ACA 6407 Specified items

E0185Gel or gel-like pressure mattress pad
E0188Synthetic sheepskin pad
E0189Lamb’s wool sheepskin pad
E0194Air fluidized bed
E0197Air pressure pad for mattress standard length and width
E0198Water pressure pad for mattress standard length and width
E0199Dry pressure pad for mattress standard length and width
E0250Hospital bed fixed height with any type of side rails, mattress
E0251Hospital bed fixed height with any type side rails without mattress
E0255Hospital bed variable height with any type side rails with mattress
E0256Hospital bed variable height with any type side rails without
mattress
E0260Hospital bed semi-electric (Head and foot adjustment) with any type side rails with mattress
E0261Hospital bed semi-electric (head and foot adjustment) with any typeside rails without mattress
E0265Hospital bed total electric (head, foot and height adjustments) with
any type side rails with mattress
E0266Hospital bed total electric (head, foot and height adjustments) with any type side rails without mattress
E0290Hospital bed fixed height without rails with mattress
E0291Hospital bed fixed height without rail without mattress
E0292Hospital bed variable height without rail without mattress
E0293Hospital bed variable height without rail with mattress
E0294Hospital bed semi-electric (head and foot adjustment) without rail
with mattress
E0295Hospital bed semi-electric (head and foot adjustment) without rail
without mattress
E0296Hospital bed total electric (head, foot and height adjustments) without rail with mattress
E0297Hospital bed total electric (head, foot and height adjustments) without rail without mattress
E0300Pediatric crib, hospital grade, fully enclosed
E0301Hospital bed Heavy Duty extra wide, with weight capacity 350-600 lbs with any type of rail, without mattress
E0302Hospital bed Heavy Duty extra wide, with weight capacity greater than 600 lbs with any type of rail, without mattress
E0303Hospital bed Heavy Duty extra wide, with weight capacity 350-600 lbs with any type of rail, with mattress
E0304Hospital bed Heavy Duty extra wide, with weight capacity greater than 600 lbs with any type of rail, with mattress
E0424Stationary compressed gas Oxygen System rental; includes contents, regulator, nebulizer, cannula or mask and tubing
E0431Portable gaseous oxygen system rental includes portable container,regulator, flowmeter, humidifier, cannula or mask, and tubing
E0433Portable liquid oxygen system
E0434Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, content gauge, cannula or mask, and tubing
E0439Stationary liquid oxygen system rental, includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing
E0441Oxygen contents, gaseous (1 months supply)
E0442Oxygen contents, liquid (1 months supply)
E0443Portable Oxygen contents, gas (1 months supply)
E0444Portable oxygen contents, liquid (1 months supply)
E0450Volume control ventilator without pressure support used with invasive interface
E0460Negative pressure ventilator portable or stationary
E0461Volume control ventilator without pressure support node for a noninvasive interface
E0462Rocking bed with or without side rail
E0463Pressure support ventilator with volume control mode used for invasive surfaces
E0464Pressure support vent with volume control mode used for noninvasive surfaces
E0470Respiratory Assist Device, bi-level pressure capability, without backup rate used non-invasive interface
E0471Respiratory Assist Device, bi-level pressure capability, with backup rate for a non-invasive interface
E0472Respiratory Assist Device, bi-level pressure capability, with backuprrate for invasive interface
E0480Percussor electric/pneumatic home model
E0482Cough stimulating device, alternating positive and negative airwaypressure
E0483High Frequency chest wall oscillation air pulse generator system
E0484Oscillatory positive expiratory device, non-electric
E0570Nebulizer with compressor
E0575Nebulizer, ultrasonic, large volume
E0580Nebulizer, durable, glass or autoclavable plastic, bottle type for usewith regulator or flowmeter
E0585Nebulizer with compressor & heater
E0601Continuous airway pressure device
E0607Home blood glucose monitor
E0628Separate Seat lift mechanism for patient owned furniture electric
E0629Separate seat lift mechanism for patient owned furniture
non-electric
E0636Multi positional patient support system, with integrated lift, patientaccessible controls
E0650Pneumatic compressor non-segmental home model
E0651Pneumatic compressor segmental home model without calibrated gradient pressure
E0652Pneumatic compressor segmental home model with calibrated gradient pressure
E0655Non- segmental pneumatic appliance for use with pneumatic compressor on half arm
E0656Non- segmental pneumatic appliance for use with pneumatic compressor on trunk
E0657Non- segmental pneumatic appliance for use with pneumatic compressor chest
E0660Non- segmental pneumatic appliance for use with pneumatic compressor on full leg
E0665Non- segmental pneumatic appliance for use with pneumatic compressor on full arm
E0666Non- segmental pneumatic appliance for use with pneumatic compressor on half leg
E0667Segmental pneumatic appliance for use with pneumatic compressor on full-leg
E0668Segmental pneumatic appliance for use with pneumatic compressor on full arm
E0669Segmental pneumatic appliance for use with pneumatic compressor on half leg
E0671Segmental gradient pressure pneumatic appliance full leg
E0672Segmental gradient pressure pneumatic appliance full arm
E0673Segmental gradient pressure pneumatic appliance half leg
E0675Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency
E0692Ultraviolet light therapy system panel treatment 4 foot panel
E0693Ultraviolet light therapy system panel treatment 6 foot panel
E0694Ultraviolet multidirectional light therapy system in 6 foot cabinet
E0720Transcutaneous electrical nerve stimulation, two lead, local stimulation
E0730Transcutaneous electrical nerve stimulation, four or more leads, for multiple nerve stimulation
E0731Form fitting conductive garment for delivery of TENS or NMES
E0740Incontinence treatment system, Pelvic floor stimulator, monitor, sensor, and/or trainer
E0744Neuromuscular stimulator for scoliosis
E0745Neuromuscular stimulator electric shock unit
E0747Osteogenesis stimulator, electrical, non-invasive, other than spine application
E0748Osteogenesis stimulator, electrical, non-invasive, spinal application
E0749Osteogenesis stimulator, electrical, surgically implanted
E0760Osteogenesis stimulator, low intensity ultrasound,
non-invasive
E0762Transcutaneous electrical joint stimulation system including all accessories
E0764Functional neuromuscular stimulator, transcutaneous stimulations of muscles of ambulation with computer controls
E0765FDA approved nerve stimulator for treatment of nausea & vomiting
E0782Infusion pumps, implantable, Non-programmable
E0783Infusion pump, implantable, Programmable
E0784External ambulatory infusion pump
E0786Implantable programmable infusion pump, replacement
E0840Tract frame attach to headboard, cervical traction
E0849Traction equipment cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible
E0850Traction stand, free standing, cervical traction
E0855Cervical traction equipment not requiring additional stand or frame
E0856Cervical traction device, cervical collar with inflatable air bladder
E0958Manual wheelchair accessory, one-arm drive attachment
E0959Manual wheelchair accessory-adapter for Amputee
E0960Manual wheelchair accessory, shoulder harness/strap
E0961Manual wheelchair accessory wheel lock brake extension handle
E0966Manual wheelchair accessory, headrest extension
E0967Manual wheelchair accessory, hand rim with projections
E0968Commode seat, wheelchair
E0971Manual wheelchair accessory anti-tipping device
E0973Manual wheelchair accessory, adjustable height, detachable armrest
E0974Manual wheelchair accessory anti-rollback device
E0978Manual wheelchair accessory positioning belt/safety belt/ pelvic strap
E0980Manual wheelchair accessory safety vest
E0981Manual wheelchair accessory Seat upholstery, replacement only
E0982Manual wheelchair accessory, back upholstery, replacement only
E0983Manual wheelchair accessory power add on to convert manual wheelchair to motorized wheelchair, joystick control
E0984Manual wheelchair accessory power add on to convert manual wheelchair to motorized wheelchair, Tiller control
E0985Wheelchair accessory, seat lift mechanism
E0986Manual wheelchair accessory, push activated power assist
E0990Manual wheelchair accessory, elevating leg rest
E0992Manual wheelchair accessory, elevating leg rest solid seat insert
E0994Arm rest
E1014Reclining back, addition to pediatric size wheelchair
E1015Shock absorber for manual wheelchair
E1020Residual limb support system for wheelchair
E1028Wheelchair accessory, manual swing away, retractable or removable mounting hardware for joystick, other control interface or positioning accessory
E1029Wheelchair accessory, ventilator tray
E1030Wheelchair accessory, ventilator tray, gimbaled
E1031Rollabout chair, any and all types with castors 5″ or greater
E1035Multi-positional patient transfer system with integrated seat operated by care giver
E1036Patient transfer system
E1037Transport chair, pediatric size
E1038Transport chair, adult size up to 300lb
E1039Transport chair, adult size heavy duty >300lb
E1161Manual Adult size wheelchair includes tilt in space
E1227Special height arm for wheelchair
E1228Special back height for wheelchair
E1232Wheelchair, pediatric size, tilt-in-space, folding, adjustable with seating system
E1233Wheelchair, pediatric size, tilt-in-space, folding, adjustable without seating system
E1234Wheelchair, pediatric size, tilt-in-space, folding, adjustable without seating system
E1235Wheelchair, pediatric size, rigid, adjustable, with seating system
E1236Wheelchair, pediatric size, folding, adjustable, with seating system
E1237Wheelchair, pediatric size, rigid, adjustable, without seating system
E1238Wheelchair, pediatric size, folding, adjustable, without seating system
E1296Special sized wheelchair seat height
E1297Special sized wheelchair seat depth by upholstery
E1298Special sized wheelchair seat depth and/or width by construction
E1310Whirlpool non-portable
E2502Speech Generating Devices prerecord messages between 8 and 20 Minutes
E2506Speech Generating Devices prerecord messages over 40 minutes
E2508Speech Generating Devices message through spelling, manual type
E2510Speech Generating Devices synthesized with multiple message methods
E2227Rigid pediatric wheelchair adjustable
K0001Standard wheelchair
K0002Standard hemi (low seat) wheelchair
K0003Lightweight wheelchair
K0004High strength ltwt wheelchair
K0005Ultra Lightweight wheelchair
K0006Heavy duty wheelchair
K0007Extra heavy duty wheelchair
K0009Other manual wheelchair/base
K0606AED garment with electronic analysis
K0730Controlled dose inhalation drug delivery system
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