List of HCPCS codes for: Durable Medical Equipment (E-codes) - Group E1

HCPCS Code	Short Description	Long Description
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