| A0130 | Non-emergency transportation: wheelchair van |
| E0950 | Wheelchair accessory, tray, each |
| K0014 | Other motorized/power wheelchair base |
| S0209 | Wheelchair van, mileage, per mile |
| E1014 | Reclining back, addition to pediatric size wheelchair |
| E2219 | Manual wheelchair accessory, foam caster tire, any size, each |
| E2217 | Manual wheelchair accessory, foam filled caster tire, any size, each |
| E0968 | Commode seat, wheelchair |
| E2207 | Wheelchair accessory, crutch and cane holder, each |
| K0013 | Custom motorized/power wheelchair base |
| E2208 | Wheelchair accessory, cylinder tank carrier, each |
| E0973 | Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
| E0958 | Manual wheelchair accessory, one-arm drive attachment, each |
| E2227 | Manual wheelchair accessory, gear reduction drive wheel, each |
| E0990 | Wheelchair accessory, elevating leg rest, complete assembly, each |
| E1222 | Wheelchair with fixed arm, elevating legrests |
| K0007 | Extra heavy duty wheelchair |
| E2609 | Custom fabricated wheelchair seat cushion, any size |
| E1221 | Wheelchair with fixed arm, footrests |
| E1223 | Wheelchair with detachable arms, footrests |
| E0966 | Manual wheelchair accessory, headrest extension, each |
| K0006 | Heavy duty wheelchair |
| E0992 | Manual wheelchair accessory, solid seat insert |
| E1224 | Wheelchair with detachable arms, elevating legrests |
| K0003 | Lightweight wheelchair |
| K0004 | High strength, lightweight wheelchair |
| E0971 | Manual wheelchair accessory, anti-tipping device, each |
| E0974 | Manual wheelchair accessory, anti-rollback device, each |
| E1225 | Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each |
| E2218 | Manual wheelchair accessory, foam propulsion tire, any size, each |
| E0988 | Manual wheelchair accessory, lever-activated, wheel drive, pair |
| E0985 | Wheelchair accessory, seat lift mechanism |
| E2633 | Wheelchair accessory, addition to mobile arm support, supinator |
| E0955 | Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
| E1034 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type |
| E1033 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
| E0969 | Narrowing device, wheelchair |
| E2214 | Manual wheelchair accessory, pneumatic caster tire, any size, each |
| E2215 | Manual wheelchair accessory, tube for pneumatic caster tire, any size, each |
