| L3230 | Orthopedic footwear, custom shoe, depth inlay, each |
| L3216 | Orthopedic footwear, ladies shoe, depth inlay, each |
| L3217 | Orthopedic footwear, ladies shoe, hightop, depth inlay, each |
| L3221 | Orthopedic footwear, mens shoe, depth inlay, each |
| L3222 | Orthopedic footwear, mens shoe, hightop, depth inlay, each |
| E1298 | Special wheelchair seat depth and/or width, by construction |
| E2605 | Positioning wheelchair seat cushion, width less than 22 inches, any depth |
| E2603 | Skin protection wheelchair seat cushion, width less than 22 inches, any depth |
| E2622 | Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth |
| E2602 | General use wheelchair seat cushion, width 22 inches or greater, any depth |
