away detachable foot rests | Hemi-wheelchair fixed arms |
E1086 | 0010 | 3 | Hemi-wheelchair detachable arms desk or full length, swing away detachable footrests | Hemi-wheelchair detachable a |
E1087 | 0010 | 3 | High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests | Wheelchair lightwt fixed arm |
E1088 | 0010 | 3 | High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests | Wheelchair lightweight det a |
E1089 | 0010 | 3 | High strength lightweight wheelchair, fixed length arms, swing away detachable footrest | Wheelchair lightwt fixed arm |
E1090 | 0010 | 3 | High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable foot rests | Wheelchair lightweight det a |
E1092 | 0010 | 3 | Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests | Wheelchair wide w/ leg rests |
E1093 | 0010 | 3 | Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests | Wheelchair wide w/ foot rest |
E1100 | 0010 | 3 | Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests | Whchr s-recl fxd arm leg res |
E1110 | 0010 | 3 | Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest | Wheelchair semi-recl detach |
E1130 | 0010 | 3 | Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests | Whlchr stand fxd arm ft rest |
E1140 | 0010 | 3 | Wheelchair, detachable arms, desk or full length, swing away detachable footrests | Wheelchair standard detach a |
E1150 | 0010 | 3 | Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests | Wheelchair standard w/ leg r |
E1160 | 0010 | 3 | Wheelchair, fixed full length arms, swing away detachable elevating legrests | Wheelchair fixed arms |
E1161 | 0010 | 3 | Manual adult size wheelchair, includes tilt in space | Manual adult wc w tiltinspac |
E1170 | 0010 | 3 | Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests | Whlchr ampu fxd arm leg rest |
E1171 | 0010 | 3 | Amputee wheelchair, fixed full length arms, without footrests or legrest | Wheelchair amputee w/o leg r |
E1172 | 0010 | 3 | Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest | Wheelchair amputee detach ar |
E1180 | 0010 | 3 | Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests | Wheelchair amputee w/ foot r |
E1190 | 0010 | 3 | Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests | Wheelchair amputee w/ leg re |
E1195 | 0010 | 3 | Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests | Wheelchair amputee heavy dut |
E1200 | 0010 | 3 | Amputee wheelchair, fixed full length arms, swing away detachable footrest | Wheelchair amputee fixed arm |
E1220 | 0010 | 3 | Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification | Whlchr special size/constrc |
E1221 | 0010 | 3 | Wheelchair with fixed arm, footrests | Wheelchair spec size w foot |
E1222 | 0010 | 3 | Wheelchair with fixed arm, elevating legrests | Wheelchair spec size w/ leg |
E1223 | 0010 | 3 | Wheelchair with detachable arms, footrests | Wheelchair spec size w foot |
E1224 | 0010 | 3 | Wheelchair with detachable arms, elevating legrests | Wheelchair spec size w/ leg |
E1225 | 0010 | 3 | Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each | Manual semi-reclining back |
E1226 | 0010 | 3 | Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each | Manual fully reclining back |
E1227 | 0010 | 3 | Special height arms for wheelchair | Wheelchair spec sz spec ht a |
E1228 | 0010 | 3 | Special back height for wheelchair | Wheelchair spec sz spec ht b |
E1229 | 0010 | 3 | Wheelchair, pediatric size, not otherwise specified | Pediatric wheelchair nos |
E1230 | 0010 | 3 | Power operated vehicle (three or four wheel nonhighway) specify brand name and model number | Power operated vehicle |
E1231 | 0010 | 3 | Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating system | Rigid ped w/c tilt-in-space |
E1232 | 0010 | 3 | Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system | Folding ped wc tilt-in-space |
E1233 | 0010 | 3 | Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system | Rig ped wc tltnspc w/o seat |
E1234 | 0010 | 3 | Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system | Fld ped wc tltnspc w/o seat |
E1235 | 0010 | 3 | Wheelchair, pediatric size, rigid, adjustable, with seating system | Rigid ped wc adjustable |
E1236 | 0010 | 3 | Wheelchair, pediatric size, folding, adjustable, with seating system | Folding ped wc adjustable |
E1237 | 0010 | 3 | Wheelchair, pediatric size, rigid, adjustable, without seating system | Rgd ped wc adjstabl w/o seat |
E1238 | 0010 | 3 | Wheelchair, pediatric size, folding, adjustable, without seating system | Fld ped wc adjstabl w/o seat |
E1239 | 0010 | 3 | Power wheelchair, pediatric size, not otherwise specified | Ped power wheelchair nos |
E1240 | 0010 | 3 | Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest | Whchr litwt det arm leg rest |
E1250 | 0010 | 3 | Lightweight wheelchair, fixed full length arms, swing away detachable footrest | Wheelchair lightwt fixed arm |
E1260 | 0010 | 3 | Lightweight wheelchair, detachable arms (desk or full length) swing away detachable footrest | Wheelchair lightwt foot rest |
E1270 | 0010 | 3 | Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests | Wheelchair lightweight leg r |
E1280 | 0010 | 3 | Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests | Whchr h-duty det arm leg res |
E1285 | 0010 | 3 | Heavy duty wheelchair, fixed full length arms, swing away detachable footrest | Wheelchair heavy duty fixed |
E1290 | 0010 | 3 | Heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest | Wheelchair hvy duty detach a |
E1295 | 0010 | 3 | Heavy duty wheelchair, fixed full length arms, elevating legrest | Wheelchair heavy duty fixed |
E1296 | 0010 | 3 | Special wheelchair seat height from floor | Wheelchair special seat heig |
E1297 | 0010 | 3 | Special wheelchair seat depth, by upholstery | Wheelchair special seat dept |
E1298 | 0010 | 3 | Special wheelchair seat depth and/or width, by construction | Wheelchair spec seat depth/w |
E1300 | 0010 | 3 | Whirlpool, portable (overtub type) | Whirlpool portable |
E1310 | 0010 | 3 | Whirlpool, non-portable (built-in type) | Whirlpool non-portable |
E1352 | 0010 | 3 | Oxygen accessory, flow regulator capable of positive inspiratory pressure | O2 flow reg pos inspir press |
E1353 | 0010 | 3 | Regulator | Oxygen supplies regulator |
E1354 | 0010 | 3 | Oxygen accessory, wheeled cart for portable cylinder or portable concentrator, any type, replacement only, each | Wheeled cart, port cyl/conc |
E1355 | 0010 | 3 | Stand/rack | Oxygen supplies stand/rack |
E1356 | 0010 | 3 | Oxygen accessory, battery pack/cartridge for portable concentrator, any type, replacement only, each | Batt pack/cart, port conc |
E1357 | 0010 | 3 | Oxygen accessory, battery charger for portable concentrator, any type, replacement only, each | Battery charger, port conc |
E1358 | 0010 | 3 | Oxygen accessory, dc power adapter for portable concentrator, any type, replacement only, each | Dc power adapter, port conc |
E1372 | 0010 | 3 | Immersion external heater for nebulizer | Oxy suppl heater for nebuliz |
E1390 | 0010 | 3 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | Oxygen concentrator |
E1391 | 0010 | 3 | Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each | Oxygen concentrator, dual |
E1392 | 0010 | 3 | Portable oxygen concentrator, rental | Portable oxygen concentrator |
E1399 | 0010 | 3 | Durable medical equipment, miscellaneous | Durable medical equipment mi |
E1405 | 0010 | 3 | Oxygen and water vapor enriching system with heated delivery | O2/water vapor enrich w/heat |
E1406 | 0010 | 3 | Oxygen and water vapor enriching system without heated delivery | O2/water vapor enrich w/o he |
E1500 | 0010 | 3 | Centrifuge, for dialysis | Centrifuge |
E1510 | 0010 | 3 | 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 | Kidney dialysate delivry sys |
E1520 | 0010 | 3 | Heparin infusion pump for hemodialysis | Heparin infusion pump |
E1530 | 0010 | 3 | Air bubble detector for hemodialysis, each, replacement | Replacement air bubble detec |
E1540 | 0010 | 3 | Pressure alarm for hemodialysis, each, replacement | Replacement pressure alarm |
E1550 | 0010 | 3 | Bath conductivity meter for hemodialysis, each | Bath conductivity meter |
E1560 | 0010 | 3 | Blood leak detector for hemodialysis, each, replacement | Replace blood leak detector |
E1570 | 0010 | 3 | Adjustable chair, for esrd patients | Adjustable chair for esrd pt |
E1575 | 0010 | 3 | Transducer protectors/fluid barriers, for hemodialysis, any size, per 10 | Transducer protect/fld bar |
E1580 | 0010 | 3 | Unipuncture control system for hemodialysis | Unipuncture control system |
E1590 | 0010 | 3 | Hemodialysis machine | Hemodialysis machine |
E1592 | 0010 | 3 | Automatic intermittent peritoneal dialysis system | Auto interm peritoneal dialy |
E1594 | 0010 | 3 | Cycler dialysis machine for peritoneal dialysis | Cycler dialysis machine |
E1600 | 0010 | 3 | Delivery and/or installation charges for hemodialysis equipment | Deli/install chrg hemo equip |
E1610 | 0010 | 3 | Reverse osmosis water purification system, for hemodialysis | Reverse osmosis h2o puri sys |
E1615 | 0010 | 3 | Deionizer water purification system, for hemodialysis | Deionizer h2o puri system |
E1620 | 0010 | 3 | Blood pump for hemodialysis, replacement | Replacement blood pump |
E1625 | 0010 | 3 | Water softening system, for hemodialysis | Water softening system |
E1630 | 0010 | 3 | Reciprocating peritoneal dialysis system | Reciprocating peritoneal dia |
E1632 | 0010 | 3 | Wearable artificial kidney, each | Wearable artificial kidney |
E1634 | 0010 | 3 | Peritoneal dialysis clamps, each | Peritoneal dialysis clamp |
E1635 | 0010 | 3 | Compact (portable) travel hemodialyzer system | Compact travel hemodialyzer |
E1636 | 0010 | 3 | Sorbent cartridges, for hemodialysis, per 10 | Sorbent cartridges per 10 |
E1637 | 0010 | 3 | Hemostats, each | Hemostats for dialysis, each |
E1639 | 0010 | 3 | Scale, each | Scale, each |
E1699 | 0010 | 3 | Dialysis equipment, not otherwise specified | Dialysis equipment noc |
E1700 | 0010 | 3 | Jaw motion rehabilitation system | Jaw motion rehab system |
E1701 | 0010 | 3 | Replacement cushions for jaw motion rehabilitation system, pkg. of 6 | Repl cushions for jaw motion |
E1702 | 0010 | 3 | Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200 | Repl measr scales jaw motion |
E1800 | 0010 | 3 | Dynamic adjustable elbow extension/flexion device, includes soft interface material | Adjust elbow ext/flex device |
E1801 | 0010 | 3 | Static progressive stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories | Sps elbow device |
E1802 | 0010 | 3 | Dynamic adjustable forearm pronation/supination device, includes soft interface material | Adjst forearm pro/sup device |
E1805 | 0010 | 3 | Dynamic adjustable wrist extension / flexion device, includes soft interface material | Adjust wrist ext/flex device |
E1806 | 0010 | 3 | Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories | Sps wrist device |
E1810 | 0010 | 3 | Dynamic adjustable knee extension / flexion device, includes soft interface material | Adjust knee ext/flex device |
E1811 | 0010 | 3 | Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories | Sps knee device |
E1812 | 0010 | 3 | Dynamic knee, extension/flexion device with active resistance control | Knee ext/flex w act res ctrl |
E1815 | 0010 | 3 | Dynamic adjustable ankle extension/flexion device, includes soft interface material | Adjust ankle ext/flex device |
E1816 | 0010 | 3 | Static progressive stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories | Sps ankle device |
E1818 | 0010 | 3 | Static progressive stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories | Sps forearm device |
E1820 | 0010 | 3 | Replacement soft interface material, dynamic adjustable extension/flexion device | Soft interface material |
E1821 | 0010 | 3 | Replacement soft interface material/cuffs for bi-directional static progressive stretch device | Replacement interface spsd |
E1825 | 0010 | 3 | Dynamic adjustable finger extension/flexion device, includes soft interface material | Adjust finger ext/flex devc |
E1830 | 0010 | 3 | Dynamic adjustable toe extension/flexion device, includes soft interface material | Adjust toe ext/flex device |
E1831 | 0010 | 3 | Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories | Static str toe dev ext/flex |
E1840 | 0010 | 3 | Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material | Adj shoulder ext/flex device |
E1841 | 0010 | 3 | Static progressive stretch shoulder device, with or without range of motion adjustment, includes all components and accessories | Static str shldr dev rom adj |
E1902 | 0010 | 3 | Communication board, non-electronic augmentative or alternative communication device | Aac non-electronic board |
E2000 | 0010 | 3 | Gastric suction pump, home model, portable or stationary, electric | Gastric suction pump hme mdl |
E2100 | 0010 | 3 | Blood glucose monitor with integrated voice synthesizer | Bld glucose monitor w voice |
E2101 | 0010 | 3 | Blood glucose monitor with integrated lancing/blood sample | Bld glucose monitor w lance |
E2120 | 0010 | 3 | Pulse generator system for tympanic treatment of inner ear endolymphatic fluid | Pulse gen sys tx endolymp fl |
E2201 | 0010 | 3 | Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches | Man w/ch acc seat w>=20”<24” |
E2202 | 0010 | 3 | Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches | Seat width 24-27 in |
E2203 | 0010 | 3 | Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches | Frame depth less than 22 in |
E2204 | 0010 | 3 | Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches | Frame depth 22 to 25 in |
E2205 | 0010 | 3 | Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each | Manual wc accessory, handrim |
E2206 | 0010 | 3 | Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each | Man wc whl lock comp repl ea |
E2207 | 0010 | 3 | Wheelchair accessory, crutch and cane holder, each | Crutch and cane holder |
E2208 | 0010 | 3 | Wheelchair accessory, cylinder tank carrier, each | Cylinder tank carrier |
E2209 | 0010 | 3 | Accessory, arm trough, with or without hand support, each | Arm trough each |
E2210 | 0010 | 3 | Wheelchair accessory, bearings, any type, replacement only, each | Wheelchair bearings |
E2211 | 0010 | 3 | Manual wheelchair accessory, pneumatic propulsion tire, any size, each | Pneumatic propulsion tire |
E2212 | 0010 | 3 | Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each | Pneumatic prop tire tube |
E2213 | 0010 | 3 | Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each | Pneumatic prop tire insert |
E2214 | 0010 | 3 | Manual wheelchair accessory, pneumatic caster tire, any size, each | Pneumatic caster tire each |
E2215 | 0010 | 3 | Manual wheelchair accessory, tube for pneumatic caster tire, any size, each | Pneumatic caster tire tube |
E2216 | 0010 | 3 | Manual wheelchair accessory, foam filled propulsion tire, any size, each | Foam filled propulsion tire |
E2217 | 0010 | 3 | Manual wheelchair accessory, foam filled caster tire, any size, each | Foam filled caster tire each |
E2218 | 0010 | 3 | Manual wheelchair accessory, foam propulsion tire, any size, each | Foam propulsion tire each |
E2219 | 0010 | 3 | Manual wheelchair accessory, foam caster tire, any size, each | Foam caster tire any size ea |
E2220 | 0010 | 3 | Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each | Solid propuls tire, repl, ea |
E2221 | 0010 | 3 | Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each | Solid caster tire repl, each |
E2222 | 0010 | 3 | Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each | Solid caster integ whl, repl |
E2224 | 0010 | 3 | Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each | Propulsion whl excl tire rep |
E2225 | 0010 | 3 | Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each | Caster wheel excludes tire |
E2226 | 0010 | 3 | Manual wheelchair accessory, caster fork, any size, replacement only, each | Caster fork replacement only |
E2227 | 0010 | 3 | Manual wheelchair accessory, gear reduction drive wheel, each | Gear reduction drive wheel |
E2228 | 0010 | 3 | Manual wheelchair accessory, wheel braking system and lock, complete, each | Mwc acc, wheelchair brake |
E2230 | 0010 | 3 | Manual wheelchair accessory, manual standing system | Manual standing system |
E2231 | 0010 | 3 | Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware | Solid seat support base |
E2291 | 0010 | 3 | Back, planar, for pediatric size wheelchair including fixed attaching hardware | Planar back for ped size wc |
E2292 | 0010 | 3 | Seat, planar, for pediatric size wheelchair including fixed attaching hardware | Planar seat for ped size wc |
E2293 | 0010 | 3 | Back, contoured, for pediatric size wheelchair including fixed attaching hardware | Contour back for ped size wc |
E2294 | 0010 | 3 | Seat, contoured, for pediatric size wheelchair including fixed attaching hardware | Contour seat for ped size wc |
E2295 | 0010 | 3 | Manual wheelchair accessory, for pediatric size wheelchair, dynamic seating frame, allows coordinated movement of multiple positioning features | Ped dynamic seating frame |
E2300 | 0010 | 3 | Wheelchair accessory, power seat elevation system, any type | Pwr seat elevation sys |
E2301 | 0010 | 3 | Wheelchair accessory, power standing system, any type | Pwr standing |
E2310 | 0010 | 3 | 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 | Electro connect btw control |
E2311 | 0010 | 3 | 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 | Electro connect btw 2 sys |
E2312 | 0010 | 3 | Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware | Mini-prop remote joystick |
E2313 | 0010 | 3 | Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each | Pwc harness, expand control |
E2321 | 0010 | 3 | Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware | Hand interface joystick |
E2322 | 0010 | 3 | Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware | Mult mech switches |
E2323 | 0010 | 3 | Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated | Special joystick handle |
E2324 | 0010 | 3 | Power wheelchair accessory, chin cup for chin control interface | Chin cup interface |
E2325 | 0010 | 3 | Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware | Sip and puff interface |
E2326 | 0010 | 3 | Power wheelchair accessory, breath tube kit for sip and puff interface | Breath tube kit |
E2327 | 0010 | 3 | Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware | Head control interface mech |
E2328 | 0010 | 3 | Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware | Head/extremity control inter |
E2329 | 0010 | 3 | 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 | Head control nonproportional |
E2330 | 0010 | 3 | 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 | Head control proximity switc |
E2331 | 0010 | 3 | Power wheelchair accessory, attendant control, proportional, including all related electronics and fixed mounting hardware | Attendant control |
E2340 | 0010 | 3 | Power wheelchair accessory, nonstandard seat frame width, 20-23 inches | W/c wdth 20-23 in seat frame |
E2341 | 0010 | 3 | Power wheelchair accessory, nonstandard seat frame width, 24-27 inches | W/c wdth 24-27 in seat frame |
E2342 | 0010 | 3 | Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches | W/c dpth 20-21 in seat frame |
E2343 | 0010 | 3 | Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches | W/c dpth 22-25 in seat frame |
E2351 | 0010 | 3 | Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface | Electronic sgd interface |
E2358 | 0010 | 3 | Power wheelchair accessory, group 34 non-sealed lead acid battery, each | Gr 34 nonsealed leadacid |
E2359 | 0010 | 3 | Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) | Gr34 sealed leadacid battery |
E2360 | 0010 | 3 | Power wheelchair accessory, 22nf non-sealed lead acid battery, each | 22nf nonsealed leadacid |
E2361 | 0010 | 3 | Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) | 22nf sealed leadacid battery |
E2362 | 0010 | 3 | Power wheelchair accessory, group 24 non-sealed lead acid battery, each | Gr24 nonsealed leadacid |
E2363 | 0010 | 3 | Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) | Gr24 sealed leadacid battery |
E2364 | 0010 | 3 | Power wheelchair accessory, u-1 non-sealed lead acid battery, each | U1nonsealed leadacid battery |
E2365 | 0010 | 3 | Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) | U1 sealed leadacid battery |
E2366 | 0010 | 3 | Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each | Battery charger, single mode |
E2367 | 0010 | 3 | Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each | Battery charger, dual mode |
E2368 | 0010 | 3 | Power wheelchair component, drive wheel motor, replacement only | Pwr wc drivewheel motor repl |
E2369 | 0010 | 3 | Power wheelchair component, drive wheel gear box, replacement only | Pwr wc drivewheel gear repl |
E2370 | 0010 | 3 | Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only | Pwr wc dr wh motor/gear comb |
E2371 | 0010 | 3 | Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each | Gr27 sealed leadacid battery |
E2372 | 0010 | 3 | Power wheelchair accessory, group 27 non-sealed lead acid battery, each | Gr27 non-sealed leadacid |
E2373 | 0010 | 3 | Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware | Hand/chin ctrl spec joystick |
E2374 | 0010 | 3 | 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 | Hand/chin ctrl std joystick |
E2375 | 0010 | 3 | Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only | Non-expandable controller |
E2376 | 0010 | 3 | Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only | Expandable controller, repl |
E2377 | 0010 | 3 | Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue | Expandable controller, initl |
E2378 | 0010 | 3 | Power wheelchair component, actuator, replacement only | Pw actuator replacement |
E2381 | 0010 | 3 | Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each | Pneum drive wheel tire |
E2382 | 0010 | 3 | Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each | Tube, pneum wheel drive tire |
E2383 | 0010 | 3 | Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each | Insert, pneum wheel drive |
E2384 | 0010 | 3 | Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each | Pneumatic caster tire |
E2385 | 0010 | 3 | Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each | Tube, pneumatic caster tire |
E2386 | 0010 | 3 | Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each | Foam filled drive wheel tire |
E2387 | 0010 | 3 | Power wheelchair accessory, foam filled caster tire, any size, replacement only, each | Foam filled caster tire |
E2388 | 0010 | 3 | Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each | Foam drive wheel tire |
E2389 | 0010 | 3 | Power wheelchair accessory, foam caster tire, any size, replacement only, each | Foam caster tire |
E2390 | 0010 | 3 | Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each | Solid drive wheel tire |
E2391 | 0010 | 3 | Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each | Solid caster tire |
E2392 | 0010 | 3 | Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each | Solid caster tire, integrate |
E2394 | 0010 | 3 | Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each | Drive wheel excludes tire |
E2395 | 0010 | 3 | Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each | Caster wheel excludes tire |
E2396 | 0010 | 3 | Power wheelchair accessory, caster fork, any size, replacement only, each | Caster fork |
E2397 | 0010 | 3 | Power wheelchair accessory, lithium-based battery, each | Pwc acc, lith-based battery |
E2398 | 0010 | 3 | Wheelchair accessory, dynamic positioning hardware for back | Wc dynamic pos back hardware |
E2402 | 0010 | 3 | Negative pressure wound therapy electrical pump, stationary or portable | Neg press wound therapy pump |
E2500 | 0010 | 3 | Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time | Sgd digitized pre-rec <=8min |
E2502 | 0010 | 3 | Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time | Sgd prerec msg >8min <=20min |
E2504 | 0010 | 3 | Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time | Sgd prerec msg>20min <=40min |
E2506 | 0010 | 3 | Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time | Sgd prerec msg > 40 min |
E2508 | 0010 | 3 | Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device | Sgd spelling phys contact |
E2510 | 0010 | 3 | Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access | Sgd w multi methods msg/accs |
E2511 | 0010 | 3 | Speech generating software program, for personal computer or personal digital assistant | Sgd sftwre prgrm for pc/pda |
E2512 | 0010 | 3 | Accessory for speech generating device, mounting system | Sgd accessory, mounting sys |
E2599 | 0010 | 3 | Accessory for speech generating device, not otherwise classified | Sgd accessory noc |
E2601 | 0010 | 3 | General use wheelchair seat cushion, width less than 22 inches, any depth | Gen w/c cushion wdth < 22 in |
E2602 | 0010 | 3 | General use wheelchair seat cushion, width 22 inches or greater, any depth | Gen w/c cushion wdth >=22 in |
E2603 | 0010 | 3 | Skin protection wheelchair seat cushion, width less than 22 inches, any depth | Skin protect wc cus wd <22in |
E2604 | 0010 | 3 | Skin protection wheelchair seat cushion, width 22 inches or greater, any depth | Skin protect wc cus wd>=22in |
E2605 | 0010 | 3 | Positioning wheelchair seat cushion, width less than 22 inches, any depth | Position wc cush wdth <22 in |
E2606 | 0010 | 3 | Positioning wheelchair seat cushion, width 22 inches or greater, any depth | Position wc cush wdth>=22 in |
E2607 | 0010 | 3 | Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth | Skin pro/pos wc cus wd <22in |
E2608 | 0010 | 3 | Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth | Skin pro/pos wc cus wd>=22in |
E2609 | 0010 | 3 | Custom fabricated wheelchair seat cushion, any size | Custom fabricate w/c cushion |
E2610 | 0010 | 3 | Wheelchair seat cushion, powered | Powered w/c cushion |
E2611 | 0010 | 3 | General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware | Gen use back cush wdth <22in |
E2612 | 0010 | 3 | General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware | Gen use back cush wdth>=22in |
E2613 | 0010 | 3 | Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware | Position back cush wd <22in |
E2614 | 0010 | 3 | Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware | Position back cush wd>=22in |
E2615 | 0010 | 3 | Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware | Pos back post/lat wdth <22in |
E2616 | 0010 | 3 | Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware | Pos back post/lat wdth>=22in |
E2617 | 0010 | 3 | Custom fabricated wheelchair back cushion, any size, including any type mounting hardware | Custom fab w/c back cushion |
E2619 | 0010 | 3 | Replacement cover for wheelchair seat cushion or back cushion, each | Replace cover w/c seat cush |
E2620 | 0010 | 3 | Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware | Wc planar back cush wd <22in |
E2621 | 0010 | 3 | Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware | Wc planar back cush wd>=22in |
E2622 | 0010 | 3 | Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth | Adj skin pro w/c cus wd<22in |
E2623 | 0010 | 3 | Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth | Adj skin pro wc cus wd>=22in |
E2624 | 0010 | 3 | Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth | Adj skin pro/pos cus<22in |
E2625 | 0010 | 3 | Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth | Adj skin pro/pos wc cus>=22 |
E2626 | 0010 | 3 | Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable | Seo mobile arm sup att to wc |
E2627 | 0010 | 3 | Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type | Arm supp att to wc rancho ty |
E2628 | 0010 | 3 | Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining | Mobile arm supports reclinin |
E2629 | 0010 | 3 | Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints) | Friction dampening arm supp |
E2630 | 0010 | 3 | Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support | Monosuspension arm/hand supp |
E2631 | 0010 | 3 | Wheelchair accessory, addition to mobile arm support, elevating proximal arm | Elevat proximal arm support |
E2632 | 0010 | 3 | Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control | Offset/lat rocker arm w/ela |
E2633 | 0010 | 3 | Wheelchair accessory, addition to mobile arm support, supinator | Mobile arm support supinator |
E8000 | 0010 | 3 | Gait trainer, pediatric size, posterior support, includes all accessories and components | Posterior gait trainer |
E8001 | 0010 | 3 | Gait trainer, pediatric size, upright support, includes all accessories and components | Upright gait trainer |
E8002 | 0010 | 3 | Gait trainer, pediatric size, anterior support, includes all accessories and components | Anterior gait trainer |