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E1239 - Ped power wheelchair nos

Navigation: HCPCS Codes > Codes with Prefix: E1
Field Value
HCPCS Code: E1239
Long Description: Power wheelchair, pediatric size, not otherwise specified
Short Description: Ped power wheelchair nos
Pricing Indicator 1: 36 (Capped rental DME (price subject to floors and ceilings))
Multiple Pricing Code: A (Not applicable as HCPCS priced under one methodology)
Statute Number:
Coverage Code: C (Carrier judgment)
ASC Payment Group Code:
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: D1D (Wheelchairs)
Type of Service Code 1: A (Used durable medical equipment (DME))
Type of Service Code 2: P (Lump sum purchase of DME, prosthetics, orthotics)
Type of Service Code 3: R (Rental of DME)
Anesthesia Base Unit Quality: 0
Code Added: 01-01-2005
Action Effective Date: 01-01-2005
Action Code: N (No maintenance for this code)