K0001 |
Standard wheelchair |
K0002 |
Stnd hemi (low seat) whlchr |
K0003 |
Lightweight wheelchair |
K0004 |
High strength ltwt whlchr |
K0005 |
Ultralightweight wheelchair |
K0006 |
Heavy duty wheelchair |
K0007 |
Extra heavy duty wheelchair |
K0008 |
Cstm manual wheelchair/base |
K0009 |
Other manual wheelchair/base |
K0010 |
Stnd wt frame power whlchr |
K0011 |
Stnd wt pwr whlchr w control |
K0012 |
Ltwt portbl power whlchr |
K0013 |
Custom power whlchr base |
K0014 |
Other power whlchr base |
K0015 |
Detach non-adj ht armrst rep |
K0017 |
Detach adjust armrest base |
K0018 |
Detach adjust armrst upper |
K0019 |
Arm pad repl, each |
K0020 |
Fixed adjust armrest pair |
K0037 |
Hi mount flip-up footrest ea |
K0038 |
Leg strap each |
K0039 |
Leg strap h style each |
K0040 |
Adjustable angle footplate |
K0041 |
Large size footplate each |
K0042 |
Standard size ftplate rep ea |
K0043 |
Ftrst lowr exten tube rep ea |
K0044 |
Ftrst upr hanger brac rep ea |
K0045 |
Ftrst compl assembly repl ea |
K0046 |
Elev lgrst lwr exten repl ea |
K0047 |
Elev legrst upr hangr rep ea |
K0050 |
Ratchet assembly replacement |
K0051 |
Cam rel asm ft/legrst rep ea |
K0052 |
Swingaway detach ftrest repl |
K0053 |
Elevate footrest articulate |
K0056 |
Seat ht <17 or >=21 ltwt wc |
K0065 |
Spoke protectors |
K0069 |
Rr whl compl sol tire rep ea |
K0070 |
Rr whl compl pne tire rep ea |
K0071 |
Fr cstr comp pne tire rep ea |
K0072 |
Fr cstr semi-pne tire rep ea |
K0073 |
Caster pin lock each |
K0077 |
Fr cstr asmb sol tire rep ea |
K0098 |
Drive belt for pwc, repl |
K0105 |
Iv hanger |
K0108 |
W/c component-accessory nos |
K0195 |
Elevating whlchair leg rests |
K0455 |
Pump uninterrupted infusion |
K0462 |
Temporary replacement eqpmnt |
K0552 |
Sup/ext non-ins inf pump syr |
K0553 |
Ther cgm supply allowance |
K0554 |
Ther cgm receiver/monitor |
K0601 |
Repl batt silver oxide 1.5 v |
K0602 |
Repl batt silver oxide 3 v |
K0603 |
Repl batt alkaline 1.5 v |
K0604 |
Repl batt lithium 3.6 v |
K0605 |
Repl batt lithium 4.5 v |
K0606 |
Aed garment w elec analysis |
K0607 |
Repl batt for aed |
K0608 |
Repl garment for aed |
K0609 |
Repl electrode for aed |
K0669 |
Seat/back cus no dmepdac ver |
K0672 |
Removable soft interface le |
K0730 |
Ctrl dose inh drug deliv sys |
K0733 |
12-24hr sealed lead acid |
K0738 |
Portable gas oxygen system |
K0739 |
Repair/svc dme non-oxygen eq |
K0740 |
Repair/svc oxygen equipment |
K0743 |
Portable home suction pump |
K0744 |
Absorp drg <= 16 suc pump |
K0745 |
Absorp drg >16<=48 suc pump |
K0746 |
Absorp drg >48 suc pump |
K0800 |
Pov group 1 std up to 300lbs |
K0801 |
Pov group 1 hd 301-450 lbs |
K0802 |
Pov group 1 vhd 451-600 lbs |
K0806 |
Pov group 2 std up to 300lbs |
K0807 |
Pov group 2 hd 301-450 lbs |
K0808 |
Pov group 2 vhd 451-600 lbs |
K0812 |
Power operated vehicle noc |
K0813 |
Pwc gp 1 std port seat/back |
K0814 |
Pwc gp 1 std port cap chair |
K0815 |
Pwc gp 1 std seat/back |
K0816 |
Pwc gp 1 std cap chair |
K0820 |
Pwc gp 2 std port seat/back |
K0821 |
Pwc gp 2 std port cap chair |
K0822 |
Pwc gp 2 std seat/back |
K0823 |
Pwc gp 2 std cap chair |
K0824 |
Pwc gp 2 hd seat/back |
K0825 |
Pwc gp 2 hd cap chair |
K0826 |
Pwc gp 2 vhd seat/back |
K0827 |
Pwc gp vhd cap chair |
K0828 |
Pwc gp 2 xtra hd seat/back |
K0829 |
Pwc gp 2 xtra hd cap chair |
K0830 |
Pwc gp2 std seat elevate s/b |
K0831 |
Pwc gp2 std seat elevate cap |
K0835 |
Pwc gp2 std sing pow opt s/b |
K0836 |
Pwc gp2 std sing pow opt cap |
K0837 |
Pwc gp 2 hd sing pow opt s/b |
K0838 |
Pwc gp 2 hd sing pow opt cap |
K0839 |
Pwc gp2 vhd sing pow opt s/b |
K0840 |
Pwc gp2 xhd sing pow opt s/b |
K0841 |
Pwc gp2 std mult pow opt s/b |
K0842 |
Pwc gp2 std mult pow opt cap |
K0843 |
Pwc gp2 hd mult pow opt s/b |
K0848 |
Pwc gp 3 std seat/back |
K0849 |
Pwc gp 3 std cap chair |
K0850 |
Pwc gp 3 hd seat/back |
K0851 |
Pwc gp 3 hd cap chair |
K0852 |
Pwc gp 3 vhd seat/back |
K0853 |
Pwc gp 3 vhd cap chair |
K0854 |
Pwc gp 3 xhd seat/back |
K0855 |
Pwc gp 3 xhd cap chair |
K0856 |
Pwc gp3 std sing pow opt s/b |
K0857 |
Pwc gp3 std sing pow opt cap |
K0858 |
Pwc gp3 hd sing pow opt s/b |
K0859 |
Pwc gp3 hd sing pow opt cap |
K0860 |
Pwc gp3 vhd sing pow opt s/b |
K0861 |
Pwc gp3 std mult pow opt s/b |
K0862 |
Pwc gp3 hd mult pow opt s/b |
K0863 |
Pwc gp3 vhd mult pow opt s/b |
K0864 |
Pwc gp3 xhd mult pow opt s/b |
K0868 |
Pwc gp 4 std seat/back |
K0869 |
Pwc gp 4 std cap chair |
K0870 |
Pwc gp 4 hd seat/back |
K0871 |
Pwc gp 4 vhd seat/back |
K0877 |
Pwc gp4 std sing pow opt s/b |
K0878 |
Pwc gp4 std sing pow opt cap |
K0879 |
Pwc gp4 hd sing pow opt s/b |
K0880 |
Pwc gp4 vhd sing pow opt s/b |
K0884 |
Pwc gp4 std mult pow opt s/b |
K0885 |
Pwc gp4 std mult pow opt cap |
K0886 |
Pwc gp4 hd mult pow s/b |
K0890 |
Pwc gp5 ped sing pow opt s/b |
K0891 |
Pwc gp5 ped mult pow opt s/b |
K0898 |
Power wheelchair noc |
K0899 |
Pow mobil dev no dmepdac |
K0900 |
Cstm dme other than wheelchr |
K1001 |
Electronic posa treatment |
K1002 |
Ces system w/supplies access |
K1003 |
Whirlpool tub walkin portabl |
K1004 |
Lo freq us diathermy device |
K1005 |
Disp col sto bag breast milk |