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HCPCS Range Wheelchair Accessories

• 1 Wheelchair accessory, tray, each ( E0950 )

• 2 Heel loop/holder, any type, with or without ankle strap, each ( E0951 )

• 3 Toe loop/holder, any type, each ( E0952 )

• 4 Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each ( E0955 )

• 5 Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each ( E0956 )

• 6 Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each ( E0957 )

• 7 Manual wheelchair accessory, one-arm drive attachment, each ( E0958 )

• 8 Manual wheelchair accessory, adapter for amputee, each ( E0959 )

• 9 Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware ( E0960 )

• 10 Manual wheelchair accessory, wheel lock brake extension (handle), each ( E0961 )

• 11 Manual wheelchair accessory, headrest extension, each ( E0966 )

• 12 Manual wheelchair accessory, hand rim with projections, any type, replacement only, each ( E0967 )

• 13 Commode seat, wheelchair ( E0968 )

• 14 Narrowing device, wheelchair ( E0969 )

• 15 No.2 footplates, except for elevating leg rest ( E0970 )

• 16 Manual wheelchair accessory, anti-tipping device, each ( E0971 )

• 17 Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each ( E0973 )

• 18 Manual wheelchair accessory, anti-rollback device, each ( E0974 )

• 19 Wheelchair accessory, positioning belt/safety belt/pelvic strap, each ( E0978 )

• 20 Safety vest, wheelchair ( E0980 )

• 21 Wheelchair accessory, seat upholstery, replacement only, each ( E0981 )

• 22 Wheelchair accessory, back upholstery, replacement only, each ( E0982 )

• 23 Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control ( E0983 )

• 24 Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control ( E0984 )

• 25 Wheelchair accessory, seat lift mechanism ( E0985 )

• 26 Manual wheelchair accessory, push-rim activated power assist system ( E0986 )

• 27 Manual wheelchair accessory, lever-activated, wheel drive, pair ( E0988 )

• 28 Wheelchair accessory, elevating leg rest, complete assembly, each ( E0990 )

• 29 Manual wheelchair accessory, solid seat insert ( E0992 )

• 30 Arm rest, each ( E0994 )

• 31 Wheelchair accessory, calf rest/pad, replacement only, each ( E0995 )

• 32 Wheelchair accessory, power seating system, tilt only ( E1002 )

• 33 Wheelchair accessory, power seating system, recline only, without shear reduction ( E1003 )

• 34 Wheelchair accessory, power seating system, recline only, with mechanical shear reduction ( E1004 )

• 35 Wheelchair accessory, power seatng system, recline only, with power shear reduction ( E1005 )

• 36 Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction ( E1006 )

• 37 Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction ( E1007 )

• 38 Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction ( E1008 )

• 39 Wheelchair accessory, addition to power seating system, mechanically linked leg elevation system, including pushrod and leg rest, each ( E1009 )

• 40 Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair ( E1010 )

• 41 Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair) ( E1011 )

• 42 Reclining back, addition to pediatric size wheelchair ( E1014 )

• 43 Shock absorber for manual wheelchair, each ( E1015 )

• 44 Shock absorber for power wheelchair, each ( E1016 )

• 45 Heavy duty shock absorber for heavy duty or extra heavy duty manual wheelchair, each ( E1017 )

• 46 Heavy duty shock absorber for heavy duty or extra heavy duty power wheelchair, each ( E1018 )

• 47 Residual limb support system for wheelchair, any type ( E1020 )

• 48 Wheelchair accessory, manual swing away, retractable or removable mounting hardware for joystick, other control interface or positioning accessory ( E1028 )

• 49 Wheelchair accessory, ventilator tray, fixed ( E1029 )

• 50 Wheelchair accessory, ventilator tray, gimbaled ( E1030 )

• 51 Rollabout chair, any and all types with castors 5 inch or greater ( E1031 )

• 52 Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs ( E1035 )

• 53 Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs ( E1036 )

• 54 Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each ( E0953 )

• 55 Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot ( E0954 )

• 56 Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each ( E1012 )