HCPCS 'E' Codes (604)

Durable Medical Equipment
Code Description
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)
Terminated December 31, 2015.
E0455 Oxygen tent, excluding croup or pediatric tents
E0457 Chest shell (cuirass)
E0459 Chest wrap
E0460 Negative pressure ventilator; portable or stationary
Terminated December 31, 2015.
E0461 Volume control ventilator, without pressure support mode, may include pressure control mode, used with non-invasive interface (e.g., mask)
Terminated December 31, 2015.
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)
Terminated December 31, 2015.
E0464 Pressure support ventilator with volume control mode, may include pressure control mode, used with non-invasive interface (e.g., mask)
Terminated December 31, 2015.
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
Terminated December 31, 2016.
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
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
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