Table of content for "Ped wc modify width adjustm" (HCPCS E1011)
General information on the “E1011” code
HCPCS Code: E1011
Long Description: Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair)
Short Description: Ped wc modify width adjustm
Original information is taken from E1011 page
Pricing indicators
Pricing Indicator Code 1: 32 – Inexpensive & routinely purchased DME (price subject to floors and ceilings). Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage Issues Manual Reference Section Number 1: 60-9
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): D1D – Wheelchairs
Type Of Service 1: A – Used durable medical equipment (DME)
Type Of Service 2: P – Lump sum purchase of DME, prosthetics, orthotics
Type Of Service 3: R – Rental of DME
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20030101
Code Effective Date: 20050101
Action Code: N – No maintenance for this code