Table of content for "Wheelchair amputee heavy dut" (HCPCS E1195)
General information on the “E1195” code
HCPCS Code: E1195
Long Description: Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests
Short Description: Wheelchair amputee heavy dut
Original information is taken from E1195 page
Pricing indicators
Pricing Indicator Code 1: 36 – Capped rental 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: R – Rental of DME
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 19860101
Code Effective Date: 19890101
Action Code: N – No maintenance for this code