Commode seat, wheelchair

Narrowing device, wheelchair

Safety vest, wheelchair

Custom manual wheelchair/base

Power wheelchair, not otherwise classified

Wheelchair, pediatric size, not otherwise specified

Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control

Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control

Manual wheelchair accessory, headrest extension, each

Manual wheelchair accessory, solid seat insert

Wheelchair with fixed arm, footrests

Wheelchair with detachable arms, footrests

Special wheelchair seat height from floor

Special wheelchair seat depth, by upholstery

Wheelchair accessory, bearings, any type, replacement only, each

Patient not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound, dependent on helper pushing wheelchair, independent in wheelchair or minimal help in wheelchair

Patient is not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound, dependent on helper pushing wheelchair, independent in wheelchair or minimal help in wheelchair

Manual wheelchair accessory, anti-tipping device, each

Wheelchair with fixed arm, elevating legrests

Wheelchair with detachable arms, elevating legrests

Special height arms for wheelchair

Special back height for wheelchair

Power wheelchair, pediatric size, not otherwise specified

Manual wheelchair accessory, wheel lock brake extension (handle), each

Wheelchair accessory, elevating leg rest, complete assembly, each

Wheelchair, fixed full length arms, swing away detachable elevating legrests

Heavy duty wheelchair, fixed full length arms, elevating legrest

Evaluation for wheelchair requiring face to face visit with physician

Amputee wheelchair, fixed full length arms, swing away detachable footrest

Lightweight wheelchair, fixed full length arms, swing away detachable footrest

Special wheelchair seat depth and/or width, by construction

Manual wheelchair accessory, wheel braking system and lock, complete, each

Hemi-wheelchair, fixed full length arms, swing away detachable foot rests

High strength lightweight wheelchair, fixed length arms, swing away detachable footrest

Wheelchair, detachable arms, desk or full length, swing away detachable footrests

Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests

Heavy duty wheelchair, fixed full length arms, swing away detachable footrest

Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest

Hemi-wheelchair detachable arms desk or full length, swing away detachable footrests

Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest

Amputee wheelchair, fixed full length arms, without footrests or legrest

Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest

Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests

Lightweight wheelchair, detachable arms (desk or full length) swing away detachable footrest