E0100
Cane, includes canes of all materials, adjustable or fixed, with tip
E0105
Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips
E0110
Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips
E0111
Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips
E0112
Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips
E0113
Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip
E0114
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips
E0116
Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each
E0130
Walker, rigid (pickup), adjustable or fixed height
E0135
Walker, folding (pickup), adjustable or fixed height
E0140
Walker, with trunk support, adjustable or fixed height, any type
E0141
Walker, rigid, wheeled, adjustable or fixed height
E0143
Walker, folding, wheeled, adjustable or fixed height
E0144
Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat
E0147
Walker, heavy duty, multiple braking system, variable wheel resistance
E0148
Walker, heavy duty, without wheels, rigid or folding, any type, each
E0149
Walker, heavy duty, wheeled, rigid or folding, any type
E0153
Platform attachment, forearm crutch, each
E0154
Platform attachment, walker, each
E0155
Wheel attachment, rigid pick-
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-
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-
E0186
Air pressure mattress
E0187
Water pressure mattress
E0190
Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories
E0191
Heel or elbow protector, each
E0193
Powered air flotation bed (low air loss therapy)
E0194
Air fluidized bed
E0196
Gel pressure mattress
E0197
Air pressure pad for mattress, standard mattress length and width
E0198
Water pressure pad for mattress, standard mattress length and width
E0199
Dry pressure pad for mattress, standard mattress length and width
E0200
Heat lamp, without stand (table model), includes bulb, or infrared element
E0205
Heat lamp, with stand, includes bulb, or infrared element
E0210
Electric heat pad, standard
E0215
Electric heat pad, moist
E0238
Non-
E0239
Hydrocollator unit, portable
E0240
Bath/shower chair, with or without wheels, any size
E0241
Bath tub wall rail, each
E0242
Bath tub rail, floor base
E0243
Toilet rail, each
E0244
Raised toilet seat
E0245
Tub stool or bench
E0246
Transfer tub rail attachment
E0247
Transfer bench for tub or toilet with or without commode opening
E0248
Transfer bench, heavy duty, for tub or toilet with or without commode opening
E0250
Hospital bed, fixed height, with any type side rails, with mattress
E0251
Hospital bed, fixed height, with any type side rails, without mattress
E0255
Hospital bed, variable height, hi-
E0256
Hospital bed, variable height, hi-
E0260
Hospital bed, semi-
E0261
Hospital bed, semi-
E0265
Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress
E0266
Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress
E0270
Hospital bed, institutional type includes: oscillating, circulating and stryker frame, with mattress
E0271
Mattress, innerspring
E0272
Mattress, foam rubber
E0274
Over-
E0275
Bed pan, standard, metal or plastic
E0276
Bed pan, fracture, metal or plastic
E0277
Powered pressure-
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-
E0293
Hospital bed, variable height, hi-
E0294
Hospital bed, semi-
E0295
Hospital bed, semi-
E0296
Hospital bed, total electric (head, foot and height adjustments). without side rails, with mattress
E0297
Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress
E0301
Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress
E0302
Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress
E0303
Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress
E0304
Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress
E0305
Bed side rails, half length
E0310
Bed side rails, full length
E0315
Bed accessory: board, table, or support device, any type
E0325
Urinal; male, jug-
E0326
Urinal; female, jug-
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-
E0371
Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width
E0372
Powered air overlay for mattress, standard mattress length and width
E0373
Nonpowered advanced pressure reducing mattress
E0433
Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with or without supply reservoir and contents gauge
E0434
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing
E0435
Portable liquid oxygen system, purchase; includes portable container, supply reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and refill adaptor
E0439
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing
E0440
Stationary liquid oxygen system, purchase; includes use of reservoir, contents indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing
E0441
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit
E0442
Stationary oxygen contents, liquid, 1 month's supply = 1 unit
E0443
Portable oxygen contents, gaseous, 1 month's supply = 1 unit
E0444
Portable oxygen contents, liquid, 1 month's supply = 1 unit
E0445
Oximeter device for measuring blood oxygen levels non-
E0565
Compressor, air power source for equipment which is not self-
E0570
Nebulizer, with compressor
E0571
Aerosol compressor, battery powered, for use with small volume nebulizer
E0572
Aerosol compressor, adjustable pressure, light duty for intermittent use
E0574
Ultrasonic/electronic aerosol generator with small volume nebulizer
E0575
Nebulizer, ultrasonic, large volume
E0580
Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter
E0585
Nebulizer, with compressor and heater
E0600
Respiratory suction pump, home model, portable or stationary, electric
E0601
Continuous positive airway pressure (cpap) device
E0621
Sling or seat, patient lift, canvas or nylon
E0625
Patient lift, bathroom or toilet, not otherwise classified
E0627
Seat lift mechanism incorporated into a combination lift-
E0628
Separate seat lift mechanism for use with patient owned furniture-
E0629
Separate seat lift mechanism for use with patient owned furniture-
E0630
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)
E0635
Patient lift, electric with seat or sling
E0637
Combination sit to stand frame/table system, any size including pediatric, with seat lift feature, with or without wheels
E0639
Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories
E0705
Transfer device, any type, each
E0720
Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation
E0730
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation
E0744
Neuromuscular stimulator for scoliosis
E0745
Neuromuscular stimulator, electronic shock unit
E0761
Non-
E0762
Transcutaneous electrical joint stimulation device system, includes all accessories
E0764
Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completion of training program
E0765
Fda approved nerve stimulator, with replaceable batteries, for treatment of nausea and vomiting
E0766
Electrical stimulation device used for cancer treatment, includes all accessories, any type
E0769
Electrical stimulation or electromagnetic wound treatment device, not otherwise classified
E0770
Functional electrical stimulator, transcutaneous stimulation of nerve and/or muscle groups, any type, complete system, not otherwise specified
E0776
Iv pole
E0855
Cervical traction equipment not requiring additional stand or frame
E0856
Cervical traction device, cervical collar with inflatable air bladder
E0860
Traction equipment, overdoor, cervical
E0910
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar
E0911
Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar
E0912
Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar
E0940
Trapeze bar, free standing, complete with grab bar
E0950
Wheelchair accessory, tray, each
E0951
Heel loop/holder, any type, with or without ankle strap, each
E0952
Toe loop/holder, any type, each
E0958
Manual wheelchair accessory, one-
E0959
Manual wheelchair accessory, adapter for amputee, each
E0960
Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware
E0961
Manual wheelchair accessory, wheel lock brake extension (handle), each
E0966
Manual wheelchair accessory, headrest extension, each
E0967
Manual wheelchair accessory, hand rim with projections, any type, each
E0968
Commode seat, wheelchair
E0970
No.2 footplates, except for elevating leg rest
E0971
Manual wheelchair accessory, anti-
E0973
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each
E0974
Manual wheelchair accessory, anti-
E0978
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each
E0981
Wheelchair accessory, seat upholstery, replacement only, each
E0982
Wheelchair accessory, back upholstery, replacement only, each
E0990
Wheelchair accessory, elevating leg rest, complete assembly, each
E0994
Arm rest, each
E0995
Wheelchair accessory, calf rest/pad, each
E1014
Reclining back, addition to pediatric size wheelchair
E1015
Shock absorber for manual wheelchair, each
E1016
Shock absorber for power wheelchair, each
E1017
Heavy duty shock absorber for heavy duty or extra heavy duty manual wheelchair, each
E1018
Heavy duty shock absorber for heavy duty or extra heavy duty power wheelchair, each
E1028
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory
E1035
Multi-
E1036
Multi-
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-
E1060
Fully-
E1070
Fully-
E1083
Hemi-
E1084
Hemi-
E1085
Hemi-
E1086
Hemi-
E1087
High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests
E1088
High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests
E1089
High strength lightweight wheelchair, fixed length arms, swing away detachable footrest
E1090
High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable foot rests
E1092
Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests
E1093
Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests
E1130
Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests
E1140
Wheelchair, detachable arms, desk or full length, swing away detachable footrests
E1150
Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests
E1160
Wheelchair, fixed full length arms, swing away detachable elevating legrests
E1161
Manual adult size wheelchair, includes tilt in space
E1170
Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests
E1171
Amputee wheelchair, fixed full length arms, without footrests or legrest
E1172
Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest
E1180
Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests
E1190
Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests
E1195
Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests
E1221
Wheelchair with fixed arm, footrests
E1222
Wheelchair with fixed arm, elevating legrests
E1223
Wheelchair with detachable arms, footrests
E1224
Wheelchair with detachable arms, elevating legrests
E1229
Wheelchair, pediatric size, not otherwise specified
E1230
Power operated vehicle (three or four wheel nonhighway) specify brand name and model number
E1231
Wheelchair, pediatric size, tilt-
E1232
Wheelchair, pediatric size, tilt-
E1233
Wheelchair, pediatric size, tilt-
E1234
Wheelchair, pediatric size, tilt-
E1235
Wheelchair, pediatric size, rigid, adjustable, with seating system
E1236
Wheelchair, pediatric size, folding, adjustable, with seating system
E1237
Wheelchair, pediatric size, rigid, adjustable, without seating system
E1238
Wheelchair, pediatric size, folding, adjustable, without seating system
E1240
Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest
E1250
Lightweight wheelchair, fixed full length arms, swing away detachable footrest
E1260
Lightweight wheelchair, detachable arms (desk or full length) swing away detachable footrest
E1270
Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests
E1280
Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests
E1285
Heavy duty wheelchair, fixed full length arms, swing away detachable footrest
E1290
Heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest
E1295
Heavy duty wheelchair, fixed full length arms, elevating legrest
E1352
Oxygen accessory, flow regulator capable of positive inspiratory pressure
E1353
Regulator
E1354
Oxygen accessory, wheeled cart for portable cylinder or portable concentrator, any type, replacement only, each
E1355
Stand/rack
E1356
Oxygen accessory, battery pack/cartridge for portable concentrator, any type, replacement only, each
E1357
Oxygen accessory, battery charger for portable concentrator, any type, replacement only, each
E1358
Oxygen accessory, dc power adapter for portable concentrator, any type, replacement only, each
E1390
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate
E1392
Portable oxygen concentrator, rental
E1399
Durable medical equipment, miscellaneous
E2205
Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each
E2206
Manual wheelchair accessory, wheel lock assembly, complete, each
E2207
Wheelchair accessory, crutch and cane holder, each
E2208
Wheelchair accessory, cylinder tank carrier, each
E2210
Wheelchair accessory, bearings, any type, replacement only, each
E2211
Manual wheelchair accessory, pneumatic propulsion tire, any size, each
E2212
Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each
E2213
Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each
E2214
Manual wheelchair accessory, pneumatic caster tire, any size, each
E2215
Manual wheelchair accessory, tube for pneumatic caster tire, any size, each
E2216
Manual wheelchair accessory, foam filled propulsion tire, any size, each
E2217
Manual wheelchair accessory, foam filled caster tire, any size, each
E2218
Manual wheelchair accessory, foam propulsion tire, any size, each
E2219
Manual wheelchair accessory, foam caster tire, any size, each
E2220
Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, each
E2221
Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, each
E2222
Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, each
E2224
Manual wheelchair accessory, propulsion wheel excludes tire, any size, each
E2225
Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each
E2226
Manual wheelchair accessory, caster fork, any size, replacement only, each
E2228
Manual wheelchair accessory, wheel braking system and lock, complete, each
E2358
Power wheelchair accessory, group 34 non-
E2359
Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g. gel cell, absorbed glassmat)
E2360
Power wheelchair accessory, 22 nf non-
E2361
Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g. gel cell, absorbed glassmat)
E2362
Power wheelchair accessory, group 24 non-
E2363
Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g. gel cell, absorbed glassmat)
E2364
Power wheelchair accessory, u-
E2365
Power wheelchair accessory, u-
E2366
Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-
E2367
Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-
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-
E2375
Power wheelchair accessory, non-
E2381
Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each
E2382
Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each
E2383
Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each
E2384
Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each
E2385
Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each
E2386
Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each
E2387
Power wheelchair accessory, foam filled caster tire, any size, replacement only, each
E2388
Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each
E2389
Power wheelchair accessory, foam caster tire, any size, replacement only, each
E2390
Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each
E2391
Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each
E2392
Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each
E2394
Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each
E2395
Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each
E2396
Power wheelchair accessory, caster fork, any size, replacement only, each
E2601
General use wheelchair seat cushion, width less than 22 inches, any depth
E2602
General use wheelchair seat cushion, width 22 inches or greater, any depth
E2603
Skin protection wheelchair seat cushion, width less than 22 inches, any depth
E2604
Skin protection wheelchair seat cushion, width 22 inches or greater, any depth
E2605
Positioning wheelchair seat cushion, width less than 22 inches, any depth
E2606
Positioning wheelchair seat cushion, width 22 inches or greater, any depth
E2607
Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth
E2608
Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth
E2610
Wheelchair seat cushion, powered
E2611
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware
E2612
General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware
E2613
Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware
E2614
Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware
E2615
Positioning wheelchair back cushion, posterior-
E2616
Positioning wheelchair back cushion, posterior-
E2619
Replacement cover for wheelchair seat cushion or back cushion, each
E2620
Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware
E2621
Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware
E2622
Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth
E2623
Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth
E2624
Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth
E2625
Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth
E8000
Gait trainer, pediatric size, posterior support, includes all accessories and components
E8001
Gait trainer, pediatric size, upright support, includes all accessories and components
E8002
Gait trainer, pediatric size, anterior support, includes all accessories and components
K0001
Standard wheelchair
K0002
Standard hemi (low seat) wheelchair
K0003
Lightweight wheelchair
K0004
High strength, lightweight wheelchair
K0005
Ultralightweight wheelchair
K0006
Heavy duty wheelchair
K0007
Extra heavy duty wheelchair
K0008
Custom manual wheelchair/base
K0009
Other manual wheelchair/base
K0010
Standard -
K0011
Standard -
K0012
Lightweight portable motorized/power wheelchair
K0013
Custom motorized/power wheelchair base
K0014
Other motorized/power wheelchair base
K0015
Detachable, non-
K0017
Detachable, adjustable height armrest, base, each
K0018
Detachable, adjustable height armrest, upper portion, each
K0019
Arm pad, each
K0020
Fixed, adjustable height armrest, pair
K0037
High mount flip-
K0038
Leg strap, each
K0039
Leg strap, h style, each
K0040
Adjustable angle footplate, each
K0041
Large size footplate, each
K0042
Standard size footplate, each
K0043
Footrest, lower extension tube, each
K0044
Footrest, upper hanger bracket, each
K0045
Footrest, complete assembly
K0046
Elevating legrest, lower extension tube, each
K0047
Elevating legrest, upper hanger bracket, each
K0050
Ratchet assembly
K0051
Cam release assembly, footrest or legrest, each
K0052
Swingaway, detachable footrests, each
K0053
Elevating footrests, articulating (telescoping), each
K0056
Seat height less than 17" or equal to or greater than 21" for a high strength, lightweight, or ultralightweight wheelchair
K0065
Spoke protectors, each
K0069
Rear wheel assembly, complete, with solid tire, spokes or molded, each
K0070
Rear wheel assembly, complete, with pneumatic tire, spokes or molded, each
K0071
Front caster assembly, complete, with pneumatic tire, each
K0072
Front caster assembly, complete, with semi-
K0073
Caster pin lock,each
K0077
Front caster assembly, complete, with solid tire, each
K0098
Drive belt for power wheelchair
K0105
Iv hanger, each
K0108
Wheelchair component or accessory, not otherwise specified
K0195
Elevating leg rests, pair (for use with capped rental wheelchair base)
K0669
Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from dme pdac
K0733
Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)
K0734
Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth
K0735
Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth
K0736
Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth
K0737
Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth
K0739
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes
K0800
Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds
K0801
Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds
K0802
Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds
K0806
Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds
K0807
Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds
K0808
Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds
K0812
Power operated vehicle, not otherwise classified
K0813
Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds
K0814
Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds
K0815
Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds
K0816
Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds
K0820
Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0821
Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds
K0822
Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0823
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds
K0824
Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds
K0825
Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds
K0826
Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds
K0827
Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds
K0828
Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more
K0829
Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more
K0830
Power wheelchair, group 2 standard, seat elevator, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0831
Power wheelchair, group 2 standard, seat elevator, captains chair, patient weight capacity up to and including 300 pounds
K0835
Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0836
Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds
K0837
Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds
K0838
Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds
K0839
Power wheelchair, group 2 very heavy duty, single power option sling/solid seat/back, patient weight capacity 451 to 600 pounds
K0840
Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more
K0841
Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0842
Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds
K0843
Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds
K0848
Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0849
Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds
K0850
Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds
K0851
Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds
K0852
Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds
K0853
Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds
K0854
Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more
K0855
Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more
K0856
Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0857
Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds
K0858
Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds
K0859
Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds
K0860
Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds
K0861
Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0862
Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds
K0863
Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds
K0864
Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more
K0868
Power wheelchair, group 4 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0869
Power wheelchair, group 4 standard, captains chair, patient weight capacity up to and including 300 pounds
K0870
Power wheelchair, group 4 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds
K0871
Power wheelchair, group 4 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds
K0877
Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0878
Power wheelchair, group 4 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds
K0879
Power wheelchair, group 4 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds
K0880
Power wheelchair, group 4 very heavy duty, single power option, sling/solid seat/back, patient weight 451 to 600 pounds
K0898
Power wheelchair, not otherwise classified
K0899
Power mobility device, not coded by dme pdac or does not meet criteria
K0900
Customized durable medical equipment, other than wheelchair
