| 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 |