E1089

Short Description

• Wheelchair lightwt fixed arm

HCPCS Coverage Code

• I = Not payable by Medicare

HCPCS Action Code

• N = No maintenance for this code

HCPCS Action Effective Date

• April 01, 2001

HCPCS Code Added Date

• January 01, 1986

HCPCS Pricing Indicator Code

• 00 = Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.)

HCPCS Multiple Pricing Indicator Code

• 9 = Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established(pricing indicator is ’99’)

HCPCS Coverage Issues Manual Reference Section Number

• 60-9

HCPCS Cross Reference Code

• K0004

HCPCS Type Of Service Code

• R = Rental of DME

HCPCS Anesthesia Base Unit Quantity

• 0