E1195 – Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests

Long description

Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests

Short description

Wheelchair amputee heavy dut

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

• 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
• E1172 – Amputee wheelchair, detachable arms (desk or full length) 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
• 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
• E1224 – Wheelchair with detachable arms, elevating legrests
• E1225 – Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each
• E1226 – Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each