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E1290
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Procedure Codes
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HCPCS Level II
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Durable Medical Equipment
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E1002–E1905
E1290
Heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest
Back
E1002
Wheelchair accessory, power seating system, tilt only
→
E1003
Wheelchair accessory, power seating system, recline only, without shear reduction
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E1004
Wheelchair accessory, power seating system, recline only, with mechanical shear reduction
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E1005
Wheelchair accessory, power seating system, recline only, with power shear reduction
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E1006
Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction
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E1007
Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction
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E1008
Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction
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E1009
Wheelchair accessory, addition to power seating system, mechanically linked leg elevation system, including pushrod and leg rest, each
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E1010
Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair
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E1011
Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair)
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E1012
Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each
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E1014
Reclining back, addition to pediatric size wheelchair
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E1015
Shock absorber for manual wheelchair, each
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E1016
Shock absorber for power wheelchair, each
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E1017
Heavy duty shock absorber for heavy duty or extra heavy duty manual wheelchair, each
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E1018
Heavy duty shock absorber for heavy duty or extra heavy duty power wheelchair, each
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E1020
Residual limb support system for wheelchair, any type
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E1022
Wheelchair transportation securement system, any type includes all components and accessories
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E1023
Wheelchair transit securement system, includes all components and accessories
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E1028
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other
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E1029
Wheelchair accessory, ventilator tray, fixed
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E1030
Wheelchair accessory, ventilator tray, gimbaled
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E1031
Rollabout chair, any and all types with casters 5" or greater
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E1032
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface
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E1033
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type
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E1034
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type
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E1035
Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs
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E1036
Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs
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E1037
Transport chair, pediatric size
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E1038
Transport chair, adult size, patient weight capacity up to and including 300 pounds
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E1039
Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds
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E1050
Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests
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E1060
Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests
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E1070
Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest
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E1083
Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest
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E1084
Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests
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E1085
Hemi-wheelchair, fixed full length arms, swing away detachable foot rests
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E1086
Hemi-wheelchair detachable arms desk or full length, swing away detachable footrests
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E1087
High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests
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E1088
High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests
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E1089
High strength lightweight wheelchair, fixed length arms, swing away detachable footrest
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E1090
High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable foot rests
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E1092
Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests
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E1093
Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests
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E1100
Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests
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E1110
Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest
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E1130
Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests
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E1140
Wheelchair, detachable arms, desk or full length, swing away detachable footrests
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E1150
Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests
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E1160
Wheelchair, fixed full length arms, swing away detachable elevating legrests
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E1161
Manual adult size wheelchair, includes tilt in space
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E1170
Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests
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E1171
Amputee wheelchair, fixed full length arms, without footrests or legrest
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E1172
Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest
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E1180
Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests
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E1190
Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests
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E1195
Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests
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E1200
Amputee wheelchair, fixed full length arms, swing away detachable footrest
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E1220
Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification
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E1221
Wheelchair with fixed arm, footrests
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E1222
Wheelchair with fixed arm, elevating legrests
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E1223
Wheelchair with detachable arms, footrests
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E1224
Wheelchair with detachable arms, elevating legrests
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E1225
Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each
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E1226
Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each
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E1227
Special height arms for wheelchair
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E1228
Special back height for wheelchair
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E1229
Wheelchair, pediatric size, not otherwise specified
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E1230
Power operated vehicle (three or four wheel nonhighway) specify brand name and model number
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E1231
Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating system
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E1232
Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system
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E1233
Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system
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E1234
Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system
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E1235
Wheelchair, pediatric size, rigid, adjustable, with seating system
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E1236
Wheelchair, pediatric size, folding, adjustable, with seating system
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E1237
Wheelchair, pediatric size, rigid, adjustable, without seating system
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E1238
Wheelchair, pediatric size, folding, adjustable, without seating system
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E1239
Power wheelchair, pediatric size, not otherwise specified
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E1240
Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest
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E1250
Lightweight wheelchair, fixed full length arms, swing away detachable footrest
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E1260
Lightweight wheelchair, detachable arms (desk or full length) swing away detachable footrest
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E1270
Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests
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E1280
Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests
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E1285
Heavy duty wheelchair, fixed full length arms, swing away detachable footrest
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E1290
Heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest
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E1295
Heavy duty wheelchair, fixed full length arms, elevating legrest
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E1296
Special wheelchair seat height from floor
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E1297
Special wheelchair seat depth, by upholstery
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E1298
Special wheelchair seat depth and/or width, by construction
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E1300
Whirlpool, portable (overtub type)
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E1301
Whirlpool tub, walk-in, portable
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E1310
Whirlpool, non-portable (built-in type)
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E1352
Oxygen accessory, flow regulator capable of positive inspiratory pressure
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E1353
Regulator
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E1354
Oxygen accessory, wheeled cart for portable cylinder or portable concentrator, any type, replacement only, each
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E1355
Stand/rack
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E1356
Oxygen accessory, battery pack/cartridge for portable concentrator, any type, replacement only, each
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E1357
Oxygen accessory, battery charger for portable concentrator, any type, replacement only, each
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E1358
Oxygen accessory, dc power adapter for portable concentrator, any type, replacement only, each
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E1372
Immersion external heater for nebulizer
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E1390
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate
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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
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E1399
Durable medical equipment, miscellaneous
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E1405
Oxygen and water vapor enriching system with heated delivery
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E1406
Oxygen and water vapor enriching system without heated delivery
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E1500
Centrifuge, for dialysis
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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
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E1520
Heparin infusion pump for hemodialysis
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E1530
Air bubble detector for hemodialysis, each, replacement
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E1540
Pressure alarm for hemodialysis, each, replacement
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E1550
Bath conductivity meter for hemodialysis, each
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E1560
Blood leak detector for hemodialysis, each, replacement
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E1570
Adjustable chair, for esrd patients
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E1575
Transducer protectors/fluid barriers, for hemodialysis, any size, per 10
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E1580
Unipuncture control system for hemodialysis
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E1590
Hemodialysis machine
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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
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E1615
Deionizer water purification system, for hemodialysis
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E1620
Blood pump for hemodialysis, replacement
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E1625
Water softening system, for hemodialysis
→
E1629
Tablo hemodialysis system for the billable dialysis service
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E1630
Reciprocating peritoneal dialysis system
→
E1632
Wearable artificial kidney, each
→
E1634
Peritoneal dialysis clamps, each
→
E1635
Compact (portable) travel hemodialyzer system
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E1636
Sorbent cartridges, for hemodialysis, per 10
→
E1637
Hemostats, each
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E1639
Scale, each
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E1699
Dialysis equipment, not otherwise specified
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E1700
Jaw motion rehabilitation system
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E1701
Replacement cushions for jaw motion rehabilitation system, pkg. of 6
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E1702
Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200
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E1800
Dynamic adjustable elbow extension and flexion device, includes soft interface material
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E1801
Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories
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E1802
Dynamic adjustable forearm pronation/supination device, includes soft interface material
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E1803
Dynamic adjustable elbow extension only device, includes soft interface material
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E1804
Dynamic adjustable elbow flexion only device, includes soft interface material
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E1805
Dynamic adjustable wrist extension and flexion device, includes soft interface material
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E1806
Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories
→
E1807
Dynamic adjustable wrist extension only device, includes soft interface material
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E1808
Dynamic adjustable wrist flexion only device, includes soft interface material
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E1810
Dynamic adjustable knee extension and flexion device, includes soft interface material
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E1811
Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories
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E1812
Dynamic knee, extension/flexion device with active resistance control
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E1813
Dynamic adjustable knee extension only device, includes soft interface material
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E1814
Dynamic adjustable knee flexion only device, includes soft interface material
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E1815
Dynamic adjustable ankle extension and flexion device, includes soft interface material
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E1816
Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories
→
E1818
Static progressive stretch/patient actualized serial 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
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E1821
Replacement soft interface material/cuffs for bi-directional static progressive stretch device
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E1822
Dynamic adjustable ankle extension only device, includes soft interface material
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E1823
Dynamic adjustable ankle flexion only device, includes soft interface material
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E1825
Dynamic adjustable finger extension and flexion device, includes soft interface material
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E1826
Dynamic adjustable finger extension only device, includes soft interface material
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E1827
Dynamic adjustable finger flexion only device, includes soft interface material
→
E1828
Dynamic adjustable toe extension only device, includes soft interface material
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E1829
Dynamic adjustable toe flexion only device, includes soft interface material
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E1830
Dynamic adjustable toe extension and 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
→
E1832
Static progressive stretch finger 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
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E1841
Static progressive stretch/patient actualized serial 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
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Procedure code
CODABLE
E1290
Heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest
NOTE
Cross reference: K0006
Part
HCPCS Level II
E
Durable Medical Equipment
E1
E1002–E1905
Source
CMS — ICD-10-PCS FY2026, HCPCS Level II october 2026, Procedure Codes 2026.
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