HCPCS Code Section: HCPCS E Codes

Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each Short Description: Manual semi-reclining back Coverage Code: Special coverage instructions apply Action Code: …

Wheelchair with detachable arms, elevating legrests Short Description: Wheelchair spec size w/ leg Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January …

Wheelchair with detachable arms, footrests Short Description: Wheelchair spec size w foot Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Wheelchair with fixed arm, elevating legrests Short Description: Wheelchair spec size w/ leg Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January …

Wheelchair, pediatric size, rigid, adjustable, without seating system Short Description: Rgd ped wc adjstabl w/o seat Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code …

Wheelchair with fixed arm, footrests Short Description: Wheelchair spec size w foot Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Wheelchair, pediatric size, folding, adjustable, with seating system Short Description: Folding ped wc adjustable Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification Short Description: Whlchr special size/constrc Coverage Code: Special coverage instructions apply Action Code: No maintenance …

Whirlpool, portable (overtub type) Short Description: Whirlpool portable Coverage Code: Non-covered by Medicare Action Code: No maintenance for this code Date Added: January 1, 1986 Effective Date: January 1, …

Special wheelchair seat depth and/or width, by construction Short Description: Wheelchair spec seat depth/w Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …