HCPCS Code Section: HCPCS E Codes

Traction frame, attached to footboard, pelvic traction Short Description: Traction frame attach pelvic Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January …

Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) Short Description: Non-programble infusion pump Coverage Code: Special coverage instructions apply Action Code: No maintenance for this …

Traction stand, free standing, extremity traction, (e.g., buck’s) Short Description: Trac stand free stand extrem Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date …

Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient Short Description: External ambulatory infus pu Coverage Code: Special coverage instructions apply …

Traction frame, attached to footboard, extremity traction, (e.g., buck’s) Short Description: Tract frame attach footboard Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date …

Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours Short Description: Mech amb infusion pump

Traction equipment, overdoor, cervical Short Description: Tract equip cervical tract Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1986 Effective …

Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater Short Description: Amb infusion pump mechanical Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

Pelvic belt/harness/boot Short Description: Pelvic belt/harness/boot Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1985 Effective Date: January 1, 1996 Termination Date:

Cervical head harness/halter Short Description: Cervical head harness/halter Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1986 Effective Date: January 1, 1986 …