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E1391
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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
E1391
Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each
Back
E1002
Wheelchair accessory, power seating system, tilt only
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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
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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
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E1594
Cycler dialysis machine for peritoneal dialysis
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E1600
Delivery and/or installation charges for hemodialysis equipment
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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
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E1629
Tablo hemodialysis system for the billable dialysis service
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E1630
Reciprocating peritoneal dialysis system
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E1632
Wearable artificial kidney, each
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E1634
Peritoneal dialysis clamps, each
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E1635
Compact (portable) travel hemodialyzer system
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E1636
Sorbent cartridges, for hemodialysis, per 10
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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
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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
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E1818
Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories
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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
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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
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E1831
Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories
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E1832
Static progressive stretch finger device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories
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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
E1391
Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each
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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