2024 HCPCS Code E2389

Power wheelchair accessory, foam caster tire, any size, replacement only, each

Short Description	Foam caster tire
Product Note	0125
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	January 01, 2007
HCPCS Code Added Date	January 01, 2007
HCPCS Pricing Indicator Code	32 - Inexpensive & routinely purchased DME (price subject to floors and ceilings)
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Issues Manual Reference Section Number
HCPCS Type Of Service Code	A - Used durable medical equipment (DME)
HCPCS Anesthesia Base Unit Quantity	0