HCPCSE0100–E9999

HCPCS E — Durable Medical Equipment

Wheelchairs, hospital beds, oxygen, walkers. Billed to the DME MAC rather than the Part B carrier, which is the distinction that trips people up.

671 codes in the current CMS release, 664 of them still active.

E0100Cane, includes canes of all materials, adjustable or fixed, with tip
E0105Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips
E0110Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips
E0111Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips
E0112Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips
E0113Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip
E0114Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips
E0116Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each
E0117Crutch, underarm, articulating, spring assisted, each
E0118Crutch substitute, lower leg platform, with or without wheels, each
E0130Walker, rigid (pickup), adjustable or fixed height
E0135Walker, folding (pickup), adjustable or fixed height
E0140Walker, with trunk support, adjustable or fixed height, any type
E0141Walker, rigid, wheeled, adjustable or fixed height
E0143Walker, folding, wheeled, adjustable or fixed height
E0144Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat
E0147Walker, heavy duty, multiple braking system, variable wheel resistance
E0148Walker, heavy duty, without wheels, rigid or folding, any type, each
E0149Walker, heavy duty, wheeled, rigid or folding, any type
E0150Combination wheeled walker with seat and transport chair, folding, adjustable or fixed height
E0152Walker, battery powered, wheeled, folding, adjustable or fixed height
E0153Platform attachment, forearm crutch, each
E0154Platform attachment, walker, each
E0155Wheel attachment, rigid pick-up walker, per pair
E0156Seat attachment, walker
E0157Crutch attachment, walker, each
E0158Leg extensions for walker, per set of four (4)
E0159Brake attachment for wheeled walker, replacement, each
E0160Sitz type bath or equipment, portable, used with or without commode
E0161Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s
E0162Sitz bath chair
E0163Commode chair, mobile or stationary, with fixed arms
E0165Commode chair, mobile or stationary, with detachable arms
E0167Pail or pan for use with commode chair, replacement only
E0168Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each
E0170Commode chair with integrated seat lift mechanism, electric, any type
E0171Commode chair with integrated seat lift mechanism, non-electric, any type
E0172Seat lift mechanism placed over or on top of toilet, any type
E0175Foot rest, for use with commode chair, each
E0181Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty
E0182Pump for alternating pressure pad, for replacement only
E0183Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty
E0184Dry pressure mattress
E0185Gel or gel-like pressure pad for mattress, standard mattress length and width
E0186Air pressure mattress
E0187Water pressure mattress
E0188Synthetic sheepskin pad
E0189Lambswool sheepskin pad, any size
E0190Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories
E0191Heel or elbow protector, each
E0193Powered air flotation bed (low air loss therapy)
E0194Air fluidized bed
E0196Gel pressure mattress
E0197Air pressure pad for mattress, standard mattress length and width
E0198Water pressure pad for mattress, standard mattress length and width
E0199Dry pressure pad for mattress, standard mattress length and width
E0200Heat lamp, without stand (table model), includes bulb, or infrared element
E0201Penile contracture device, manual, greater than 3 lbs traction force
E0202Phototherapy (bilirubin) light with photometer
E0203Therapeutic lightbox, minimum 10,000 lux, table top model
E0205Heat lamp, with stand, includes bulb, or infrared element
E0210Electric heat pad, standard
E0215Electric heat pad, moist
E0217Water circulating heat pad with pump
E0218Fluid circulating cold pad with pump, any type
E0221Infrared heating pad system
E0225Hydrocollator unit, includes pads
E0231Non-contact wound warming device (temperature control unit, ac adapter and power cord) for use with warming card and wound cover
E0232Warming card for use with the non contact wound warming device and non contact wound warming wound cover
E0235Paraffin bath unit, portable (see medical supply code a4265 for paraffin)
E0236Pump for water circulating pad
E0239Hydrocollator unit, portable
E0240Bath/shower chair, with or without wheels, any size
E0241Bath tub wall rail, each
E0242Bath tub rail, floor base
E0243Toilet rail, each
E0244Raised toilet seat
E0245Tub stool or bench
E0246Transfer tub rail attachment
E0247Transfer bench for tub or toilet with or without commode opening
E0248Transfer bench, heavy duty, for tub or toilet with or without commode opening
E0249Pad for water circulating heat unit, for replacement only
E0250Hospital bed, fixed height, with any type side rails, with mattress
E0251Hospital bed, fixed height, with any type side rails, without mattress
E0255Hospital bed, variable height, hi-lo, with any type side rails, with mattress
E0256Hospital bed, variable height, hi-lo, with any type side rails, without mattress
E0260Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
E0261Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress
E0265Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress
E0266Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress
E0270Hospital bed, institutional type includes: oscillating, circulating and stryker frame, with mattress
E0271Mattress, innerspring
E0272Mattress, foam rubber
E0273Bed board
E0274Over-bed table
E0275Bed pan, standard, metal or plastic
E0276Bed pan, fracture, metal or plastic
E0277Powered pressure-reducing air mattress
E0280Bed cradle, any type
E0290Hospital bed, fixed height, without side rails, with mattress
E0291Hospital bed, fixed height, without side rails, without mattress
E0292Hospital bed, variable height, hi-lo, without side rails, with mattress
E0293Hospital bed, variable height, hi-lo, without side rails, without mattress
E0294Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress
E0295Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress
E0296Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress
E0297Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress
E0300Pediatric crib, hospital grade, fully enclosed, with or without top enclosure
E0301Hospital 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
E0302Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress
E0303Hospital 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
E0304Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress
E0305Bed side rails, half length
E0310Bed side rails, full length
E0315Bed accessory: board, table, or support device, any type
E0316Safety enclosure frame/canopy for use with hospital bed, any type
E0325Urinal; male, jug-type, any material
E0326Urinal; female, jug-type, any material
E0328Hospital bed, pediatric, manual, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress
E0329Hospital 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
E0350Control unit for electronic bowel irrigation/evacuation system
E0352Disposable pack (water reservoir bag, speculum, valving mechanism and collection bag/box) for use with the electronic bowel irrigation/evacuation system
E0370Air pressure elevator for heel
E0371Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width
E0372Powered air overlay for mattress, standard mattress length and width
E0373Nonpowered advanced pressure reducing mattress
E0424Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing
E0425Stationary compressed gas system, purchase; includes regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing
E0430Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing
E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing
E0433Portable 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
E0434Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing
E0435Portable liquid oxygen system, purchase; includes portable container, supply reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and refill adaptor
E0439Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing
E0440Stationary liquid oxygen system, purchase; includes use of reservoir, contents indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing
E0441Stationary oxygen contents, gaseous, 1 month's supply = 1 unit
E0442Stationary oxygen contents, liquid, 1 month's supply = 1 unit
E0443Portable oxygen contents, gaseous, 1 month's supply = 1 unit
E0444Portable oxygen contents, liquid, 1 month's supply = 1 unit
E0445Oximeter device for measuring blood oxygen levels non-invasively
E0446Topical oxygen delivery system, not otherwise specified, includes all supplies and accessories
E0447Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm)
E0450Volume control ventilator, without pressure support mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube)terminated
E0455Oxygen tent, excluding croup or pediatric tents
E0457Chest shell (cuirass)
E0459Chest wrap
E0460Negative pressure ventilator; portable or stationaryterminated
E0461Volume control ventilator, without pressure support mode, may include pressure control mode, used with non-invasive interface (e.g., mask)terminated
E0462Rocking bed with or without side rails
E0463Pressure support ventilator with volume control mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube)terminated
E0464Pressure support ventilator with volume control mode, may include pressure control mode, used with non-invasive interface (e.g., mask)terminated
E0465Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)
E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)
E0467Home 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
E0468Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions
E0469Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device
E0470Respiratory 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)
E0471Respiratory 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)
E0472Respiratory 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)
E0480Percussor, electric or pneumatic, home model
E0481Intrapulmonary percussive ventilation system and related accessories
E0482Cough stimulating device, alternating positive and negative airway pressure
E0483High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each
E0484Oscillatory positive expiratory pressure device, non-electric, any type, each
E0485Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, prefabricated, includes fitting and adjustment
E0486Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment
E0487Spirometer, electronic, includes all accessories
E0490Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote
E0491Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day supply
E0492Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by phone application
E0493Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by phone application, 90-day supply
E0500Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source
E0530Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type
E0550Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery
E0555Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter
E0560Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery
E0561Humidifier, non-heated, used with positive airway pressure device
E0562Humidifier, heated, used with positive airway pressure device
E0565Compressor, air power source for equipment which is not self-contained or cylinder driven
E0570Nebulizer, with compressor
E0572Aerosol compressor, adjustable pressure, light duty for intermittent use
E0574Ultrasonic/electronic aerosol generator with small volume nebulizer
E0575Nebulizer, ultrasonic, large volume
E0580Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter
E0585Nebulizer, with compressor and heater
E0600Respiratory suction pump, home model, portable or stationary, electric
E0601Continuous positive airway pressure (cpap) device
E0602Breast pump, manual, any type
E0603Breast pump, electric (ac and/or dc), any type
E0604Breast pump, hospital grade, electric (ac and / or dc), any type
E0605Vaporizer, room type
E0606Postural drainage board
E0607Home blood glucose monitor
E0610Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems)
E0615Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems
E0616Implantable cardiac event recorder with memory, activator and programmer
E0617External defibrillator with integrated electrocardiogram analysis
E0618Apnea monitor, without recording feature
E0619Apnea monitor, with recording feature
E0620Skin piercing device for collection of capillary blood, laser, each
E0621Sling or seat, patient lift, canvas or nylon
E0625Patient lift, bathroom or toilet, not otherwise classified
E0627Seat lift mechanism, electric, any type
E0628Separate seat lift mechanism for use with patient owned furniture-electricterminated
E0629Seat lift mechanism, non-electric, any type
E0630Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)
E0635Patient lift, electric with seat or sling
E0636Multipositional patient support system, with integrated lift, patient accessible controls
E0637Combination sit to stand frame/table system, any size including pediatric, with seat lift feature, with or without wheels
E0638Standing frame/table system, one position (e.g., upright, supine or prone stander), any size including pediatric, with or without wheels
E0639Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories
E0640Patient lift, fixed system, includes all components/accessories
E0641Standing frame/table system, multi-position (e.g., three-way stander), any size including pediatric, with or without wheels
E0642Standing frame/table system, mobile (dynamic stander), any size including pediatric
E0650Pneumatic compressor, non-segmental home model
E0651Pneumatic compressor, segmental home model without calibrated gradient pressure
E0652Pneumatic compressor, segmental home model with calibrated gradient pressure
E0655Non-segmental pneumatic appliance for use with pneumatic compressor, half arm
E0656Segmental pneumatic appliance for use with pneumatic compressor, trunk
E0657Segmental pneumatic appliance for use with pneumatic compressor, chest
E0658Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest
E0659Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest
E0660Non-segmental pneumatic appliance for use with pneumatic compressor, full leg
E0665Non-segmental pneumatic appliance for use with pneumatic compressor, full arm
E0666Non-segmental pneumatic appliance for use with pneumatic compressor, half leg
E0667Segmental pneumatic appliance for use with pneumatic compressor, full leg
E0668Segmental pneumatic appliance for use with pneumatic compressor, full arm
E0669Segmental pneumatic appliance for use with pneumatic compressor, half leg
E0670Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk
E0671Segmental gradient pressure pneumatic appliance, full leg
E0672Segmental gradient pressure pneumatic appliance, full arm
E0673Segmental gradient pressure pneumatic appliance, half leg
E0675Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system)
E0676Intermittent limb compression device (includes all accessories), not otherwise specified
E0677Non-pneumatic sequential compression garment, trunk
E0678Non-pneumatic sequential compression garment, full leg
E0679Non-pneumatic sequential compression garment, half leg
E0680Non-pneumatic compression controller with sequential calibrated gradient pressure
E0681Non-pneumatic compression controller without calibrated gradient pressure
E0682Non-pneumatic sequential compression garment, full arm
E0683Non-pneumatic, non-sequential, peristaltic wave compression pump
E0691Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less
E0692Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel
E0693Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel
E0694Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection
E0700Safety equipment, device or accessory, any type
E0705Transfer device, any type, each
E0710Restraints, any type (body, chest, wrist or ankle)
E0711Upper extremity medical tubing/lines enclosure or covering device, restricts elbow range of motion
E0715Intravaginal device intended to strengthen pelvic floor muscles during kegel exercises
E0716Supplies and accessories for intravaginal device intended to strengthen pelvic floor muscles during kegel exercises
E0720Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation
E0721Transcutaneous electrical nerve stimulator for nerves in the auricular region
E0730Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation
E0731Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric)
E0732Cranial electrotherapy stimulation (ces) system, any type
E0733Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve
E0734External upper limb tremor stimulator of the peripheral nerves of the wrist
E0735Non-invasive vagus nerve stimulator
E0736Transcutaneous tibial nerve stimulator
E0737Transcutaneous tibial nerve stimulator, controlled by phone application
E0738Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories
E0739Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors
E0740Non-implanted pelvic floor electrical stimulator, complete system
E0743External lower extremity nerve stimulator for restless legs syndrome, each
E0744Neuromuscular stimulator for scoliosis
E0745Neuromuscular stimulator, electronic shock unit
E0746Electromyography (emg), biofeedback device
E0747Osteogenesis stimulator, electrical, non-invasive, other than spinal applications
E0748Osteogenesis stimulator, electrical, non-invasive, spinal applications
E0749Osteogenesis stimulator, electrical, surgically implanted
E0755Electronic salivary reflex stimulator (intra-oral/non-invasive)
E0760Osteogenesis stimulator, low intensity ultrasound, non-invasive
E0761Non-thermal pulsed high frequency radiowaves, high peak power electromagnetic energy treatment device
E0762Transcutaneous electrical joint stimulation device system, includes all accessories
E0764Functional 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
E0765Fda approved nerve stimulator, for treatment of nausea and vomiting
E0766Electrical stimulation device used for cancer treatment, includes all accessories, any type
E0767Intrabuccal, systemic delivery of amplitude-modulated, radiofrequency electromagnetic field device, for cancer treatment, includes all accessories
E0769Electrical stimulation or electromagnetic wound treatment device, not otherwise classified
E0770Functional electrical stimulator, transcutaneous stimulation of nerve and/or muscle groups, any type, complete system, not otherwise specified
E0776Iv pole
E0779Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater
E0780Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours
E0781Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient
E0782Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.)
E0783Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.)
E0784External ambulatory infusion pump, insulin
E0785Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement
E0786Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter)
E0787External ambulatory infusion pump, insulin, dosage rate adjustment using therapeutic continuous glucose sensing
E0791Parenteral infusion pump, stationary, single or multi-channel
E0830Ambulatory traction device, all types, each
E0840Traction frame, attached to headboard, cervical traction
E0849Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible
E0850Traction stand, free standing, cervical traction
E0855Cervical traction equipment not requiring additional stand or frame
E0856Cervical traction device, with inflatable air bladder(s)
E0860Traction equipment, overdoor, cervical
E0870Traction frame, attached to footboard, extremity traction, (e.g., buck's)
E0880Traction stand, free standing, extremity traction
E0890Traction frame, attached to footboard, pelvic traction
E0900Traction stand, free standing, pelvic traction, (e.g., buck's)
E0910Trapeze bars, a/k/a patient helper, attached to bed, with grab bar
E0911Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar
E0912Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar
E0920Fracture frame, attached to bed, includes weights
E0930Fracture frame, free standing, includes weights
E0935Continuous passive motion exercise device for use on knee only
E0936Continuous passive motion exercise device for use other than knee
E0940Trapeze bar, free standing, complete with grab bar
E0941Gravity assisted traction device, any type
E0942Cervical head harness/halter
E0944Pelvic belt/harness/boot
E0945Extremity belt/harness
E0946Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster)
E0947Fracture frame, attachments for complex pelvic traction
E0948Fracture frame, attachments for complex cervical traction
E0950Wheelchair accessory, tray, each
E0951Heel loop/holder, any type, with or without ankle strap, each
E0952Toe loop/holder, any type, each
E0953Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each
E0954Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot
E0955Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each
E0956Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each
E0957Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each
E0958Manual wheelchair accessory, one-arm drive attachment, each
E0959Manual wheelchair accessory, adapter for amputee, each
E0960Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware
E0961Manual wheelchair accessory, wheel lock brake extension (handle), each
E0966Manual wheelchair accessory, headrest extension, each
E0967Manual wheelchair accessory, hand rim with projections, any type, replacement only, each
E0968Commode seat, wheelchair
E0969Narrowing device, wheelchair
E0970No. 2 footplates, except for elevating leg rest
E0971Manual wheelchair accessory, anti-tipping device, each
E0973Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each
E0974Manual wheelchair accessory, anti-rollback device, each
E0978Wheelchair accessory, positioning belt/safety belt/pelvic strap, each
E0980Safety vest, wheelchair
E0981Wheelchair accessory, seat upholstery, replacement only, each
E0982Wheelchair accessory, back upholstery, replacement only, each
E0983Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control
E0984Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control
E0985Wheelchair accessory, seat lift mechanism
E0986Manual wheelchair accessory, power assist system
E0988Manual wheelchair accessory, lever-activated, wheel drive, pair
E0990Wheelchair accessory, elevating leg rest, complete assembly, each
E0992Manual wheelchair accessory, solid seat insert
E0994Arm rest, each
E0995Wheelchair accessory, calf rest/pad, replacement only, each
E1002Wheelchair accessory, power seating system, tilt only
E1003Wheelchair accessory, power seating system, recline only, without shear reduction
E1004Wheelchair accessory, power seating system, recline only, with mechanical shear reduction
E1005Wheelchair accessory, power seating system, recline only, with power shear reduction
E1006Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction
E1007Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction
E1008Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction
E1009Wheelchair accessory, addition to power seating system, mechanically linked leg elevation system, including pushrod and leg rest, each
E1010Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair
E1011Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair)
E1012Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each
E1014Reclining back, addition to pediatric size wheelchair
E1015Shock absorber for manual wheelchair, each
E1016Shock absorber for power wheelchair, each
E1017Heavy duty shock absorber for heavy duty or extra heavy duty manual wheelchair, each
E1018Heavy duty shock absorber for heavy duty or extra heavy duty power wheelchair, each
E1020Residual limb support system for wheelchair, any type
E1022Wheelchair transportation securement system, any type includes all components and accessories
E1023Wheelchair transit securement system, includes all components and accessories
E1028Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other
E1029Wheelchair accessory, ventilator tray, fixed
E1030Wheelchair accessory, ventilator tray, gimbaled
E1031Rollabout chair, any and all types with casters 5" or greater
E1032Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface
E1033Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type
E1034Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type
E1035Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs
E1036Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs
E1037Transport chair, pediatric size
E1038Transport chair, adult size, patient weight capacity up to and including 300 pounds
E1039Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds
E1050Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests
E1060Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests
E1070Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest
E1083Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest
E1084Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests
E1085Hemi-wheelchair, fixed full length arms, swing away detachable foot rests
E1086Hemi-wheelchair detachable arms desk or full length, swing away detachable footrests
E1087High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests
E1088High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests
E1089High strength lightweight wheelchair, fixed length arms, swing away detachable footrest
E1090High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable foot rests
E1092Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests
E1093Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests
E1100Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests
E1110Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest
E1130Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests
E1140Wheelchair, detachable arms, desk or full length, swing away detachable footrests
E1150Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests
E1160Wheelchair, fixed full length arms, swing away detachable elevating legrests
E1161Manual adult size wheelchair, includes tilt in space
E1170Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests
E1171Amputee wheelchair, fixed full length arms, without footrests or legrest
E1172Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest
E1180Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests
E1190Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests
E1195Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests
E1200Amputee wheelchair, fixed full length arms, swing away detachable footrest
E1220Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification
E1221Wheelchair with fixed arm, footrests
E1222Wheelchair with fixed arm, elevating legrests
E1223Wheelchair with detachable arms, footrests
E1224Wheelchair with detachable arms, elevating legrests
E1225Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each
E1226Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each
E1227Special height arms for wheelchair
E1228Special back height for wheelchair
E1229Wheelchair, pediatric size, not otherwise specified
E1230Power operated vehicle (three or four wheel nonhighway) specify brand name and model number
E1231Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating system
E1232Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system
E1233Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system
E1234Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system
E1235Wheelchair, pediatric size, rigid, adjustable, with seating system
E1236Wheelchair, pediatric size, folding, adjustable, with seating system
E1237Wheelchair, pediatric size, rigid, adjustable, without seating system
E1238Wheelchair, pediatric size, folding, adjustable, without seating system
E1239Power wheelchair, pediatric size, not otherwise specified
E1240Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest
E1250Lightweight wheelchair, fixed full length arms, swing away detachable footrest
E1260Lightweight wheelchair, detachable arms (desk or full length) swing away detachable footrest
E1270Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests
E1280Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests
E1285Heavy duty wheelchair, fixed full length arms, swing away detachable footrest
E1290Heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest
E1295Heavy duty wheelchair, fixed full length arms, elevating legrest
E1296Special wheelchair seat height from floor
E1297Special wheelchair seat depth, by upholstery
E1298Special wheelchair seat depth and/or width, by construction
E1300Whirlpool, portable (overtub type)
E1301Whirlpool tub, walk-in, portable
E1310Whirlpool, non-portable (built-in type)
E1352Oxygen accessory, flow regulator capable of positive inspiratory pressure
E1353Regulator
E1354Oxygen accessory, wheeled cart for portable cylinder or portable concentrator, any type, replacement only, each
E1355Stand/rack
E1356Oxygen accessory, battery pack/cartridge for portable concentrator, any type, replacement only, each
E1357Oxygen accessory, battery charger for portable concentrator, any type, replacement only, each
E1358Oxygen accessory, dc power adapter for portable concentrator, any type, replacement only, each
E1372Immersion external heater for nebulizer
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate
E1391Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each
E1392Portable oxygen concentrator, rental
E1399Durable medical equipment, miscellaneous
E1405Oxygen and water vapor enriching system with heated delivery
E1406Oxygen and water vapor enriching system without heated delivery
E1500Centrifuge, for dialysis
E1510Kidney, 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
E1520Heparin infusion pump for hemodialysis
E1530Air bubble detector for hemodialysis, each, replacement
E1540Pressure alarm for hemodialysis, each, replacement
E1550Bath conductivity meter for hemodialysis, each
E1560Blood leak detector for hemodialysis, each, replacement
E1570Adjustable chair, for esrd patients
E1575Transducer protectors/fluid barriers, for hemodialysis, any size, per 10
E1580Unipuncture control system for hemodialysis
E1590Hemodialysis machine
E1592Automatic intermittent peritoneal dialysis system
E1594Cycler dialysis machine for peritoneal dialysis
E1600Delivery and/or installation charges for hemodialysis equipment
E1610Reverse osmosis water purification system, for hemodialysis
E1615Deionizer water purification system, for hemodialysis
E1620Blood pump for hemodialysis, replacement
E1625Water softening system, for hemodialysis
E1629Tablo hemodialysis system for the billable dialysis service
E1630Reciprocating peritoneal dialysis system
E1632Wearable artificial kidney, each
E1634Peritoneal dialysis clamps, each
E1635Compact (portable) travel hemodialyzer system
E1636Sorbent cartridges, for hemodialysis, per 10
E1637Hemostats, each
E1639Scale, each
E1699Dialysis equipment, not otherwise specified
E1700Jaw motion rehabilitation system
E1701Replacement cushions for jaw motion rehabilitation system, pkg. of 6
E1702Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200
E1800Dynamic adjustable elbow extension and flexion device, includes soft interface material
E1801Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories
E1802Dynamic adjustable forearm pronation/supination device, includes soft interface material
E1803Dynamic adjustable elbow extension only device, includes soft interface material
E1804Dynamic adjustable elbow flexion only device, includes soft interface material
E1805Dynamic adjustable wrist extension and flexion device, includes soft interface material
E1806Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories
E1807Dynamic adjustable wrist extension only device, includes soft interface material
E1808Dynamic adjustable wrist flexion only device, includes soft interface material
E1810Dynamic adjustable knee extension and flexion device, includes soft interface material
E1811Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories
E1812Dynamic knee, extension/flexion device with active resistance control
E1813Dynamic adjustable knee extension only device, includes soft interface material
E1814Dynamic adjustable knee flexion only device, includes soft interface material
E1815Dynamic adjustable ankle extension and flexion device, includes soft interface material
E1816Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories
E1818Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories
E1820Replacement soft interface material, dynamic adjustable extension/flexion device
E1821Replacement soft interface material/cuffs for bi-directional static progressive stretch device
E1822Dynamic adjustable ankle extension only device, includes soft interface material
E1823Dynamic adjustable ankle flexion only device, includes soft interface material
E1825Dynamic adjustable finger extension and flexion device, includes soft interface material
E1826Dynamic adjustable finger extension only device, includes soft interface material
E1827Dynamic adjustable finger flexion only device, includes soft interface material
E1828Dynamic adjustable toe extension only device, includes soft interface material
E1829Dynamic adjustable toe flexion only device, includes soft interface material
E1830Dynamic adjustable toe extension and flexion device, includes soft interface material
E1831Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories
E1832Static progressive stretch finger device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories
E1840Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material
E1841Static progressive stretch/patient actualized serial stretch shoulder device, with or without range of motion adjustment, includes all components and accessories
E1902Communication board, non-electronic augmentative or alternative communication device
E1905Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software
E2000Gastric suction pump, home model, portable or stationary, electric
E2001Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system
E2100Blood glucose monitor with integrated voice synthesizer
E2101Blood glucose monitor with integrated lancing/blood sample
E2102Adjunctive, non-implanted continuous glucose monitor or receiver
E2103Non-adjunctive, non-implanted continuous glucose monitor or receiver
E2104Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge
E2120Pulse generator system for tympanic treatment of inner ear endolymphatic fluid
E2201Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches
E2202Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches
E2203Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches
E2204Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches
E2205Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each
E2206Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each
E2207Wheelchair accessory, crutch and cane holder, each
E2208Wheelchair accessory, cylinder tank carrier, each
E2209Accessory, arm trough, with or without hand support, each
E2210Wheelchair accessory, bearings, any type, replacement only, each
E2211Manual wheelchair accessory, pneumatic propulsion tire, any size, each
E2212Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each
E2213Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each
E2214Manual wheelchair accessory, pneumatic caster tire, any size, each
E2215Manual wheelchair accessory, tube for pneumatic caster tire, any size, each
E2216Manual wheelchair accessory, foam filled propulsion tire, any size, each
E2217Manual wheelchair accessory, foam filled caster tire, any size, each
E2218Manual wheelchair accessory, foam propulsion tire, any size, each
E2219Manual wheelchair accessory, foam caster tire, any size, each
E2220Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each
E2221Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each
E2222Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each
E2224Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each
E2225Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each
E2226Manual wheelchair accessory, caster fork, any size, replacement only, each
E2227Manual wheelchair accessory, gear reduction drive wheel, each
E2228Manual wheelchair accessory, wheel braking system and lock, complete, each
E2230Manual wheelchair accessory, manual standing system
E2231Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware
E2291Back, planar, for pediatric size wheelchair including fixed attaching hardware
E2292Seat, planar, for pediatric size wheelchair including fixed attaching hardware
E2293Back, contoured, for pediatric size wheelchair including fixed attaching hardware
E2294Seat, contoured, for pediatric size wheelchair including fixed attaching hardware
E2295Manual wheelchair accessory, for pediatric size wheelchair, dynamic seating frame, allows coordinated movement of multiple positioning features
E2298Complex rehabilitative power wheelchair accessory, power seat elevation system, any type
E2300Wheelchair accessory, power seat elevation system, any typeterminated
E2301Wheelchair accessory, power standing system, any type
E2310Power 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
E2311Power 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
E2312Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware
E2313Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each
E2321Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware
E2322Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware
E2323Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated
E2324Power wheelchair accessory, chin cup for chin control interface
E2325Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware
E2326Power wheelchair accessory, breath tube kit for sip and puff interface
E2327Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware
E2328Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware
E2329Power 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
E2330Power 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
E2331Power wheelchair accessory, attendant control, proportional, including all related electronics and fixed mounting hardware
E2340Power wheelchair accessory, nonstandard seat frame width, 20-23 inches
E2341Power wheelchair accessory, nonstandard seat frame width, 24-27 inches
E2342Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches
E2343Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches
E2351Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface
E2358Power wheelchair accessory, group 34 non-sealed lead acid battery, each
E2359Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)
E2360Power wheelchair accessory, 22nf non-sealed lead acid battery, each
E2361Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat)
E2362Power wheelchair accessory, group 24 non-sealed lead acid battery, each
E2363Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)
E2364Power wheelchair accessory, u-1 non-sealed lead acid battery, each
E2365Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)
E2366Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each
E2367Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each
E2368Power wheelchair component, drive wheel motor, replacement only
E2369Power wheelchair component, drive wheel gear box, replacement only
E2370Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only
E2371Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each
E2372Power wheelchair accessory, group 27 non-sealed lead acid battery, each
E2373Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware
E2374Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only
E2375Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only
E2376Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only
E2377Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue
E2378Power wheelchair component, actuator, replacement only
E2381Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each
E2382Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each
E2383Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each
E2384Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each
E2385Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each
E2386Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each
E2387Power wheelchair accessory, foam filled caster tire, any size, replacement only, each
E2388Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each
E2389Power wheelchair accessory, foam caster tire, any size, replacement only, each
E2390Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each
E2391Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each
E2392Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each
E2394Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each
E2395Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each
E2396Power wheelchair accessory, caster fork, any size, replacement only, each
E2397Power wheelchair accessory, lithium-based battery, each
E2398Wheelchair accessory, dynamic positioning hardware for back
E2402Negative pressure wound therapy electrical pump, stationary or portable
E2500Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time
E2502Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time
E2504Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time
E2506Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time
E2508Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device
E2510Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access
E2511Speech generating software program, for personal computer or personal digital assistant
E2512Accessory for speech generating device, mounting system
E2513Accessory for speech generating device, electromyographic sensor
E2599Accessory for speech generating device, not otherwise classified
E2601General use wheelchair seat cushion, width less than 22 inches, any depth
E2602General use wheelchair seat cushion, width 22 inches or greater, any depth
E2603Skin protection wheelchair seat cushion, width less than 22 inches, any depth
E2604Skin protection wheelchair seat cushion, width 22 inches or greater, any depth
E2605Positioning wheelchair seat cushion, width less than 22 inches, any depth
E2606Positioning wheelchair seat cushion, width 22 inches or greater, any depth
E2607Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth
E2608Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth
E2609Custom fabricated wheelchair seat cushion, any size
E2610Wheelchair seat cushion, powered
E2611General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware
E2612General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware
E2613Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware
E2614Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware
E2615Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware
E2616Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware
E2617Custom fabricated wheelchair back cushion, any size, including any type mounting hardware
E2619Replacement cover for wheelchair seat cushion or back cushion, each
E2620Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware
E2621Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware
E2622Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth
E2623Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth
E2624Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth
E2625Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth
E2626Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable
E2627Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type
E2628Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining
E2629Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints)
E2630Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support
E2631Wheelchair accessory, addition to mobile arm support, elevating proximal arm
E2632Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control
E2633Wheelchair accessory, addition to mobile arm support, supinator
E3000Speech volume modulation system, any type, including all components and accessories
E3200Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only
E8000Gait trainer, pediatric size, posterior support, includes all accessories and components
E8001Gait trainer, pediatric size, upright support, includes all accessories and components
E8002Gait trainer, pediatric size, anterior support, includes all accessories and components