HCPCS Code E1037

Official Description

Transport chair, pediatric size

Short Descr	Transport chair, ped size
Coverage	Special coverage instructions apply
Pricing Indicator(s)	36 – Supplies And Surgical Dressings - Capped rental DME (price subject to floors and ceilings)
MPI	A – Not applicable, as HCPCS priced under one methodology
CIM	60-9
BETOS	D1D – Wheelchairs
TOS Code(s)	R – Rental of DME
Added Date	1/1/2003
APC Status Indicator	Non-Implantable Durable Medical Equipment
MUE	0
MUE	1
IOM	100-03, 4, 280.1
OTS Orthotic	No
CCS Clinical Classification	243 - DME and supplies

KH	Dmepos item, initial claim, purchase or first month rental
KI	Dmepos item, second or third month rental
KJ	Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen
RR	Rental (use the 'rr' modifier when dme is to be rented)