| A0130 | Non-emergency transportation: wheelchair van |
| E0950 | Wheelchair accessory, tray, each |
| K0014 | Other motorized/power wheelchair base |
| S0209 | Wheelchair van, mileage, per mile |
| E0968 | Commode seat, wheelchair |
| E2619 | Replacement cover for wheelchair seat cushion or back cushion, each |
| K0013 | Custom motorized/power wheelchair base |
| E2208 | Wheelchair accessory, cylinder tank carrier, each |
| E1296 | Special wheelchair seat height from floor |
| E2633 | Wheelchair accessory, addition to mobile arm support, supinator |
| E0978 | Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
| E2605 | Positioning wheelchair seat cushion, width less than 22 inches, any depth |
| E2610 | Wheelchair seat cushion, powered |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) |
| E0981 | Wheelchair accessory, seat upholstery, replacement only, each |
| E0982 | Wheelchair accessory, back upholstery, replacement only, each |
| E0995 | Wheelchair accessory, calf rest/pad, replacement only, each |
| E2210 | Wheelchair accessory, bearings, any type, replacement only, each |
| E1298 | Special wheelchair seat depth and/or width, by construction |
| E1297 | Special wheelchair seat depth, by upholstery |
| K0001 | Standard wheelchair |
| K0002 | Standard hemi (low seat) wheelchair |
| K0010 | Standard - weight frame motorized/power wheelchair |
