HCPCS Code Section: HCPCS E Codes

Fracture frame, attachments for complex pelvic traction Short Description: Fracture frame attachmnts pe Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January …

Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) Short Description: Fracture frame dual w cross Coverage Code: Special coverage instructions apply Action Code: No …

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

Gravity assisted traction device, any type Short Description: Gravity assisted traction de Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Trapeze bar, free standing, complete with grab bar Short Description: Trapeze bar free standing Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

Continuous passive motion exercise device for use other than knee Short Description: Cpm device, other than knee Coverage Code: Non-covered by Medicare Action Code: No maintenance for this code …

Wheelchair accessory, seat upholstery, replacement only, each Short Description: Seat upholstery, replacement Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2004 Effective …

Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each Short Description: W/c lateral trunk/hip suppor Coverage Code: Carrier judgment Action Code: No maintenance for …