2024 HCPCS Code E1220

Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification

Short Description	Whlchr special size/constrc
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	January 01, 1990
HCPCS Code Added Date	January 01, 1986
HCPCS Pricing Indicator Code	45 - Customized DME items
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Issues Manual Reference Section Number	60-6
HCPCS Type Of Service Code	P - Lump sum purchase of DME, prosthetics, orthotics
HCPCS Anesthesia Base Unit Quantity	0