HCPCS Code Section: HCPCS E Codes

Stand/rack Short Description: Oxygen supplies stand/rack Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1986 Effective Date: January 1, 2009 …

Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest Short Description: Whchr litwt det arm leg rest Coverage Code: Special coverage instructions apply Action Code: …

Oxygen accessory, wheeled cart for portable cylinder or portable concentrator, any type, replacement only, each Short Description: Wheeled cart, port cyl/conc Coverage Code: Carrier judgment Action Code: No maintenance …

Power wheelchair, pediatric size, not otherwise specified Short Description: Ped power wheelchair nos Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2005 …

Regulator Short Description: Oxygen supplies regulator Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1986 Effective Date: January 1, 2009 …

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

Oxygen accessory, flow regulator capable of positive inspiratory pressure Short Description: O2 flow reg pos inspir press Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

Whirlpool, non-portable (built-in type) Short Description: Whirlpool non-portable Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1986 Effective Date: January …

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: …