E1172 – Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest

Long description

Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest

Short description

Wheelchair amputee detach ar

Pricing indicator

36 DME – capped rental

Medicare coverage

D Special coverage instructions apply

BETOS category

D1D Wheelchairs

Added

January 1, 1986

Last change

January 1, 1989 – No change

Nearby E codes

• E1110 – Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest
• E1130 – Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests
• E1140 – Wheelchair, detachable arms, desk or full length, swing away detachable footrests
• E1150 – Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests
• E1160 – Wheelchair, fixed full length arms, swing away detachable elevating legrests
• E1161 – Manual adult size wheelchair, includes tilt in space
• E1170 – Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests
• E1171 – Amputee wheelchair, fixed full length arms, without footrests or legrest
• E1180 – Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests
• E1190 – Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests
• E1195 – Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests
• E1200 – Amputee wheelchair, fixed full length arms, swing away detachable footrest
• E1220 – Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification
• E1221 – Wheelchair with fixed arm, footrests
• E1222 – Wheelchair with fixed arm, elevating legrests
• E1223 – Wheelchair with detachable arms, footrests