E0100 |
Cane adjust/fixed with tip |
Cane, includes canes of all materials, adjustable or fixed, with tip |
E0105 |
Cane adjust/fixed quad/3 pro |
Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips |
E0110 |
Crutch forearm pair |
Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips |
E0111 |
Crutch forearm each |
Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips |
E0112 |
Crutch underarm pair wood |
Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips |
E0113 |
Crutch underarm each wood |
Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip |
E0114 |
Crutch underarm pair no wood |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
E0116 |
Crutch underarm each no wood |
Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each |
E0117 |
Underarm springassist crutch |
Crutch, underarm, articulating, spring assisted, each |
E0118 |
Crutch substitute |
Crutch substitute, lower leg platform, with or without wheels, each |
E0130 |
Walker rigid adjust/fixed ht |
Walker, rigid (pickup), adjustable or fixed height |
E0135 |
Walker folding adjust/fixed |
Walker, folding (pickup), adjustable or fixed height |
E0140 |
Walker w trunk support |
Walker, with trunk support, adjustable or fixed height, any type |
E0141 |
Rigid wheeled walker adj/fix |
Walker, rigid, wheeled, adjustable or fixed height |
E0143 |
Walker folding wheeled w/o s |
Walker, folding, wheeled, adjustable or fixed height |
E0144 |
Enclosed walker w rear seat |
Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat |
E0147 |
Walker variable wheel resist |
Walker, heavy duty, multiple braking system, variable wheel resistance |
E0148 |
Heavyduty walker no wheels |
Walker, heavy duty, without wheels, rigid or folding, any type, each |
E0149 |
Heavy duty wheeled walker |
Walker, heavy duty, wheeled, rigid or folding, any type |
E0152 |
Walker, battery power wheels |
Walker, battery powered, wheeled, folding, adjustable or fixed height |
E0153 |
Forearm crutch platform atta |
Platform attachment, forearm crutch, each |
E0154 |
Walker platform attachment |
Platform attachment, walker, each |
E0155 |
Walker wheel attachment,pair |
Wheel attachment, rigid pick-up walker, per pair |
E0156 |
Walker seat attachment |
Seat attachment, walker |
E0157 |
Walker crutch attachment |
Crutch attachment, walker, each |
E0158 |
Walker leg extenders set of4 |
Leg extensions for walker, per set of four (4) |
E0159 |
Brake for wheeled walker |
Brake attachment for wheeled walker, replacement, each |
E0160 |
Sitz type bath or equipment |
Sitz type bath or equipment, portable, used with or without commode |
E0161 |
Sitz bath/equipment w/faucet |
Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s |
E0162 |
Sitz bath chair |
Sitz bath chair |
E0163 |
Commode chair with fixed arm |
Commode chair, mobile or stationary, with fixed arms |
E0165 |
Commode chair with detacharm |
Commode chair, mobile or stationary, with detachable arms |
E0167 |
Commode chair pail or pan |
Pail or pan for use with commode chair, replacement only |
E0168 |
Heavyduty/wide commode chair |
Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each |
E0170 |
Commode chair electric |
Commode chair with integrated seat lift mechanism, electric, any type |
E0171 |
Commode chair non-electric |
Commode chair with integrated seat lift mechanism, non-electric, any type |
E0172 |
Seat lift mechanism toilet |
Seat lift mechanism placed over or on top of toilet, any type |
E0175 |
Commode chair foot rest |
Foot rest, for use with commode chair, each |
E0181 |
Press pad alternating w/ pum |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
E0182 |
Replace pump, alt press pad |
Pump for alternating pressure pad, for replacement only |
E0183 |
Press underlay alter w/pump |
Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty |
E0184 |
Dry pressure mattress |
Dry pressure mattress |
E0185 |
Gel pressure mattress pad |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
E0186 |
Air pressure mattress |
Air pressure mattress |
E0187 |
Water pressure mattress |
Water pressure mattress |
E0188 |
Synthetic sheepskin pad |
Synthetic sheepskin pad |
E0189 |
Lambswool sheepskin pad |
Lambswool sheepskin pad, any size |
E0190 |
Positioning cushion |
Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories |
E0191 |
Protector heel or elbow |
Heel or elbow protector, each |
E0193 |
Powered air flotation bed |
Powered air flotation bed (low air loss therapy) |
E0194 |
Air fluidized bed |
Air fluidized bed |
E0196 |
Gel pressure mattress |
Gel pressure mattress |
E0197 |
Air pressure pad for mattres |
Air pressure pad for mattress, standard mattress length and width |
E0198 |
Water pressure pad for mattr |
Water pressure pad for mattress, standard mattress length and width |
E0199 |
Dry pressure pad for mattres |
Dry pressure pad for mattress, standard mattress length and width |
E0200 |
Heat lamp without stand |
Heat lamp, without stand (table model), includes bulb, or infrared element |
E0202 |
Phototherapy light w/ photom |
Phototherapy (bilirubin) light with photometer |
E0203 |
Therapeutic lightbox tabletp |
Therapeutic lightbox, minimum 10,000 lux, table top model |
E0205 |
Heat lamp with stand |
Heat lamp, with stand, includes bulb, or infrared element |
E0210 |
Electric heat pad standard |
Electric heat pad, standard |
E0215 |
Electric heat pad moist |
Electric heat pad, moist |
E0217 |
Water circ heat pad w pump |
Water circulating heat pad with pump |
E0218 |
Fluid circ cold pad w pump |
Fluid circulating cold pad with pump, any type |
E0221 |
Infrared heating pad system |
Infrared heating pad system |
E0225 |
Hydrocollator unit |
Hydrocollator unit, includes pads |
E0231 |
Wound warming device |
Non-contact wound warming device (temperature control unit, ac adapter and power cord) for use with warming card and wound cover |
E0232 |
Warming card for nwt |
Warming card for use with the non contact wound warming device and non contact wound warming wound cover |
E0235 |
Paraffin bath unit portable |
Paraffin bath unit, portable (see medical supply code a4265 for paraffin) |
E0236 |
Pump for water circulating p |
Pump for water circulating pad |
E0239 |
Hydrocollator unit portable |
Hydrocollator unit, portable |
E0240 |
Bath/shower chair |
Bath/shower chair, with or without wheels, any size |
E0241 |
Bath tub wall rail |
Bath tub wall rail, each |
E0242 |
Bath tub rail floor |
Bath tub rail, floor base |
E0243 |
Toilet rail |
Toilet rail, each |
E0244 |
Toilet seat raised |
Raised toilet seat |
E0245 |
Tub stool or bench |
Tub stool or bench |
E0246 |
Transfer tub rail attachment |
Transfer tub rail attachment |
E0247 |
Trans bench w/wo comm open |
Transfer bench for tub or toilet with or without commode opening |
E0248 |
Hdtrans bench w/wo comm open |
Transfer bench, heavy duty, for tub or toilet with or without commode opening |
E0249 |
Pad water circulating heat u |
Pad for water circulating heat unit, for replacement only |
E0250 |
Hosp bed fixed ht w/ mattres |
Hospital bed, fixed height, with any type side rails, with mattress |
E0251 |
Hosp bed fixd ht w/o mattres |
Hospital bed, fixed height, with any type side rails, without mattress |
E0255 |
Hospital bed var ht w/ mattr |
Hospital bed, variable height, hi-lo, with any type side rails, with mattress |
E0256 |
Hospital bed var ht w/o matt |
Hospital bed, variable height, hi-lo, with any type side rails, without mattress |
E0260 |
Hosp bed semi-electr w/ matt |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
E0261 |
Hosp bed semi-electr w/o mat |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
E0265 |
Hosp bed total electr w/ mat |
Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress |
E0266 |
Hosp bed total elec w/o matt |
Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress |
E0270 |
Hospital bed institutional t |
Hospital bed, institutional type includes: oscillating, circulating and stryker frame, with mattress |
E0271 |
Mattress innerspring |
Mattress, innerspring |
E0272 |
Mattress foam rubber |
Mattress, foam rubber |
E0273 |
Bed board |
Bed board |
E0274 |
Over-bed table |
Over-bed table |
E0275 |
Bed pan standard |
Bed pan, standard, metal or plastic |
E0276 |
Bed pan fracture |
Bed pan, fracture, metal or plastic |
E0277 |
Powered pres-redu air mattrs |
Powered pressure-reducing air mattress |
E0280 |
Bed cradle |
Bed cradle, any type |
E0290 |
Hosp bed fx ht w/o rails w/m |
Hospital bed, fixed height, without side rails, with mattress |
E0291 |
Hosp bed fx ht w/o rail w/o |
Hospital bed, fixed height, without side rails, without mattress |
E0292 |
Hosp bed var ht no sr w/matt |
Hospital bed, variable height, hi-lo, without side rails, with mattress |
E0293 |
Hosp bed var ht no sr no mat |
Hospital bed, variable height, hi-lo, without side rails, without mattress |
E0294 |
Hosp bed semi-elect w/ mattr |
Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress |
E0295 |
Hosp bed semi-elect w/o matt |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
E0296 |
Hosp bed total elect w/ matt |
Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress |
E0297 |
Hosp bed total elect w/o mat |
Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress |
E0300 |
Enclosed ped crib hosp grade |
Pediatric crib, hospital grade, fully enclosed, with or without top enclosure |
E0301 |
Hd hosp bed, 350-600 lbs |
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 |
Ex hd hosp bed > 600 lbs |
Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress |
E0303 |
Hosp bed hvy dty xtra wide |
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 |
Hosp bed xtra hvy dty x wide |
Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress |
E0305 |
Rails bed side half length |
Bed side rails, half length |
E0310 |
Rails bed side full length |
Bed side rails, full length |
E0315 |
Bed accessory brd/tbl/supprt |
Bed accessory: board, table, or support device, any type |
E0316 |
Bed safety enclosure |
Safety enclosure frame/canopy for use with hospital bed, any type |
E0325 |
Urinal male jug-type |
Urinal; male, jug-type, any material |
E0326 |
Urinal female jug-type |
Urinal; female, jug-type, any material |
E0328 |
Ped hospital bed, manual |
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 |
Ped hospital bed semi/elect |
Hospital bed, pediatric, electric or semi-electric, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress |
E0350 |
Control unit bowel system |
Control unit for electronic bowel irrigation/evacuation system |
E0352 |
Disposable pack w/bowel syst |
Disposable pack (water reservoir bag, speculum, valving mechanism and collection bag/box) for use with the electronic bowel irrigation/evacuation system |
E0370 |
Air elevator for heel |
Air pressure elevator for heel |
E0371 |
Nonpower mattress overlay |
Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width |
E0372 |
Powered air mattress overlay |
Powered air overlay for mattress, standard mattress length and width |
E0373 |
Nonpowered pressure mattress |
Nonpowered advanced pressure reducing mattress |
E0424 |
Stationary compressed gas 02 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
E0425 |
Gas system stationary compre |
Stationary compressed gas system, purchase; includes regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
E0430 |
Oxygen system gas portable |
Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing |
E0431 |
Portable gaseous 02 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
E0433 |
Portable liquid oxygen sys |
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 02 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
E0435 |
Oxygen system liquid portabl |
Portable liquid oxygen system, purchase; includes portable container, supply reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and refill adaptor |
E0439 |
Stationary liquid 02 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
E0440 |
Oxygen system liquid station |
Stationary liquid oxygen system, purchase; includes use of reservoir, contents indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
E0441 |
Stationary o2 contents, gas |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
E0442 |
Stationary o2 contents, liq |
Stationary oxygen contents, liquid, 1 month's supply = 1 unit |
E0443 |
Portable 02 contents, gas |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
E0444 |
Portable 02 contents, liquid |
Portable oxygen contents, liquid, 1 month's supply = 1 unit |
E0445 |
Oximeter non-invasive |
Oximeter device for measuring blood oxygen levels non-invasively |
E0446 |
Topical ox deliver sys, nos |
Topical oxygen delivery system, not otherwise specified, includes all supplies and accessories |
E0447 |
Port o2 cont, liq over 4 lpm |
Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) |
E0450 |
Vol control vent invasiv int |
Volume control ventilator, without pressure support mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube) |
E0455 |
Oxygen tent excl croup/ped t |
Oxygen tent, excluding croup or pediatric tents |
E0457 |
Chest shell |
Chest shell (cuirass) |
E0459 |
Chest wrap |
Chest wrap |
E0460 |
Neg press vent portabl/statn |
Negative pressure ventilator; portable or stationary |
E0461 |
Vol control vent noninv int |
Volume control ventilator, without pressure support mode, may include pressure control mode, used with non-invasive interface (e.g., mask) |
E0462 |
Rocking bed w/ or w/o side r |
Rocking bed with or without side rails |
E0463 |
Press supp vent invasive int |
Pressure support ventilator with volume control mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube) |
E0464 |
Press supp vent noninv int |
Pressure support ventilator with volume control mode, may include pressure control mode, used with non-invasive interface (e.g., mask) |
E0465 |
Home vent invasive interface |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
E0466 |
Home vent non-invasive inter |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
E0467 |
Home vent multi-function |
Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions |
E0468 |
Home vent dual fnct incl all |
Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions |
E0470 |
Rad w/o backup non-inv intfc |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
E0471 |
Rad w/backup non inv intrfc |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
E0472 |
Rad w backup invasive intrfc |
Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pressure device) |
E0480 |
Percussor elect/pneum home m |
Percussor, electric or pneumatic, home model |
E0481 |
Intrpulmnry percuss vent sys |
Intrapulmonary percussive ventilation system and related accessories |
E0482 |
Cough stimulating device |
Cough stimulating device, alternating positive and negative airway pressure |
E0483 |
Hi freq chest wall oscil sys |
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each |
E0484 |
Non-elec oscillatory pep dvc |
Oscillatory positive expiratory pressure device, non-electric, any type, each |
E0485 |
Oral device/appliance prefab |
Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, prefabricated, includes fitting and adjustment |
E0486 |
Oral device/appliance cusfab |
Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment |
E0487 |
Electronic spirometer |
Spirometer, electronic, includes all accessories |
E0490 |
Control unit nm hw remote |
Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote |
E0491 |
Oral dv nm mouthpc hw remote |
Oral 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 |
E0492 |
Control unit nm stim w phone |
Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by phone application |
E0493 |
Oral dv/app neuromus mouthpi |
Oral 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 |
E0500 |
Ippb all types |
Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source |
E0530 |
Electronic posa treatment |
Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type |
E0550 |
Humidif extens supple w ippb |
Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery |
E0555 |
Humidifier for use w/ regula |
Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter |
E0560 |
Humidifier supplemental w/ i |
Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery |
E0561 |
Humidifier nonheated w pap |
Humidifier, non-heated, used with positive airway pressure device |
E0562 |
Humidifier heated used w pap |
Humidifier, heated, used with positive airway pressure device |
E0565 |
Compressor air power source |
Compressor, air power source for equipment which is not self-contained or cylinder driven |
E0570 |
Nebulizer with compression |
Nebulizer, with compressor |
E0572 |
Aerosol compressor adjust pr |
Aerosol compressor, adjustable pressure, light duty for intermittent use |
E0574 |
Ultrasonic generator w svneb |
Ultrasonic/electronic aerosol generator with small volume nebulizer |
E0575 |
Nebulizer ultrasonic |
Nebulizer, ultrasonic, large volume |
E0580 |
Nebulizer for use w/ regulat |
Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter |
E0585 |
Nebulizer w/ compressor & he |
Nebulizer, with compressor and heater |
E0600 |
Suction pump portab hom modl |
Respiratory suction pump, home model, portable or stationary, electric |
E0601 |
Cont airway pressure device |
Continuous positive airway pressure (cpap) device |
E0602 |
Manual breast pump |
Breast pump, manual, any type |
E0603 |
Electric breast pump |
Breast pump, electric (ac and/or dc), any type |
E0604 |
Hosp grade elec breast pump |
Breast pump, hospital grade, electric (ac and / or dc), any type |
E0605 |
Vaporizer room type |
Vaporizer, room type |
E0606 |
Drainage board postural |
Postural drainage board |
E0607 |
Blood glucose monitor home |
Home blood glucose monitor |
E0610 |
Pacemaker monitr audible/vis |
Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) |
E0615 |
Pacemaker monitr digital/vis |
Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems |
E0616 |
Cardiac event recorder |
Implantable cardiac event recorder with memory, activator and programmer |
E0617 |
Automatic ext defibrillator |
External defibrillator with integrated electrocardiogram analysis |
E0618 |
Apnea monitor |
Apnea monitor, without recording feature |
E0619 |
Apnea monitor w recorder |
Apnea monitor, with recording feature |
E0620 |
Cap bld skin piercing laser |
Skin piercing device for collection of capillary blood, laser, each |
E0621 |
Patient lift sling or seat |
Sling or seat, patient lift, canvas or nylon |
E0625 |
Patient lift bathroom or toi |
Patient lift, bathroom or toilet, not otherwise classified |
E0627 |
Seat lift mech, electric any |
Seat lift mechanism, electric, any type |
E0628 |
Seat lift for pt furn-electr |
Separate seat lift mechanism for use with patient owned furniture-electric |
E0629 |
Seat lift mech, non-electric |
Seat lift mechanism, non-electric, any type |
E0630 |
Patient lift hydraulic |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
E0635 |
Patient lift electric |
Patient lift, electric with seat or sling |
E0636 |
Pt support & positioning sys |
Multipositional patient support system, with integrated lift, patient accessible controls |
E0637 |
Combination sit to stand sys |
Combination sit to stand frame/table system, any size including pediatric, with seat lift feature, with or without wheels |
E0638 |
Standing frame sys |
Standing frame/table system, one position (e.g., upright, supine or prone stander), any size including pediatric, with or without wheels |
E0639 |
Moveable patient lift system |
Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories |
E0640 |
Fixed patient lift system |
Patient lift, fixed system, includes all components/accessories |
E0641 |
Multi-position stnd fram sys |
Standing frame/table system, multi-position (e.g., three-way stander), any size including pediatric, with or without wheels |
E0642 |
Dynamic standing frame |
Standing frame/table system, mobile (dynamic stander), any size including pediatric |
E0650 |
Pneuma compresor non-segment |
Pneumatic compressor, non-segmental home model |
E0651 |
Pneum compressor segmental |
Pneumatic compressor, segmental home model without calibrated gradient pressure |
E0652 |
Pneum compres w/cal pressure |
Pneumatic compressor, segmental home model with calibrated gradient pressure |
E0655 |
Pneumatic appliance half arm |
Non-segmental pneumatic appliance for use with pneumatic compressor, half arm |
E0656 |
Segmental pneumatic trunk |
Segmental pneumatic appliance for use with pneumatic compressor, trunk |
E0657 |
Segmental pneumatic chest |
Segmental pneumatic appliance for use with pneumatic compressor, chest |
E0660 |
Pneumatic appliance full leg |
Non-segmental pneumatic appliance for use with pneumatic compressor, full leg |
E0665 |
Pneumatic appliance full arm |
Non-segmental pneumatic appliance for use with pneumatic compressor, full arm |
E0666 |
Pneumatic appliance half leg |
Non-segmental pneumatic appliance for use with pneumatic compressor, half leg |
E0667 |
Seg pneumatic appl full leg |
Segmental pneumatic appliance for use with pneumatic compressor, full leg |
E0668 |
Seg pneumatic appl full arm |
Segmental pneumatic appliance for use with pneumatic compressor, full arm |
E0669 |
Seg pneumatic appli half leg |
Segmental pneumatic appliance for use with pneumatic compressor, half leg |
E0670 |
Seg pneum int legs/trunk |
Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk |
E0671 |
Pressure pneum appl full leg |
Segmental gradient pressure pneumatic appliance, full leg |
E0672 |
Pressure pneum appl full arm |
Segmental gradient pressure pneumatic appliance, full arm |
E0673 |
Pressure pneum appl half leg |
Segmental gradient pressure pneumatic appliance, half leg |
E0675 |
Pneumatic compression device |
Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) |
E0676 |
Inter limb compress dev nos |
Intermittent limb compression device (includes all accessories), not otherwise specified |
E0677 |
Non pneum seq comp trunk |
Non-pneumatic sequential compression garment, trunk |
E0678 |
Non pneum seq comp full leg |
Non-pneumatic sequential compression garment, full leg |
E0679 |
Non pneum seq comp half leg |
Non-pneumatic sequential compression garment, half leg |
E0680 |
Non pneum comp control cal |
Non-pneumatic compression controller with sequential calibrated gradient pressure |
E0681 |
Non pneu comp control w/o ca |
Non-pneumatic compression controller without calibrated gradient pressure |
E0682 |
Non pneum compress full arm |
Non-pneumatic sequential compression garment, full arm |
E0691 |
Uvl pnl 2 sq ft or less |
Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less |
E0692 |
Uvl sys panel 4 ft |
Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel |
E0693 |
Uvl sys panel 6 ft |
Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel |
E0694 |
Uvl md cabinet sys 6 ft |
Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection |
E0700 |
Safety equipment |
Safety equipment, device or accessory, any type |
E0705 |
Transfer device |
Transfer device, any type, each |
E0710 |
Restraints any type |
Restraints, any type (body, chest, wrist or ankle) |
E0711 |
Ue enclosure restr rom |
Upper extremity medical tubing/lines enclosure or covering device, restricts elbow range of motion |
E0720 |
Tens two lead |
Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation |
E0730 |
Tens four lead |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
E0731 |
Conductive garment for tens/ |
Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) |
E0732 |
Ces system |
Cranial electrotherapy stimulation (ces) system, any type |
E0733 |
Trans elec nerv for trigemin |
Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve |
E0734 |
Ext up limb tremor stim wris |
External upper limb tremor stimulator of the peripheral nerves of the wrist |
E0735 |
Non-invasive vagus nerv stim |
Non-invasive vagus nerve stimulator |
E0736 |
Transcut tibial nerv stimula |
Transcutaneous tibial nerve stimulator |
E0738 |
Upper extremity rehab |
Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories |
E0739 |
Rehab sys active assist rt |
Rehab system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors |
E0740 |
Non-implant pelv flr e-stim |
Non-implanted pelvic floor electrical stimulator, complete system |
E0744 |
Neuromuscular stim for scoli |
Neuromuscular stimulator for scoliosis |
E0745 |
Neuromuscular stim for shock |
Neuromuscular stimulator, electronic shock unit |
E0746 |
Electromyograph biofeedback |
Electromyography (emg), biofeedback device |
E0747 |
Elec osteogen stim not spine |
Osteogenesis stimulator, electrical, non-invasive, other than spinal applications |
E0748 |
Elec osteogen stim spinal |
Osteogenesis stimulator, electrical, non-invasive, spinal applications |
E0749 |
Elec osteogen stim implanted |
Osteogenesis stimulator, electrical, surgically implanted |
E0755 |
Electronic salivary reflex s |
Electronic salivary reflex stimulator (intra-oral/non-invasive) |
E0760 |
Osteogen ultrasound stimltor |
Osteogenesis stimulator, low intensity ultrasound, non-invasive |
E0761 |
Nontherm electromgntc device |
Non-thermal pulsed high frequency radiowaves, high peak power electromagnetic energy treatment device |
E0762 |
Trans elec jt stim dev sys |
Transcutaneous electrical joint stimulation device system, includes all accessories |
E0764 |
Functional neuromuscularstim |
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 |
Nerve stimulator for tx n&v |
Fda approved nerve stimulator, with replaceable batteries, for treatment of nausea and vomiting |
E0766 |
Elec stim cancer treatment |
Electrical stimulation device used for cancer treatment, includes all accessories, any type |
E0769 |
Electric wound treatment dev |
Electrical stimulation or electromagnetic wound treatment device, not otherwise classified |
E0770 |
Functional electric stim nos |
Functional electrical stimulator, transcutaneous stimulation of nerve and/or muscle groups, any type, complete system, not otherwise specified |
E0776 |
Iv pole |
Iv pole |
E0779 |
Amb infusion pump mechanical |
Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater |
E0780 |
Mech amb infusion pump <8hrs |
Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours |
E0781 |
External ambulatory infus pu |
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
E0782 |
Non-programble infusion pump |
Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) |
E0783 |
Programmable infusion pump |
Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) |
E0784 |
Ext amb infusn pump insulin |
External ambulatory infusion pump, insulin |
E0785 |
Replacement impl pump cathet |
Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement |
E0786 |
Implantable pump replacement |
Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) |
E0787 |
Cgs dose adj insulin inf pmp |
External ambulatory infusion pump, insulin, dosage rate adjustment using therapeutic continuous glucose sensing |
E0791 |
Parenteral infusion pump sta |
Parenteral infusion pump, stationary, single or multi-channel |
E0830 |
Ambulatory traction device |
Ambulatory traction device, all types, each |
E0840 |
Tract frame attach headboard |
Traction frame, attached to headboard, cervical traction |
E0849 |
Cervical pneum trac equip |
Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible |
E0850 |
Traction stand free standing |
Traction stand, free standing, cervical traction |
E0855 |
Cervical traction equipment |
Cervical traction equipment not requiring additional stand or frame |
E0856 |
Cervic collar w air bladders |
Cervical traction device, with inflatable air bladder(s) |
E0860 |
Tract equip cervical tract |
Traction equipment, overdoor, cervical |
E0870 |
Tract frame attach footboard |
Traction frame, attached to footboard, extremity traction, (e.g., buck's) |
E0880 |
Trac stand free stand extrem |
Traction stand, free standing, extremity traction |
E0890 |
Traction frame attach pelvic |
Traction frame, attached to footboard, pelvic traction |
E0900 |
Trac stand free stand pelvic |
Traction stand, free standing, pelvic traction, (e.g., buck's) |
E0910 |
Trapeze bar attached to bed |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
E0911 |
Hd trapeze bar attach to bed |
Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar |
E0912 |
Hd trapeze bar free standing |
Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar |
E0920 |
Fracture frame attached to b |
Fracture frame, attached to bed, includes weights |
E0930 |
Fracture frame free standing |
Fracture frame, free standing, includes weights |
E0935 |
Cont pas motion exercise dev |
Continuous passive motion exercise device for use on knee only |
E0936 |
Cpm device, other than knee |
Continuous passive motion exercise device for use other than knee |
E0940 |
Trapeze bar free standing |
Trapeze bar, free standing, complete with grab bar |
E0941 |
Gravity assisted traction de |
Gravity assisted traction device, any type |
E0942 |
Cervical head harness/halter |
Cervical head harness/halter |
E0944 |
Pelvic belt/harness/boot |
Pelvic belt/harness/boot |
E0945 |
Belt/harness extremity |
Extremity belt/harness |
E0946 |
Fracture frame dual w cross |
Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) |
E0947 |
Fracture frame attachmnts pe |
Fracture frame, attachments for complex pelvic traction |
E0948 |
Fracture frame attachmnts ce |
Fracture frame, attachments for complex cervical traction |
E0950 |
Tray |
Wheelchair accessory, tray, each |
E0951 |
Loop heel |
Heel loop/holder, any type, with or without ankle strap, each |
E0952 |
Toe loop/holder, each |
Toe loop/holder, any type, each |
E0953 |
W/c lateral thigh/knee sup |
Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each |
E0954 |
Foot box, any type each foot |
Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot |
E0955 |
Cushioned headrest |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
E0956 |
W/c lateral trunk/hip suppor |
Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each |
E0957 |
W/c medial thigh support |
Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each |
E0958 |
Whlchr att- conv 1 arm drive |
Manual wheelchair accessory, one-arm drive attachment, each |
E0959 |
Amputee adapter |
Manual wheelchair accessory, adapter for amputee, each |
E0960 |
W/c shoulder harness/straps |
Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware |
E0961 |
Wheelchair brake extension |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
E0966 |
Wheelchair head rest extensi |
Manual wheelchair accessory, headrest extension, each |
E0967 |
Man wc rim/projection rep ea |
Manual wheelchair accessory, hand rim with projections, any type, replacement only, each |
E0968 |
Wheelchair commode seat |
Commode seat, wheelchair |
E0969 |
Wheelchair narrowing device |
Narrowing device, wheelchair |
E0970 |
Wheelchair no. 2 footplates |
No. 2 footplates, except for elevating leg rest |
E0971 |
Wheelchair anti-tipping devi |
Manual wheelchair accessory, anti-tipping device, each |
E0973 |
W/ch access det adj armrest |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
E0974 |
W/ch access anti-rollback |
Manual wheelchair accessory, anti-rollback device, each |
E0978 |
W/c acc,saf belt pelv strap |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
E0980 |
Wheelchair safety vest |
Safety vest, wheelchair |
E0981 |
Seat upholstery, replacement |
Wheelchair accessory, seat upholstery, replacement only, each |
E0982 |
Back upholstery, replacement |
Wheelchair accessory, back upholstery, replacement only, each |
E0983 |
Add pwr joystick |
Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control |
E0984 |
Add pwr tiller |
Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control |
E0985 |
W/c seat lift mechanism |
Wheelchair accessory, seat lift mechanism |
E0986 |
Man w/c push-rim powr system |
Manual wheelchair accessory, push-rim activated power assist system |
E0988 |
Lever-activated wheel drive |
Manual wheelchair accessory, lever-activated, wheel drive, pair |
E0990 |
Wheelchair elevating leg res |
Wheelchair accessory, elevating leg rest, complete assembly, each |
E0992 |
Wheelchair solid seat insert |
Manual wheelchair accessory, solid seat insert |
E0994 |
Wheelchair arm rest |
Arm rest, each |
E0995 |
Wc calf rest, pad replacemnt |
Wheelchair accessory, calf rest/pad, replacement only, each |
E1 |
Upper left eyelid |
Upper left, eyelid |
E1002 |
Pwr seat tilt |
Wheelchair accessory, power seating system, tilt only |
E1003 |
Pwr seat recline |
Wheelchair accessory, power seating system, recline only, without shear reduction |
E1004 |
Pwr seat recline mech |
Wheelchair accessory, power seating system, recline only, with mechanical shear reduction |
E1005 |
Pwr seat recline pwr |
Wheelchair accessory, power seatng system, recline only, with power shear reduction |
E1006 |
Pwr seat combo w/o shear |
Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction |
E1007 |
Pwr seat combo w/shear |
Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction |
E1008 |
Pwr seat combo pwr shear |
Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction |
E1009 |
Add mech leg elevation |
Wheelchair accessory, addition to power seating system, mechanically linked leg elevation system, including pushrod and leg rest, each |
E1010 |
Add pwr leg elevation |
Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair |
E1011 |
Ped wc modify width adjustm |
Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair) |
E1012 |
Ctr mount pwr elev leg rest |
Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each |
E1014 |
Reclining back add ped w/c |
Reclining back, addition to pediatric size wheelchair |
E1015 |
Shock absorber for man w/c |
Shock absorber for manual wheelchair, each |
E1016 |
Shock absorber for power w/c |
Shock absorber for power wheelchair, each |
E1017 |
Hd shck absrbr for hd man wc |
Heavy duty shock absorber for heavy duty or extra heavy duty manual wheelchair, each |
E1018 |
Hd shck absrber for hd powwc |
Heavy duty shock absorber for heavy duty or extra heavy duty power wheelchair, each |
E1020 |
Residual limb support system |
Residual limb support system for wheelchair, any type |
E1028 |
W/c manual swingaway |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory |
E1029 |
W/c vent tray fixed |
Wheelchair accessory, ventilator tray, fixed |
E1030 |
W/c vent tray gimbaled |
Wheelchair accessory, ventilator tray, gimbaled |
E1031 |
Rollabout chair with casters |
Rollabout chair, any and all types with casters 5 or greater |
E1035 |
Patient transfer system <300 |
Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs |
E1036 |
Patient transfer system >300 |
Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs |
E1037 |
Transport chair, ped size |
Transport chair, pediatric size |
E1038 |
Transport chair pt wt<=300lb |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
E1039 |
Transport chair pt wt >300lb |
Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds |
E1050 |
Whelchr fxd full length arms |
Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests |
E1060 |
Wheelchair detachable arms |
Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests |
E1070 |
Wheelchair detachable foot r |
Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest |
E1083 |
Hemi-wheelchair fixed arms |
Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest |
E1084 |
Hemi-wheelchair detachable a |
Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests |
E1085 |
Hemi-wheelchair fixed arms |
Hemi-wheelchair, fixed full length arms, swing away detachable foot rests |
E1086 |
Hemi-wheelchair detachable a |
Hemi-wheelchair detachable arms desk or full length, swing away detachable footrests |
E1087 |
Wheelchair lightwt fixed arm |
High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests |
E1088 |
Wheelchair lightweight det a |
High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests |
E1089 |
Wheelchair lightwt fixed arm |
High strength lightweight wheelchair, fixed length arms, swing away detachable footrest |
E1090 |
Wheelchair lightweight det a |
High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable foot rests |
E1092 |
Wheelchair wide w/ leg rests |
Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests |
E1093 |
Wheelchair wide w/ foot rest |
Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests |
E1100 |
Whchr s-recl fxd arm leg res |
Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests |
E1110 |
Wheelchair semi-recl detach |
Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest |
E1130 |
Whlchr stand fxd arm ft rest |
Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests |
E1140 |
Wheelchair standard detach a |
Wheelchair, detachable arms, desk or full length, swing away detachable footrests |
E1150 |
Wheelchair standard w/ leg r |
Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests |
E1160 |
Wheelchair fixed arms |
Wheelchair, fixed full length arms, swing away detachable elevating legrests |
E1161 |
Manual adult wc w tiltinspac |
Manual adult size wheelchair, includes tilt in space |
E1170 |
Whlchr ampu fxd arm leg rest |
Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests |
E1171 |
Wheelchair amputee w/o leg r |
Amputee wheelchair, fixed full length arms, without footrests or legrest |
E1172 |
Wheelchair amputee detach ar |
Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest |
E1180 |
Wheelchair amputee w/ foot r |
Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests |
E1190 |
Wheelchair amputee w/ leg re |
Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests |
E1195 |
Wheelchair amputee heavy dut |
Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests |
E1200 |
Wheelchair amputee fixed arm |
Amputee wheelchair, fixed full length arms, swing away detachable footrest |
E1220 |
Whlchr special size/constrc |
Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification |
E1221 |
Wheelchair spec size w foot |
Wheelchair with fixed arm, footrests |
E1222 |
Wheelchair spec size w/ leg |
Wheelchair with fixed arm, elevating legrests |
E1223 |
Wheelchair spec size w foot |
Wheelchair with detachable arms, footrests |
E1224 |
Wheelchair spec size w/ leg |
Wheelchair with detachable arms, elevating legrests |
E1225 |
Manual semi-reclining back |
Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each |
E1226 |
Manual fully reclining back |
Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each |
E1227 |
Wheelchair spec sz spec ht a |
Special height arms for wheelchair |
E1228 |
Wheelchair spec sz spec ht b |
Special back height for wheelchair |
E1229 |
Pediatric wheelchair nos |
Wheelchair, pediatric size, not otherwise specified |
E1230 |
Power operated vehicle |
Power operated vehicle (three or four wheel nonhighway) specify brand name and model number |
E1231 |
Rigid ped w/c tilt-in-space |
Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating system |
E1232 |
Folding ped wc tilt-in-space |
Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system |
E1233 |
Rig ped wc tltnspc w/o seat |
Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system |
E1234 |
Fld ped wc tltnspc w/o seat |
Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system |
E1235 |
Rigid ped wc adjustable |
Wheelchair, pediatric size, rigid, adjustable, with seating system |
E1236 |
Folding ped wc adjustable |
Wheelchair, pediatric size, folding, adjustable, with seating system |
E1237 |
Rgd ped wc adjstabl w/o seat |
Wheelchair, pediatric size, rigid, adjustable, without seating system |
E1238 |
Fld ped wc adjstabl w/o seat |
Wheelchair, pediatric size, folding, adjustable, without seating system |
E1239 |
Ped power wheelchair nos |
Power wheelchair, pediatric size, not otherwise specified |
E1240 |
Whchr litwt det arm leg rest |
Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest |
E1250 |
Wheelchair lightwt fixed arm |
Lightweight wheelchair, fixed full length arms, swing away detachable footrest |
E1260 |
Wheelchair lightwt foot rest |
Lightweight wheelchair, detachable arms (desk or full length) swing away detachable footrest |
E1270 |
Wheelchair lightweight leg r |
Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests |
E1280 |
Whchr h-duty det arm leg res |
Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests |
E1285 |
Wheelchair heavy duty fixed |
Heavy duty wheelchair, fixed full length arms, swing away detachable footrest |
E1290 |
Wheelchair hvy duty detach a |
Heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest |
E1295 |
Wheelchair heavy duty fixed |
Heavy duty wheelchair, fixed full length arms, elevating legrest |
E1296 |
Wheelchair special seat heig |
Special wheelchair seat height from floor |
E1297 |
Wheelchair special seat dept |
Special wheelchair seat depth, by upholstery |
E1298 |
Wheelchair spec seat depth/w |
Special wheelchair seat depth and/or width, by construction |
E1300 |
Whirlpool portable |
Whirlpool, portable (overtub type) |
E1301 |
Whirlpool tub walkin portabl |
Whirlpool tub, walk-in, portable |
E1310 |
Whirlpool non-portable |
Whirlpool, non-portable (built-in type) |
E1352 |
O2 flow reg pos inspir press |
Oxygen accessory, flow regulator capable of positive inspiratory pressure |
E1353 |
Oxygen supplies regulator |
Regulator |
E1354 |
Wheeled cart, port cyl/conc |
Oxygen accessory, wheeled cart for portable cylinder or portable concentrator, any type, replacement only, each |
E1355 |
Oxygen supplies stand/rack |
Stand/rack |
E1356 |
Batt pack/cart, port conc |
Oxygen accessory, battery pack/cartridge for portable concentrator, any type, replacement only, each |
E1357 |
Battery charger, port conc |
Oxygen accessory, battery charger for portable concentrator, any type, replacement only, each |
E1358 |
Dc power adapter, port conc |
Oxygen accessory, dc power adapter for portable concentrator, any type, replacement only, each |
E1372 |
Oxy suppl heater for nebuliz |
Immersion external heater for nebulizer |
E1390 |
Oxygen concentrator |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
E1391 |
Oxygen concentrator, dual |
Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each |
E1392 |
Portable oxygen concentrator |
Portable oxygen concentrator, rental |
E1399 |
Durable medical equipment mi |
Durable medical equipment, miscellaneous |
E1405 |
O2/water vapor enrich w/heat |
Oxygen and water vapor enriching system with heated delivery |
E1406 |
O2/water vapor enrich w/o he |
Oxygen and water vapor enriching system without heated delivery |
E1500 |
Centrifuge |
Centrifuge, for dialysis |
E1510 |
Kidney dialysate delivry sys |
Kidney, dialysate delivery syst kidney machine, pump recirculating, air removal syst, flowrate meter, power off, heater and temperature control with alarm, i.v. poles, pressure gauge, concentrate container |
E1520 |
Heparin infusion pump |
Heparin infusion pump for hemodialysis |
E1530 |
Replacement air bubble detec |
Air bubble detector for hemodialysis, each, replacement |
E1540 |
Replacement pressure alarm |
Pressure alarm for hemodialysis, each, replacement |
E1550 |
Bath conductivity meter |
Bath conductivity meter for hemodialysis, each |
E1560 |
Replace blood leak detector |
Blood leak detector for hemodialysis, each, replacement |
E1570 |
Adjustable chair for esrd pt |
Adjustable chair, for esrd patients |
E1575 |
Transducer protect/fld bar |
Transducer protectors/fluid barriers, for hemodialysis, any size, per 10 |
E1580 |
Unipuncture control system |
Unipuncture control system for hemodialysis |
E1590 |
Hemodialysis machine |
Hemodialysis machine |
E1592 |
Auto interm peritoneal dialy |
Automatic intermittent peritoneal dialysis system |
E1594 |
Cycler dialysis machine |
Cycler dialysis machine for peritoneal dialysis |
E1600 |
Deli/install chrg hemo equip |
Delivery and/or installation charges for hemodialysis equipment |
E1610 |
Reverse osmosis h2o puri sys |
Reverse osmosis water purification system, for hemodialysis |
E1615 |
Deionizer h2o puri system |
Deionizer water purification system, for hemodialysis |
E1620 |
Replacement blood pump |
Blood pump for hemodialysis, replacement |
E1625 |
Water softening system |
Water softening system, for hemodialysis |
E1629 |
Tablo for dialysis service |
Tablo hemodialysis system for the billable dialysis service |
E1630 |
Reciprocating peritoneal dia |
Reciprocating peritoneal dialysis system |
E1632 |
Wearable artificial kidney |
Wearable artificial kidney, each |
E1634 |
Peritoneal dialysis clamp |
Peritoneal dialysis clamps, each |
E1635 |
Compact travel hemodialyzer |
Compact (portable) travel hemodialyzer system |
E1636 |
Sorbent cartridges per 10 |
Sorbent cartridges, for hemodialysis, per 10 |
E1637 |
Hemostats for dialysis, each |
Hemostats, each |
E1639 |
Scale, each |
Scale, each |
E1699 |
Dialysis equipment noc |
Dialysis equipment, not otherwise specified |
E1700 |
Jaw motion rehab system |
Jaw motion rehabilitation system |
E1701 |
Repl cushions for jaw motion |
Replacement cushions for jaw motion rehabilitation system, pkg. of 6 |
E1702 |
Repl measr scales jaw motion |
Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200 |
E1800 |
Adjust elbow ext/flex device |
Dynamic adjustable elbow extension/flexion device, includes soft interface material |
E1801 |
Sps elbow device |
Static progressive stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories |
E1802 |
Adjst forearm pro/sup device |
Dynamic adjustable forearm pronation/supination device, includes soft interface material |
E1805 |
Adjust wrist ext/flex device |
Dynamic adjustable wrist extension / flexion device, includes soft interface material |
E1806 |
Sps wrist device |
Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories |
E1810 |
Adjust knee ext/flex device |
Dynamic adjustable knee extension / flexion device, includes soft interface material |
E1811 |
Sps knee device |
Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories |
E1812 |
Knee ext/flex w act res ctrl |
Dynamic knee, extension/flexion device with active resistance control |
E1815 |
Adjust ankle ext/flex device |
Dynamic adjustable ankle extension/flexion device, includes soft interface material |
E1816 |
Sps ankle device |
Static progressive stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories |
E1818 |
Sps forearm device |
Static progressive stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories |
E1820 |
Soft interface material |
Replacement soft interface material, dynamic adjustable extension/flexion device |
E1821 |
Replacement interface spsd |
Replacement soft interface material/cuffs for bi-directional static progressive stretch device |
E1825 |
Adjust finger ext/flex devc |
Dynamic adjustable finger extension/flexion device, includes soft interface material |
E1830 |
Adjust toe ext/flex device |
Dynamic adjustable toe extension/flexion device, includes soft interface material |
E1831 |
Static str toe dev ext/flex |
Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories |
E1840 |
Adj shoulder ext/flex device |
Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material |
E1841 |
Static str shldr dev rom adj |
Static progressive stretch shoulder device, with or without range of motion adjustment, includes all components and accessories |
E1902 |
Aac non-electronic board |
Communication board, non-electronic augmentative or alternative communication device |
E1905 |
Vr cbt therapy |
Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software |
E2 |
Lower left eyelid |
Lower left, eyelid |
E2000 |
Gastric suction pump hme mdl |
Gastric suction pump, home model, portable or stationary, electric |
E2001 |
Suct pum ext mgmt sys |
Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system |
E2100 |
Bld glucose monitor w voice |
Blood glucose monitor with integrated voice synthesizer |
E2101 |
Bld glucose monitor w lance |
Blood glucose monitor with integrated lancing/blood sample |
E2102 |
Adju cgm receiver/monitor |
Adjunctive, non-implanted continuous glucose monitor or receiver |
E2103 |
Non-adju cgm receiver/mon |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
E2104 |
Glucose monitor w cartridge |
Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge |
E2120 |
Pulse gen sys tx endolymp fl |
Pulse generator system for tympanic treatment of inner ear endolymphatic fluid |
E2201 |
Man w/ch acc seat w>=20<24 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
E2202 |
Seat width 24-27 in |
Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches |
E2203 |
Frame depth less than 22 in |
Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches |
E2204 |
Frame depth 22 to 25 in |
Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches |
E2205 |
Manual wc accessory, handrim |
Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each |
E2206 |
Man wc whl lock comp repl ea |
Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each |
E2207 |
Crutch and cane holder |
Wheelchair accessory, crutch and cane holder, each |
E2208 |
Cylinder tank carrier |
Wheelchair accessory, cylinder tank carrier, each |
E2209 |
Arm trough each |
Accessory, arm trough, with or without hand support, each |
E2210 |
Wheelchair bearings |
Wheelchair accessory, bearings, any type, replacement only, each |
E2211 |
Pneumatic propulsion tire |
Manual wheelchair accessory, pneumatic propulsion tire, any size, each |
E2212 |
Pneumatic prop tire tube |
Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each |
E2213 |
Pneumatic prop tire insert |
Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each |
E2214 |
Pneumatic caster tire each |
Manual wheelchair accessory, pneumatic caster tire, any size, each |
E2215 |
Pneumatic caster tire tube |
Manual wheelchair accessory, tube for pneumatic caster tire, any size, each |
E2216 |
Foam filled propulsion tire |
Manual wheelchair accessory, foam filled propulsion tire, any size, each |
E2217 |
Foam filled caster tire each |
Manual wheelchair accessory, foam filled caster tire, any size, each |
E2218 |
Foam propulsion tire each |
Manual wheelchair accessory, foam propulsion tire, any size, each |
E2219 |
Foam caster tire any size ea |
Manual wheelchair accessory, foam caster tire, any size, each |
E2220 |
Solid propuls tire, repl, ea |
Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each |
E2221 |
Solid caster tire repl, each |
Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each |
E2222 |
Solid caster integ whl, repl |
Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each |
E2224 |
Propulsion whl excl tire rep |
Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each |
E2225 |
Caster wheel excludes tire |
Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each |
E2226 |
Caster fork replacement only |
Manual wheelchair accessory, caster fork, any size, replacement only, each |
E2227 |
Gear reduction drive wheel |
Manual wheelchair accessory, gear reduction drive wheel, each |
E2228 |
Mwc acc, wheelchair brake |
Manual wheelchair accessory, wheel braking system and lock, complete, each |
E2230 |
Manual standing system |
Manual wheelchair accessory, manual standing system |
E2231 |
Solid seat support base |
Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware |
E2291 |
Planar back for ped size wc |
Back, planar, for pediatric size wheelchair including fixed attaching hardware |
E2292 |
Planar seat for ped size wc |
Seat, planar, for pediatric size wheelchair including fixed attaching hardware |
E2293 |
Contour back for ped size wc |
Back, contoured, for pediatric size wheelchair including fixed attaching hardware |
E2294 |
Contour seat for ped size wc |
Seat, contoured, for pediatric size wheelchair including fixed attaching hardware |
E2295 |
Ped dynamic seating frame |
Manual wheelchair accessory, for pediatric size wheelchair, dynamic seating frame, allows coordinated movement of multiple positioning features |
E2298 |
Pwr seat elev sys for crt |
Complex rehabilitative power wheelchair accessory, power seat elevation system, any type |
E2300 |
Pwr seat elevation sys |
Wheelchair accessory, power seat elevation system, any type |
E2301 |
Pwr standing |
Wheelchair accessory, power standing system, any type |
E2310 |
Electro connect btw control |
Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware |
E2311 |
Electro connect btw 2 sys |
Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware |
E2312 |
Mini-prop remote joystick |
Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware |
E2313 |
Pwc harness, expand control |
Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each |
E2321 |
Hand interface joystick |
Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware |
E2322 |
Mult mech switches |
Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware |
E2323 |
Special joystick handle |
Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated |
E2324 |
Chin cup interface |
Power wheelchair accessory, chin cup for chin control interface |
E2325 |
Sip and puff interface |
Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware |
E2326 |
Breath tube kit |
Power wheelchair accessory, breath tube kit for sip and puff interface |
E2327 |
Head control interface mech |
Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware |
E2328 |
Head/extremity control inter |
Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware |
E2329 |
Head control nonproportional |
Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array, and fixed mounting hardware |
E2330 |
Head control proximity switc |
Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array, and fixed mounting hardware |
E2331 |
Attendant control |
Power wheelchair accessory, attendant control, proportional, including all related electronics and fixed mounting hardware |
E2340 |
W/c wdth 20-23 in seat frame |
Power wheelchair accessory, nonstandard seat frame width, 20-23 inches |
E2341 |
W/c wdth 24-27 in seat frame |
Power wheelchair accessory, nonstandard seat frame width, 24-27 inches |
E2342 |
W/c dpth 20-21 in seat frame |
Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches |
E2343 |
W/c dpth 22-25 in seat frame |
Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches |
E2351 |
Electronic sgd interface |
Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface |
E2358 |
Gr 34 nonsealed leadacid |
Power wheelchair accessory, group 34 non-sealed lead acid battery, each |
E2359 |
Gr34 sealed leadacid battery |
Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
E2360 |
22nf nonsealed leadacid |
Power wheelchair accessory, 22nf non-sealed lead acid battery, each |
E2361 |
22nf sealed leadacid battery |
Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) |
E2362 |
Gr24 nonsealed leadacid |
Power wheelchair accessory, group 24 non-sealed lead acid battery, each |
E2363 |
Gr24 sealed leadacid battery |
Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
E2364 |
U1nonsealed leadacid battery |
Power wheelchair accessory, u-1 non-sealed lead acid battery, each |
E2365 |
U1 sealed leadacid battery |
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
E2366 |
Battery charger, single mode |
Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each |
E2367 |
Battery charger, dual mode |
Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each |
E2368 |
Pwr wc drivewheel motor repl |
Power wheelchair component, drive wheel motor, replacement only |
E2369 |
Pwr wc drivewheel gear repl |
Power wheelchair component, drive wheel gear box, replacement only |
E2370 |
Pwr wc dr wh motor/gear comb |
Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only |
E2371 |
Gr27 sealed leadacid battery |
Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each |
E2372 |
Gr27 non-sealed leadacid |
Power wheelchair accessory, group 27 non-sealed lead acid battery, each |
E2373 |
Hand/chin ctrl spec joystick |
Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware |
E2374 |
Hand/chin ctrl std joystick |
Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only |
E2375 |
Non-expandable controller |
Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only |
E2376 |
Expandable controller, repl |
Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only |
E2377 |
Expandable controller, initl |
Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue |
E2378 |
Pw actuator replacement |
Power wheelchair component, actuator, replacement only |
E2381 |
Pneum drive wheel tire |
Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each |
E2382 |
Tube, pneum wheel drive tire |
Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each |
E2383 |
Insert, pneum wheel drive |
Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each |
E2384 |
Pneumatic caster tire |
Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each |
E2385 |
Tube, pneumatic caster tire |
Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each |
E2386 |
Foam filled drive wheel tire |
Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each |
E2387 |
Foam filled caster tire |
Power wheelchair accessory, foam filled caster tire, any size, replacement only, each |
E2388 |
Foam drive wheel tire |
Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each |
E2389 |
Foam caster tire |
Power wheelchair accessory, foam caster tire, any size, replacement only, each |
E2390 |
Solid drive wheel tire |
Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each |
E2391 |
Solid caster tire |
Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each |
E2392 |
Solid caster tire, integrate |
Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each |
E2394 |
Drive wheel excludes tire |
Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each |
E2395 |
Caster wheel excludes tire |
Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each |
E2396 |
Caster fork |
Power wheelchair accessory, caster fork, any size, replacement only, each |
E2397 |
Pwc acc, lith-based battery |
Power wheelchair accessory, lithium-based battery, each |
E2398 |
Wc dynamic pos back hardware |
Wheelchair accessory, dynamic positioning hardware for back |
E2402 |
Neg press wound therapy pump |
Negative pressure wound therapy electrical pump, stationary or portable |
E2500 |
Sgd digitized pre-rec <=8min |
Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time |
E2502 |
Sgd prerec msg >8min <=20min |
Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time |
E2504 |
Sgd prerec msg>20min <=40min |
Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time |
E2506 |
Sgd prerec msg > 40 min |
Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time |
E2508 |
Sgd spelling phys contact |
Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device |
E2510 |
Sgd w multi methods msg/accs |
Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access |
E2511 |
Sgd sftwre prgrm for pc/pda |
Speech generating software program, for personal computer or personal digital assistant |
E2512 |
Sgd accessory, mounting sys |
Accessory for speech generating device, mounting system |
E2599 |
Sgd accessory noc |
Accessory for speech generating device, not otherwise classified |
E2601 |
Gen w/c cushion wdth < 22 in |
General use wheelchair seat cushion, width less than 22 inches, any depth |
E2602 |
Gen w/c cushion wdth >=22 in |
General use wheelchair seat cushion, width 22 inches or greater, any depth |
E2603 |
Skin protect wc cus wd <22in |
Skin protection wheelchair seat cushion, width less than 22 inches, any depth |
E2604 |
Skin protect wc cus wd>=22in |
Skin protection wheelchair seat cushion, width 22 inches or greater, any depth |
E2605 |
Position wc cush wdth <22 in |
Positioning wheelchair seat cushion, width less than 22 inches, any depth |
E2606 |
Position wc cush wdth>=22 in |
Positioning wheelchair seat cushion, width 22 inches or greater, any depth |
E2607 |
Skin pro/pos wc cus wd <22in |
Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth |
E2608 |
Skin pro/pos wc cus wd>=22in |
Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth |
E2609 |
Custom fabricate w/c cushion |
Custom fabricated wheelchair seat cushion, any size |
E2610 |
Powered w/c cushion |
Wheelchair seat cushion, powered |
E2611 |
Gen use back cush wdth <22in |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
E2612 |
Gen use back cush wdth>=22in |
General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware |
E2613 |
Position back cush wd <22in |
Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware |
E2614 |
Position back cush wd>=22in |
Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware |
E2615 |
Pos back post/lat wdth <22in |
Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware |
E2616 |
Pos back post/lat wdth>=22in |
Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware |
E2617 |
Custom fab w/c back cushion |
Custom fabricated wheelchair back cushion, any size, including any type mounting hardware |
E2619 |
Replace cover w/c seat cush |
Replacement cover for wheelchair seat cushion or back cushion, each |
E2620 |
Wc planar back cush wd <22in |
Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware |
E2621 |
Wc planar back cush wd>=22in |
Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware |
E2622 |
Adj skin pro w/c cus wd<22in |
Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth |
E2623 |
Adj skin pro wc cus wd>=22in |
Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth |
E2624 |
Adj skin pro/pos cus<22in |
Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth |
E2625 |
Adj skin pro/pos wc cus>=22 |
Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth |
E2626 |
Seo mobile arm sup att to wc |
Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable |
E2627 |
Arm supp att to wc rancho ty |
Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type |
E2628 |
Mobile arm supports reclinin |
Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining |
E2629 |
Friction dampening arm supp |
Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints) |
E2630 |
Monosuspension arm/hand supp |
Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support |
E2631 |
Elevat proximal arm support |
Wheelchair accessory, addition to mobile arm support, elevating proximal arm |
E2632 |
Offset/lat rocker arm w/ela |
Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control |
E2633 |
Mobile arm support supinator |
Wheelchair accessory, addition to mobile arm support, supinator |
E3 |
Upper right eyelid |
Upper right, eyelid |
E3000 |
Speech volume modulation sys |
Speech volume modulation system, any type, including all components and accessories |
E4 |
Lower right eyelid |
Lower right, eyelid |
E8000 |
Posterior gait trainer |
Gait trainer, pediatric size, posterior support, includes all accessories and components |
E8001 |
Upright gait trainer |
Gait trainer, pediatric size, upright support, includes all accessories and components |
E8002 |
Anterior gait trainer |
Gait trainer, pediatric size, anterior support, includes all accessories and components |
EA |
Esa, anemia, chemo-induced |
Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer chemotherapy |
EB |
Esa, anemia, radio-induced |
Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer radiotherapy |
EC |
Esa, anemia, non-chemo/radio |
Erythropoetic stimulating agent (esa) administered to treat anemia not due to anti-cancer radiotherapy or anti-cancer chemotherapy |
ED |
Hct>39% or hgb>13g>=3 cycle |
Hematocrit level has exceeded 39% (or hemoglobin level has exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle |
EE |
Hct>39% or hgb>13g<3 cycle |
Hematocrit level has not exceeded 39% (or hemoglobin level has not exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle |
EJ |
Subsequent claim |
Subsequent claims for a defined course of therapy, e.g., epo, sodium hyaluronate, infliximab |
EM |
Emer reserve supply (esrd) |
Emergency reserve supply (for esrd benefit only) |
EP |
Medicaid epsdt program svc |
Service provided as part of medicaid early periodic screening diagnosis and treatment (epsdt) program |
ER |
Off-campus ed service |
Items and services furnished by a provider-based, off-campus emergency department |
ET |
Emergency services |
Emergency services |
EX |
Expatriate beneficiary |
Expatriate beneficiary |
EY |
No md order for item/service |
No physician or other licensed health care provider order for this item or service |