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HCPCS Procedure & Supply Codes

Durable Medical Equipment (DME)

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Ambulatory Equipment

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Wheelchairs

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Wheelchair Accessories (Cont.)

section notes
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 inch...
E2608   Skin protection and positioning wheelchair seat cushion, width 22 inches or grea...
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, incl...
E2612   General use wheelchair back cushion, width 22 inches or greater, any height, inc...
E2613   Positioning wheelchair back cushion, posterior, width less than 22 inches, any h...
E2614   Positioning wheelchair back cushion, posterior, width 22 inches or greater, any ...
E2615   Positioning wheelchair back cushion, posterior-lateral, width less than 22 inche...
E2616   Positioning wheelchair back cushion, posterior-lateral, width 22 inches or great...
E2617   Custom fabricated wheelchair back cushion, any size, including any type mounting...
E2619   Replacement cover for wheelchair seat cushion or back cushion, each
E2620   Positioning wheelchair back cushion, planar back with lateral supports, width le...
E2621   Positioning wheelchair back cushion, planar back with lateral supports, width 22...
E2622   Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, ...
E2623   Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater,...
E2624   Skin protection and positioning wheelchair seat cushion, adjustable, width less ...
E2625   Skin protection and positioning wheelchair seat cushion, adjustable, width 22 in...
E2626   Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair,...
E2627   Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair,...
E2628   Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair,...
E2629   Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair,...
E2630   Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and...
E2631   Wheelchair accessory, addition to mobile arm support, elevating proximal arm
E2632   Wheelchair accessory, addition to mobile arm support, offset or lateral rocker a...
E2633   Wheelchair accessory, addition to mobile arm support, supinator
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