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HCPCS Procedure & Supply Codes

Durable Medical Equipment (DME)

section notes

Wheelchairs

section notes

Wheelchair Accessories

section notes
E0950 Tray
E0951 Loop heel
E0952 Toe loop/holder, each
E0953 W/c lateral thigh/knee sup
E0954 Foot box, any type each foot
E0955 Cushioned headrest
E0956 W/c lateral trunk/hip suppor
E0957 W/c medial thigh support
E0958 Whlchr att- conv 1 arm drive
E0959 Amputee adapter
E0960 W/c shoulder harness/straps
E0961 Wheelchair brake extension
E0966 Wheelchair head rest extensi
E0967 Man wc rim/projection rep ea
E0968 Wheelchair commode seat
E0969 Wheelchair narrowing device
E0970 Wheelchair no. 2 footplates
E0971 Wheelchair anti-tipping devi
E0973 W/ch access det adj armrest
E0974 W/ch access anti-rollback
E0978 W/c acc,saf belt pelv strap
E0980 Wheelchair safety vest
E0981 Seat upholstery, replacement
E0982 Back upholstery, replacement
E0983 Add pwr joystick
E0984 Add pwr tiller
E0985 W/c seat lift mechanism
E0986 Man w/c push-rim powr system
E0988 Lever-activated wheel drive
E0990 Wheelchair elevating leg res
E0992 Wheelchair solid seat insert
E0994 Wheelchair arm rest
E0995 Wc calf rest, pad replacemnt
E1002 Pwr seat tilt
E1003 Pwr seat recline
E1004 Pwr seat recline mech
E1005 Pwr seat recline pwr
E1006 Pwr seat combo w/o shear
E1007 Pwr seat combo w/shear
E1008 Pwr seat combo pwr shear
E1009 Add mech leg elevation
E1010 Add pwr leg elevation
E1011 Ped wc modify width adjustm
E1012 Ctr mount pwr elev leg rest
E1014 Reclining back add ped w/c
E1015 Shock absorber for man w/c
E1016 Shock absorber for power w/c
E1017 Hd shck absrbr for hd man wc
E1018 Hd shck absrber for hd powwc
E1020 Residual limb support system
E1028 W/c manual swingaway
E1029 W/c vent tray fixed
E1030 W/c vent tray gimbaled
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