| E0637 | Combination sit to stand frame/table system, any size including pediatric, with seat lift feature, with or without wheels |
| E0200 | Heat lamp, without stand (table model), includes bulb, or infrared element |
| L3455 | Heel, new leather, standard |
| L3460 | Heel, new rubber, standard |
| A4392 | Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each |
| L3550 | Orthopedic shoe addition, toe tap standard |
| K0042 | Standard size footplate, replacement only, each |
| L8330 | Truss, addition to standard pad, scrotal pad |
| L8300 | Truss, single with standard pad |
| A4372 | Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each |
| L8320 | Truss, addition to standard pad, water pad |
| K0001 | Standard wheelchair |
| K0002 | Standard hemi (low seat) wheelchair |
| K0010 | Standard - weight frame motorized/power wheelchair |
| G0451 | Development testing, with interpretation and report, per standardized instrument form |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
| E0641 | Standing frame/table system, multi-position (e.g., three-way stander), any size including pediatric, with or without wheels |
