K0879

Power wheelchair, group 4 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds

Short Description: Pwc gp4 hd sing pow opt s/b

Coverage Code: Carrier judgment

Action Code: No maintenance for this code

Date Added: October 1, 2006

Effective Date: October 1, 2006

Termination Date:

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