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HCPCS Code E1092

Official Description

Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests

Short Descr	Wheelchair wide w/ leg rests
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	1/1/1986
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

KX	Requirements specified in the medical policy have been met
MS	Six month maintenance and servicing fee for reasonable and necessary parts and labor which are not covered under any manufacturer or supplier warranty
NU	New equipment

E0100-E0739 Durable Medical Equipment (DME)

E0110-E0105 Ambulatory Equipment

E1231-E1230 Wheelchairs

E1050-E1093 Wheelchair -- Fully Reclining

E1050 Whelchr fxd full length arms

E1060 Wheelchair detachable arms

E1070 Wheelchair detachable foot r

E1083 Hemi-wheelchair fixed arms

E1084 Hemi-wheelchair detachable a

E1085 Hemi-wheelchair fixed arms

E1086 Hemi-wheelchair detachable a

E1087 Wheelchair lightwt fixed arm

E1088 Wheelchair lightweight det a

E1089 Wheelchair lightwt fixed arm

E1090 Wheelchair lightweight det a

E1092 Wheelchair wide w/ leg rests

E1093 Wheelchair wide w/ foot rest

Date	Action	Notes
1986-01-01	Added	Code added 1/1/1986

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