HCPCS Code Section: HCPCS E Codes

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 …

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 …

Wheelchair accessory, power seating system, tilt only Short Description: Pwr seat tilt Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2004 Effective …

Wheelchair accessory, calf rest/pad, replacement only, each Short Description: Wc calf rest, pad replacemnt Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …