E12 — HCPCS Level II Codes

• E1200 Amputee wheelchair, fixed full length arms, swing away detachable footrest billable
• E1220 Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification billable
• E1221 Wheelchair with fixed arm, footrests billable
• E1222 Wheelchair with fixed arm, elevating legrests billable
• E1223 Wheelchair with detachable arms, footrests billable
• E1224 Wheelchair with detachable arms, elevating legrests billable
• E1225 Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each billable
• E1226 Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each billable
• E1227 Special height arms for wheelchair billable
• E1228 Special back height for wheelchair billable
• E1229 Wheelchair, pediatric size, not otherwise specified billable
• E1230 Power operated vehicle (three or four wheel nonhighway) specify brand name and model number billable
• E1231 Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating system billable
• E1232 Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system billable
• E1233 Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system billable
• E1234 Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system billable
• E1235 Wheelchair, pediatric size, rigid, adjustable, with seating system billable
• E1236 Wheelchair, pediatric size, folding, adjustable, with seating system billable
• E1237 Wheelchair, pediatric size, rigid, adjustable, without seating system billable
• E1238 Wheelchair, pediatric size, folding, adjustable, without seating system billable
• E1239 Power wheelchair, pediatric size, not otherwise specified billable
• E1240 Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest billable
• E1250 Lightweight wheelchair, fixed full length arms, swing away detachable footrest billable
• E1260 Lightweight wheelchair, detachable arms (desk or full length) swing away detachable footrest billable
• E1270 Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests billable
• E1280 Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests billable
• E1285 Heavy duty wheelchair, fixed full length arms, swing away detachable footrest billable
• E1290 Heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest billable
• E1295 Heavy duty wheelchair, fixed full length arms, elevating legrest billable
• E1296 Special wheelchair seat height from floor billable
• E1297 Special wheelchair seat depth, by upholstery billable
• E1298 Special wheelchair seat depth and/or width, by construction billable