HCPCS Code Section: HCPCS E Codes

Safety vest, wheelchair Short Description: Wheelchair safety vest Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1986 Effective Date: January 1, 1989 …

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each Short Description: Cushioned headrest Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

Wheelchair accessory, positioning belt/safety belt/pelvic strap, each Short Description: W/c acc,saf belt pelv strap Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot Short Description: Foot box, any type each foot Coverage Code: Carrier judgment Action Code: No maintenance …

Manual wheelchair accessory, anti-rollback device, each Short Description: W/ch access anti-rollback Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1986 …

Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each Short Description: W/ch access det adj armrest Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code …

Manual wheelchair accessory, anti-tipping device, each Short Description: Wheelchair anti-tipping devi Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1986 Effective Date: …

No. 2 footplates, except for elevating leg rest Short Description: Wheelchair no. 2 footplates Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: …

Narrowing device, wheelchair Short Description: Wheelchair narrowing device Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1986 Effective Date: January …

Commode seat, wheelchair Short Description: Wheelchair commode seat Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1986 Effective Date: January …