KVÅKVÅE2617 — Custom fabricated wheelchair back cushion, any size, including any type mounting hardware
KVÅKVÅA6511 — Compression burn garment, lower trunk including leg openings (panty), custom fabricated
KVÅKVÅA5513 — For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
KVÅKVÅA6509 — Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated
KVÅKVÅA6510 — Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated
KVÅKVÅE0486 — Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment
KVÅKVÅA5514 — For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
KVÅKVÅA5500 — For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe
KVÅKVÅA5501 — For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe
KVÅKVÅA5503 — For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe
KVÅKVÅA5504 — For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe
KVÅKVÅA5505 — For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe
KVÅKVÅA5506 — For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe
KVÅKVÅA5508 — For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
KVÅKVÅA6525 — Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each
KVÅKVÅA6527 — Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each
KVÅKVÅA6561 — Gradient compression stocking, full length/chap style, 40 mmhg or greater, custom, each
KVÅKVÅA5507 — For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
