E Codes

E0100

Cane, includes canes of all materials, adjustable or fixed, with tip

E0105

Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips

E0110

Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips

E0111

Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips

E0112

Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips

E0113

Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip

E0114

Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips

E0116

Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each

E0117

Crutch, underarm, articulating, spring assisted, each

E0118

Crutch substitute, lower leg platform, with or without wheels, each

E0130

Walker, rigid (pickup), adjustable or fixed height

E0135

Walker, folding (pickup), adjustable or fixed height

E0140

Walker, with trunk support, adjustable or fixed height, any type

E0141

Walker, rigid, wheeled, adjustable or fixed height

E0143

Walker, folding, wheeled, adjustable or fixed height

E0144

Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat

E0147

Walker, heavy duty, multiple braking system, variable wheel resistance

E0148

Walker, heavy duty, without wheels, rigid or folding, any type, each

E0149

Walker, heavy duty, wheeled, rigid or folding, any type

E0153

Platform attachment, forearm crutch, each

E0154

Platform attachment, walker, each

E0155

Wheel attachment, rigid pick-up walker, per pair

E0156

Seat attachment, walker

E0157

Crutch attachment, walker, each

E0158

Leg extensions for walker, per set of four (4)

E0159

Brake attachment for wheeled walker, replacement, each

E0160

Sitz type bath or equipment, portable, used with or without commode

E0161

Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s

E0162

Sitz bath chair

E0163

Commode chair, mobile or stationary, with fixed arms

E0165

Commode chair, mobile or stationary, with detachable arms

E0167

Pail or pan for use with commode chair, replacement only

E0168

Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each

E0170

Commode chair with integrated seat lift mechanism, electric, any type

E0171

Commode chair with integrated seat lift mechanism, non-electric, any type

E0172

Seat lift mechanism placed over or on top of toilet, any type

E0175

Foot rest, for use with commode chair, each

E0181

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty

E0182

Pump for alternating pressure pad, for replacement only

E0184

Dry pressure mattress

E0185

Gel or gel-like pressure pad for mattress, standard mattress length and width

E0186

Air pressure mattress

E0187

Water pressure mattress

E0188

Synthetic sheepskin pad

E0189

Lambswool sheepskin pad, any size

E0190

Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories

E0191

Heel or elbow protector, each

E0193

Powered air flotation bed (low air loss therapy)

E0194

Air fluidized bed

E0196

Gel pressure mattress

E0197

Air pressure pad for mattress, standard mattress length and width

E0198

Water pressure pad for mattress, standard mattress length and width

E0199

Dry pressure pad for mattress, standard mattress length and width

E0200

Heat lamp, without stand (table model), includes bulb, or infrared element

E0202

Phototherapy (bilirubin) light with photometer

E0203

Therapeutic lightbox, minimum 10,000 lux, table top model

E0205

Heat lamp, with stand, includes bulb, or infrared element

E0210

Electric heat pad, standard

E0215

Electric heat pad, moist

E0217

Water circulating heat pad with pump

E0218

Water circulating cold pad with pump

E0221

Infrared heating pad system

E0225

Hydrocollator unit, includes pads

E0231

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 use with the non contact wound warming device and non contact wound warming wound cover

E0235

Paraffin bath unit, portable (see medical supply code a4265 for paraffin)

E0236

Pump for water circulating pad

E0239

Hydrocollator unit, portable

E0240

Bath/shower chair, with or without wheels, any size

E0241

Bath tub wall rail, each

E0242

Bath tub rail, floor base

E0243

Toilet rail, each

E0244

Raised toilet seat

E0245

Tub stool or bench

E0246

Transfer tub rail attachment

E0247

Transfer bench for tub or toilet with or without commode opening

E0248

Transfer bench, heavy duty, for tub or toilet with or without commode opening

E0249

Pad for water circulating heat unit, for replacement only

E0250

Hospital bed, fixed height, with any type side rails, with mattress

E0251

Hospital bed, fixed height, with any type side rails, without mattress

E0255

Hospital bed, variable height, hi-lo, with any type side rails, with mattress

E0256

Hospital bed, variable height, hi-lo, with any type side rails, without mattress

E0260

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress

E0261

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress

E0265

Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress

E0266

Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress

E0270

Hospital bed, institutional type includes: oscillating, circulating and stryker frame, with mattress

E0271

Mattress, innerspring

E0272

Mattress, foam rubber

E0273

Bed board

E0274

Over-bed table

E0275

Bed pan, standard, metal or plastic

E0276

Bed pan, fracture, metal or plastic

E0277

Powered pressure-reducing air mattress

E0280

Bed cradle, any type

E0290

Hospital bed, fixed height, without side rails, with mattress

E0291

Hospital bed, fixed height, without side rails, without mattress

E0292

Hospital bed, variable height, hi-lo, without side rails, with mattress

E0293

Hospital bed, variable height, hi-lo, without side rails, without mattress

E0294

Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress

E0295

Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress

E0296

Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress

E0297

Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress

E0300

Pediatric crib, hospital grade, fully enclosed, with or without top enclosure

E0301

Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress

E0302

Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress

E0303

Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress

E0304

Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress

E0305

Bed side rails, half length

E0310

Bed side rails, full length

E0315

Bed accessory: board, table, or support device, any type

E0316

Safety enclosure frame/canopy for use with hospital bed, any type

E0325

Urinal; male, jug-type, any material

E0326

Urinal; female, jug-type, any material

E0328

Hospital bed, pediatric, manual, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress

E0329

Hospital bed, pediatric, electric or semi-electric, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress

E0350

Control unit for electronic bowel irrigation/evacuation system

E0352

Disposable pack (water reservoir bag, speculum, valving mechanism and collection bag/box) for use with the electronic bowel irrigation/evacuation system

E0370

Air pressure elevator for heel

E0371

Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width

E0372

Powered air overlay for mattress, standard mattress length and width

E0373

Nonpowered advanced pressure reducing mattress

E0424

Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing

E0425

Stationary compressed gas system, purchase; includes regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing

E0430

Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing

E0431

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing

E0433

Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with or without supply reservoir and contents gauge

E0434

Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing

E0435

Portable liquid oxygen system, purchase; includes portable container, supply reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and refill adaptor

E0439

Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing

E0440

Stationary liquid oxygen system, purchase; includes use of reservoir, contents indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing

E0441

Stationary oxygen contents, gaseous, 1 month's supply = 1 unit

E0442

Stationary oxygen contents, liquid, 1 month's supply = 1 unit

E0443

Portable oxygen contents, gaseous, 1 month's supply = 1 unit

E0444

Portable oxygen contents, liquid, 1 month's supply = 1 unit

E0445

Oximeter device for measuring blood oxygen levels non-invasively

E0446

Topical oxygen delivery system, not otherwise specified, includes all supplies and accessories

E0450

Volume control ventilator, without pressure support mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube)

E0455

Oxygen tent, excluding croup or pediatric tents

E0457

Chest shell (cuirass)

E0459

Chest wrap

E0460

Negative pressure ventilator; portable or stationary

E0461

Volume control ventilator, without pressure support mode, may include pressure control mode, used with non-invasive interface (e.g., mask)

E0462

Rocking bed with or without side rails

E0463

Pressure support ventilator with volume control mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube)

E0464

Pressure support ventilator with volume control mode, may include pressure control mode, used with non-invasive interface (e.g., mask)

E0465

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)

E0466

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)

E0470

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

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

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, electric or pneumatic, home model

E0481

Intrapulmonary percussive ventilation system and related accessories

E0482

Cough stimulating device, alternating positive and negative airway pressure

E0483

High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each

E0484

Oscillatory positive expiratory pressure device, non-electric, any type, each

E0485

Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, prefabricated, includes fitting and adjustment

E0486

Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment

E0487

Spirometer, electronic, includes all accessories

E0500

Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source

E0550

Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery

E0555

Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter

E0560

Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery

E0561

Humidifier, non-heated, used with positive airway pressure device

E0562

Humidifier, heated, used with positive airway pressure device

E0565

Compressor, air power source for equipment which is not self-contained or cylinder driven

E0570

Nebulizer, with compressor

E0572

Aerosol compressor, adjustable pressure, light duty for intermittent use

E0574

Ultrasonic/electronic aerosol generator with small volume nebulizer

E0575

Nebulizer, ultrasonic, large volume

E0580

Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter

E0585

Nebulizer, with compressor and heater

E0600

Respiratory suction pump, home model, portable or stationary, electric

E0601

Continuous positive airway pressure (cpap) device

E0602

Breast pump, manual, any type

E0603

Breast pump, electric (ac and/or dc), any type

E0604

Breast pump, hospital grade, electric (ac and / or dc), any type

E0605

Vaporizer, room type

E0606

Postural drainage board

E0607

Home blood glucose monitor

E0610

Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems)

E0615

Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems

E0616

Implantable cardiac event recorder with memory, activator and programmer

E0617

External defibrillator with integrated electrocardiogram analysis

E0618

Apnea monitor, without recording feature

E0619

Apnea monitor, with recording feature

E0620

Skin piercing device for collection of capillary blood, laser, each

E0621

Sling or seat, patient lift, canvas or nylon

E0625

Patient lift, bathroom or toilet, not otherwise classified

E0627

Seat lift mechanism, electric, any type

E0628

Separate seat lift mechanism for use with patient owned furniture-electric

E0629

Seat lift mechanism, non-electric, any type

E0630

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)

E0635

Patient lift, electric with seat or sling

E0636

Multipositional patient support system, with integrated lift, patient accessible controls

E0637

Combination sit to stand frame/table system, any size including pediatric, with seat lift feature, with or without wheels

E0638

Standing frame/table system, one position (e.g., upright, supine or prone stander), any size including pediatric, with or without wheels

E0639

Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories

E0640

Patient lift, fixed system, includes all components/accessories

E0641

Standing frame/table system, multi-position (e.g., three-way stander), any size including pediatric, with or without wheels

E0642

Standing frame/table system, mobile (dynamic stander), any size including pediatric

E0650

Pneumatic compressor, non-segmental home model

E0651

Pneumatic compressor, segmental home model without calibrated gradient pressure

E0652

Pneumatic compressor, segmental home model with calibrated gradient pressure

E0655

Non-segmental pneumatic appliance for use with pneumatic compressor, half arm

E0656

Segmental pneumatic appliance for use with pneumatic compressor, trunk

E0657

Segmental pneumatic appliance for use with pneumatic compressor, chest

E0660

Non-segmental pneumatic appliance for use with pneumatic compressor, full leg

E0665

Non-segmental pneumatic appliance for use with pneumatic compressor, full arm

E0666

Non-segmental pneumatic appliance for use with pneumatic compressor, half leg

E0667

Segmental pneumatic appliance for use with pneumatic compressor, full leg

E0668

Segmental pneumatic appliance for use with pneumatic compressor, full arm

E0669

Segmental pneumatic appliance for use with pneumatic compressor, half leg

E0670

Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk

E0671

Segmental gradient pressure pneumatic appliance, full leg

E0672

Segmental gradient pressure pneumatic appliance, full arm

E0673

Segmental gradient pressure pneumatic appliance, half leg

E0675

Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system)

E0676

Intermittent limb compression device (includes all accessories), not otherwise specified

E0691

Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less

E0692

Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel

E0693

Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel

E0694

Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection

E0700

Safety equipment, device or accessory, any type

E0705

Transfer device, any type, each

E0710

Restraints, any type (body, chest, wrist or ankle)

E0720

Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation

E0730

Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation

E0731

Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric)

E0740

Non-implanted pelvic floor electrical stimulator, complete system

E0744

Neuromuscular stimulator for scoliosis

E0745

Neuromuscular stimulator, electronic shock unit

E0746

Electromyography (emg), biofeedback device

E0747

Osteogenesis stimulator, electrical, non-invasive, other than spinal applications

E0748

Osteogenesis stimulator, electrical, non-invasive, spinal applications

E0749

Osteogenesis stimulator, electrical, surgically implanted

E0755

Electronic salivary reflex stimulator (intra-oral/non-invasive)

E0760

Osteogenesis stimulator, low intensity ultrasound, non-invasive

E0761

Non-thermal pulsed high frequency radiowaves, high peak power electromagnetic energy treatment device

E0762

Transcutaneous electrical joint stimulation device system, includes all accessories

E0764

Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completion of training program

E0765

Fda approved nerve stimulator, with replaceable batteries, for treatment of nausea and vomiting

E0766

Electrical stimulation device used for cancer treatment, includes all accessories, any type

E0769

Electrical stimulation or electromagnetic wound treatment device, not otherwise classified

E0770

Functional electrical stimulator, transcutaneous stimulation of nerve and/or muscle groups, any type, complete system, not otherwise specified

E0776

Iv pole

E0779

Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater

E0780

Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours

E0781

Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient

E0782

Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.)

E0783

Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.)

E0784

External ambulatory infusion pump, insulin

E0785

Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement

E0786

Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter)

E0791

Parenteral infusion pump, stationary, single or multi-channel

E0830

Ambulatory traction device, all types, each

E0840

Traction frame, attached to headboard, cervical traction

E0849

Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible

E0850

Traction stand, free standing, cervical traction

E0855

Cervical traction equipment not requiring additional stand or frame

E0856

Cervical traction device, with inflatable air bladder(s)

E0860

Traction equipment, overdoor, cervical

E0870

Traction frame, attached to footboard, extremity traction, (e.g., buck's)

E0880

Traction stand, free standing, extremity traction, (e.g., buck's)

E0890

Traction frame, attached to footboard, pelvic traction

E0900

Traction stand, free standing, pelvic traction, (e.g., buck's)

E0910

Trapeze bars, a/k/a patient helper, attached to bed, with grab bar

E0911

Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar

E0912

Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar

E0920

Fracture frame, attached to bed, includes weights

E0930

Fracture frame, free standing, includes weights

E0935

Continuous passive motion exercise device for use on knee only

E0936

Continuous passive motion exercise device for use other than knee

E0940

Trapeze bar, free standing, complete with grab bar

E0941

Gravity assisted traction device, any type

E0942

Cervical head harness/halter

E0944

Pelvic belt/harness/boot

E0945

Extremity belt/harness

E0946

Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster)

E0947

Fracture frame, attachments for complex pelvic traction

E0948

Fracture frame, attachments for complex cervical traction

E0950

Wheelchair accessory, tray, each

E0951

Heel loop/holder, any type, with or without ankle strap, each

E0952

Toe loop/holder, any type, each

E0955

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each

E0956

Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each

E0957

Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each

E0958

Manual wheelchair accessory, one-arm drive attachment, each

E0959

Manual wheelchair accessory, adapter for amputee, each

E0960

Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware

E0961

Manual wheelchair accessory, wheel lock brake extension (handle), each

E0966

Manual wheelchair accessory, headrest extension, each

E0967

Manual wheelchair accessory, hand rim with projections, any type, replacement only, each

E0968

Commode seat, wheelchair

E0969

Narrowing device, wheelchair

E0970

No. 2 footplates, except for elevating leg rest

E0971

Manual wheelchair accessory, anti-tipping device, each

E0973

Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each

E0974

Manual wheelchair accessory, anti-rollback device, each

E0978

Wheelchair accessory, positioning belt/safety belt/pelvic strap, each

E0980

Safety vest, wheelchair

E0981

Wheelchair accessory, seat upholstery, replacement only, each

E0982

Wheelchair accessory, back upholstery, replacement only, each

E0983

Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control

E0984

Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control

E0985

Wheelchair accessory, seat lift mechanism

E0986

Manual wheelchair accessory, push-rim activated power assist system

E0988

Manual wheelchair accessory, lever-activated, wheel drive, pair

E0990

Wheelchair accessory, elevating leg rest, complete assembly, each

E0992

Manual wheelchair accessory, solid seat insert

E0994

Arm rest, each

E0995

Wheelchair accessory, calf rest/pad, replacement only, each

E1002

Wheelchair accessory, power seating system, tilt only

E1003

Wheelchair accessory, power seating system, recline only, without shear reduction

E1004

Wheelchair accessory, power seating system, recline only, with mechanical shear reduction

E1005

Wheelchair accessory, power seatng system, recline only, with power shear reduction

E1006

Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction

E1007

Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction

E1008

Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction

E1009

Wheelchair accessory, addition to power seating system, mechanically linked leg elevation system, including pushrod and leg rest, each

E1010

Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair

E1011

Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair)

E1012

Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each

E1014

Reclining back, addition to pediatric size wheelchair

E1015

Shock absorber for manual wheelchair, each

E1016

Shock absorber for power wheelchair, each

E1017

Heavy duty shock absorber for heavy duty or extra heavy duty manual wheelchair, each

E1018

Heavy duty shock absorber for heavy duty or extra heavy duty power wheelchair, each

E1020

Residual limb support system for wheelchair, any type

E1028

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory

E1029

Wheelchair accessory, ventilator tray, fixed

E1030

Wheelchair accessory, ventilator tray, gimbaled

E1031

Rollabout chair, any and all types with casters 5" or greater

E1035

Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs

E1036

Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs

E1037

Transport chair, pediatric size

E1038

Transport chair, adult size, patient weight capacity up to and including 300 pounds

E1039

Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds

E1050

Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests

E1060

Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests

E1070

Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest

E1083

Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest

E1084

Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests

E1085

Hemi-wheelchair, fixed full length arms, swing away detachable foot rests

E1086

Hemi-wheelchair detachable arms desk or full length, swing away detachable footrests

E1087

High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests

E1088

High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests

E1089

High strength lightweight wheelchair, fixed length arms, swing away detachable footrest

E1090

High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable foot rests

E1092

Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests

E1093

Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests

E1100

Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests

E1110

Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest

E1130

Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests

E1140

Wheelchair, detachable arms, desk or full length, swing away detachable footrests

E1150

Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests

E1160

Wheelchair, fixed full length arms, swing away detachable elevating legrests

E1161

Manual adult size wheelchair, includes tilt in space

E1170

Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests

E1171

Amputee wheelchair, fixed full length arms, without footrests or legrest

E1172

Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest

E1180

Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests

E1190

Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests

E1195

Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests

E1200

Amputee wheelchair, fixed full length arms, swing away detachable footrest

E1220

Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification

E1221

Wheelchair with fixed arm, footrests

E1222

Wheelchair with fixed arm, elevating legrests

E1223

Wheelchair with detachable arms, footrests

E1224

Wheelchair with detachable arms, elevating legrests

E1225

Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each

E1226

Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each

E1227

Special height arms for wheelchair

E1228

Special back height for wheelchair

E1229

Wheelchair, pediatric size, not otherwise specified

E1230

Power operated vehicle (three or four wheel nonhighway) specify brand name and model number

E1231

Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating system

E1232

Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system

E1233

Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system

E1234

Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system

E1235

Wheelchair, pediatric size, rigid, adjustable, with seating system

E1236

Wheelchair, pediatric size, folding, adjustable, with seating system

E1237

Wheelchair, pediatric size, rigid, adjustable, without seating system

E1238

Wheelchair, pediatric size, folding, adjustable, without seating system

E1239

Power wheelchair, pediatric size, not otherwise specified

E1240

Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest

E1250

Lightweight wheelchair, fixed full length arms, swing away detachable footrest

E1260

Lightweight wheelchair, detachable arms (desk or full length) swing away detachable footrest

E1270

Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests

E1280

Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests

E1285

Heavy duty wheelchair, fixed full length arms, swing away detachable footrest

E1290

Heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest

E1295

Heavy duty wheelchair, fixed full length arms, elevating legrest

E1296

Special wheelchair seat height from floor

E1297

Special wheelchair seat depth, by upholstery

E1298

Special wheelchair seat depth and/or width, by construction

E1300

Whirlpool, portable (overtub type)

E1310

Whirlpool, non-portable (built-in type)

E1352

Oxygen accessory, flow regulator capable of positive inspiratory pressure

E1353

Regulator

E1354

Oxygen accessory, wheeled cart for portable cylinder or portable concentrator, any type, replacement only, each

E1355

Stand/rack

E1356

Oxygen accessory, battery pack/cartridge for portable concentrator, any type, replacement only, each

E1357

Oxygen accessory, battery charger for portable concentrator, any type, replacement only, each

E1358

Oxygen accessory, dc power adapter for portable concentrator, any type, replacement only, each

E1372

Immersion external heater for nebulizer

E1390

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate

E1391

Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each

E1392

Portable oxygen concentrator, rental

E1399

Durable medical equipment, miscellaneous

E1405

Oxygen and water vapor enriching system with heated delivery

E1406

Oxygen and water vapor enriching system without heated delivery

E1500

Centrifuge, for dialysis

E1510

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 for hemodialysis

E1530

Air bubble detector for hemodialysis, each, replacement

E1540

Pressure alarm for hemodialysis, each, replacement

E1550

Bath conductivity meter for hemodialysis, each

E1560

Blood leak detector for hemodialysis, each, replacement

E1570

Adjustable chair, for esrd patients

E1575

Transducer protectors/fluid barriers, for hemodialysis, any size, per 10

E1580

Unipuncture control system for hemodialysis

E1590

Hemodialysis machine

E1592

Automatic intermittent peritoneal dialysis system

E1594

Cycler dialysis machine for peritoneal dialysis

E1600

Delivery and/or installation charges for hemodialysis equipment

E1610

Reverse osmosis water purification system, for hemodialysis

E1615

Deionizer water purification system, for hemodialysis

E1620

Blood pump for hemodialysis, replacement

E1625

Water softening system, for hemodialysis

E1630

Reciprocating peritoneal dialysis system

E1632

Wearable artificial kidney, each

E1634

Peritoneal dialysis clamps, each

E1635

Compact (portable) travel hemodialyzer system

E1636

Sorbent cartridges, for hemodialysis, per 10

E1637

Hemostats, each

E1639

Scale, each

E1699

Dialysis equipment, not otherwise specified

E1700

Jaw motion rehabilitation system

E1701

Replacement cushions for jaw motion rehabilitation system, pkg. of 6

E1702

Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200

E1800

Dynamic adjustable elbow extension/flexion device, includes soft interface material

E1801

Static progressive stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories

E1802

Dynamic adjustable forearm pronation/supination device, includes soft interface material

E1805

Dynamic adjustable wrist extension / flexion device, includes soft interface material

E1806

Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories

E1810

Dynamic adjustable knee extension / flexion device, includes soft interface material

E1811

Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories

E1812

Dynamic knee, extension/flexion device with active resistance control

E1815

Dynamic adjustable ankle extension/flexion device, includes soft interface material

E1816

Static progressive stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories

E1818

Static progressive stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories

E1820

Replacement soft interface material, dynamic adjustable extension/flexion device

E1821

Replacement soft interface material/cuffs for bi-directional static progressive stretch device

E1825

Dynamic adjustable finger extension/flexion device, includes soft interface material

E1830

Dynamic adjustable toe extension/flexion device, includes soft interface material

E1831

Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories

E1840

Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material

E1841

Static progressive stretch shoulder device, with or without range of motion adjustment, includes all components and accessories

E1902

Communication board, non-electronic augmentative or alternative communication device

E2000

Gastric suction pump, home model, portable or stationary, electric

E2100

Blood glucose monitor with integrated voice synthesizer

E2101

Blood glucose monitor with integrated lancing/blood sample

E2120

Pulse generator system for tympanic treatment of inner ear endolymphatic fluid

E2201

Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches

E2202

Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches

E2203

Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches

E2204

Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches

E2205

Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each

E2206

Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each

E2207

Wheelchair accessory, crutch and cane holder, each

E2208

Wheelchair accessory, cylinder tank carrier, each

E2209

Accessory, arm trough, with or without hand support, each

E2210

Wheelchair accessory, bearings, any type, replacement only, each

E2211

Manual wheelchair accessory, pneumatic propulsion tire, any size, each

E2212

Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each

E2213

Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each

E2214

Manual wheelchair accessory, pneumatic caster tire, any size, each

E2215

Manual wheelchair accessory, tube for pneumatic caster tire, any size, each

E2216

Manual wheelchair accessory, foam filled propulsion tire, any size, each

E2217

Manual wheelchair accessory, foam filled caster tire, any size, each

E2218

Manual wheelchair accessory, foam propulsion tire, any size, each

E2219

Manual wheelchair accessory, foam caster tire, any size, each

E2220

Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each

E2221

Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

E2222

Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each

E2224

Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each

E2225

Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each

E2226

Manual wheelchair accessory, caster fork, any size, replacement only, each

E2227

Manual wheelchair accessory, gear reduction drive wheel, each

E2228

Manual wheelchair accessory, wheel braking system and lock, complete, each

E2230

Manual wheelchair accessory, manual standing system

E2231

Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware

E2291

Back, planar, for pediatric size wheelchair including fixed attaching hardware

E2292

Seat, planar, for pediatric size wheelchair including fixed attaching hardware

E2293

Back, contoured, for pediatric size wheelchair including fixed attaching hardware

E2294

Seat, contoured, for pediatric size wheelchair including fixed attaching hardware

E2295

Manual wheelchair accessory, for pediatric size wheelchair, dynamic seating frame, allows coordinated movement of multiple positioning features

E2300

Wheelchair accessory, power seat elevation system, any type

E2301

Wheelchair accessory, power standing system, any type

E2310

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

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

Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware

E2313

Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each

E2321

Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware

E2322

Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware

E2323

Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated

E2324

Power wheelchair accessory, chin cup for chin control interface

E2325

Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware

E2326

Power wheelchair accessory, breath tube kit for sip and puff interface

E2327

Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware

E2328

Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware

E2329

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

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

Power wheelchair accessory, attendant control, proportional, including all related electronics and fixed mounting hardware

E2340

Power wheelchair accessory, nonstandard seat frame width, 20-23 inches

E2341

Power wheelchair accessory, nonstandard seat frame width, 24-27 inches

E2342

Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches

E2343

Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches

E2351

Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface

E2358

Power wheelchair accessory, group 34 non-sealed lead acid battery, each

E2359

Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)

E2360

Power wheelchair accessory, 22nf non-sealed lead acid battery, each

E2361

Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat)

E2362

Power wheelchair accessory, group 24 non-sealed lead acid battery, each

E2363

Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)

E2364

Power wheelchair accessory, u-1 non-sealed lead acid battery, each

E2365

Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)

E2366

Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each

E2367

Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each

E2368

Power wheelchair component, drive wheel motor, replacement only

E2369

Power wheelchair component, drive wheel gear box, replacement only

E2370

Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only

E2371

Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each

E2372

Power wheelchair accessory, group 27 non-sealed lead acid battery, each

E2373

Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware

E2374

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

Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only

E2376

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only

E2377

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue

E2378

Power wheelchair component, actuator, replacement only

E2381

Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each

E2382

Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each

E2383

Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each

E2384

Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each

E2385

Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each

E2386

Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each

E2387

Power wheelchair accessory, foam filled caster tire, any size, replacement only, each

E2388

Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each

E2389

Power wheelchair accessory, foam caster tire, any size, replacement only, each

E2390

Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each

E2391

Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

E2392

Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each

E2394

Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each

E2395

Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each

E2396

Power wheelchair accessory, caster fork, any size, replacement only, each

E2397

Power wheelchair accessory, lithium-based battery, each

E2402

Negative pressure wound therapy electrical pump, stationary or portable

E2500

Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time

E2502

Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time

E2504

Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time

E2506

Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time

E2508

Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device

E2510

Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access

E2511

Speech generating software program, for personal computer or personal digital assistant

E2512

Accessory for speech generating device, mounting system

E2599

Accessory for speech generating device, not otherwise classified

E2601

General use wheelchair seat cushion, width less than 22 inches, any depth

E2602

General use wheelchair seat cushion, width 22 inches or greater, any depth

E2603

Skin protection wheelchair seat cushion, width less than 22 inches, any depth

E2604

Skin protection wheelchair seat cushion, width 22 inches or greater, any depth

E2605

Positioning wheelchair seat cushion, width less than 22 inches, any depth

E2606

Positioning wheelchair seat cushion, width 22 inches or greater, any depth

E2607

Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth

E2608

Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth

E2609

Custom fabricated wheelchair seat cushion, any size

E2610

Wheelchair seat cushion, powered

E2611

General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware

E2612

General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware

E2613

Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware

E2614

Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware

E2615

Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware

E2616

Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware

E2617

Custom fabricated wheelchair back cushion, any size, including any type mounting hardware

E2619

Replacement cover for wheelchair seat cushion or back cushion, each

E2620

Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware

E2621

Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware

E2622

Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth

E2623

Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth

E2624

Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth

E2625

Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth

E2626

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable

E2627

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type

E2628

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining

E2629

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints)

E2630

Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support

E2631

Wheelchair accessory, addition to mobile arm support, elevating proximal arm

E2632

Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control

E2633

Wheelchair accessory, addition to mobile arm support, supinator

E8000

Gait trainer, pediatric size, posterior support, includes all accessories and components

E8001

Gait trainer, pediatric size, upright support, includes all accessories and components

E8002

Gait trainer, pediatric size, anterior support, includes all accessories and components