| 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 |
| E0183 | Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty |
| 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 | Fluid circulating cold pad with pump, any type |
| 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 |
| E0447 | Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) |
| 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) |
| E0467 | 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 |
| 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 system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, 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 |
| E0677 | Non-pneumatic sequential compression garment, trunk |
| 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) |
| E0711 | Upper extremity medical tubing/lines enclosure or covering device, restricts elbow range of motion |
| 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) |
| E0787 | External ambulatory infusion pump, insulin, dosage rate adjustment using therapeutic continuous glucose sensing |
| 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 |
| 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 |
| E0953 | Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each |
| E0954 | Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot |
| 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 |
| E1629 | Tablo hemodialysis system for the billable dialysis service |
| 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 |
| E1905 | Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software |
| 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 |
| E2102 | Adjunctive, non-implanted continuous glucose monitor or receiver |
| E2103 | Non-adjunctive, non-implanted continuous glucose monitor or receiver |
| 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 |
