HCPC Category DescriptionA4221 SU Maint drug infus cath per wkA4222 SU Drug infusion pump suppliesA4232 SU Syringe w/needle insulin 3ccA4253 IN Blood glucose/reagent stripsA4254 IN Battery for glucose monitorA4255 SU Glucose monitor platformsA4256 SU Calibrator solution/chipsA4258 SU Lancet device eachA4259 SU Lancets per boxA4265 SU ParaffinA4280 PO Brst prsths adhsv attchmntA4556 SU ElectrodesA4557 SU Lead wiresA4558 SU Conductive paste or gelA4560 PO PessaryA4595 SU TENS suppl 2 lead per monthA4611 IN Heavy duty batteryA4612 IN Battery cablesA4613 IN Battery chargerA4614 IN Hand-held PEFR meterA4615 OX Cannula, nasalA4616 OX Tubing (oxygen), per footA4617 OX Mouth pieceA4618 IN Breathing circuitsA4619 OX Face tentA4620 OX Variable Concentration maskA4621 OX Tracheotomy mask or collarA4624 IN Tracheal suction tubeA4628 IN Oropharyngeal suction cathA4630 IN Repl bat t.e.n.s. own by ptA4631 IN Wheelchair batteryA4635 IN Underarm crutch padA4636 IN Handgrip for cane etcA4637 IN Repl tip cane/crutch/walkerA4640 IN Alternating pressure padA7000 IN Disposable canister for pumpA7001 IN Nondisposable pump canisterA7002 IN Tubing used w suction pumpA7003 IN Nebulizer administration setA7004 IN Disposable nebulizer sml volA7005 IN Nondisposable nebulizer setA7006 IN Filtered nebulizer admin setA7007 IN Lg vol nebulizer disposableA7008 IN Disposable nebulizer prefillA7009 IN Nebulizer reservoir bottleA7010 IN Disposable corrugated tubingA7012 IN Nebulizer water collec devicA7013 IN Disposable compressor filterA7014 IN Compressor nondispos filterA7015 IN Aerosol mask used w nebulizeA7016 IN Nebulizer dome & mouthpiece

A7017 IN Nebulizer not used w oxygenE0100 IN Cane adjust/fixed with tipE0105 IN Cane adjust/fixed quad/3 proE0110 IN Crutch forearm pairE0111 IN Crutch forearm eachE0112 IN Crutch underarm pair woodE0113 IN Crutch underarm each woodE0114 IN Crutch underarm pair no woodE0116 IN Crutch underarm each no woodE0130 IN Walker rigid adjust/fixed htE0135 IN Walker folding adjust/fixedE0141 IN Rigid walker wheeled wo seatE0142 IN Walker rigid wheeled with seE0143 IN Walker folding wheeled w/o sE0144 IN Enclosed walker w rear seatE0145 CR Walker whled seat/crutch attE0146 CR Folding walker wheels w seatE0147 IN Walker variable wheel resistE0153 IN Forearm crutch platform attaE0154 IN Walker platform attachmentE0155 IN Walker wheel attachmentE0156 IN Walker seat attachmentE0157 IN Walker crutch attachmentE0158 IN Walker leg extenders set of4E0159 IN Brake for wheeled walkerE0160 IN Sitz type bath or equipmentE0161 IN Sitz bath/equipment w/faucetE0162 IN Sitz bath chairE0163 IN Commode chair stationry fxdE0164 IN Commode chair mobile fixed aE0165 CR Commode chair stationry detE0166 CR Commode chair mobile detachE0167 IN Commode chair pail or panE0175 IN Commode chair foot restE0176 IN Air pressre pad/cushion nonpE0177 IN Water press pad/cushion nonpE0178 IN Gel pressre pad/cushion nonpE0179 IN Dry pressre pad/cushion nonpE0180 CR Press pad alternating w pumpE0181 CR Press pad alternating w/ pumE0182 CR Pressure pad alternating pumE0184 IN Dry pressure mattressE0185 IN Gel pressure mattress padE0186 CR Air pressure mattressE0187 CR Water pressure mattressE0191 IN Protector heel or elbowE0192 IN Pad wheelchr low press/positE0193 CR Powered air flotation bedE0194 CR Air fluidized bedE0196 CR Gel pressure mattressE0197 IN Air pressure pad for mattresE0198 IN Water pressure pad for mattr

E0199 IN Dry pressure pad for mattresE0200 IN Heat lamp without standE0202 CR Phototherapy light w/ photomE0205 IN Heat lamp with standE0210 IN Electric heat pad standardE0215 IN Electric heat pad moistE0217 IN Water circ heat pad w pumpE0220 IN Hot water bottleE0225 IN Hydrocollator unitE0230 IN Ice cap or collarE0235 CR Paraffin bath unit portableE0236 CR Pump for water circulating pE0238 IN Heat pad non-electric moistE0239 IN Hydrocollator unit portableE0249 IN Pad water circulating heat uE0250 CR Hosp bed fixed ht w/ mattresE0251 CR Hosp bed fixd ht w/o mattresE0255 CR Hospital bed var ht w/ mattrE0256 CR Hospital bed var ht w/o mattE0260 CR Hosp bed semi-electr w/ mattE0261 CR Hosp bed semi-electr w/o matE0265 CR Hosp bed total electr w/ matE0266 CR Hosp bed total elec w/o mattE0271 IN Mattress innerspringE0272 IN Mattress foam rubberE0275 IN Bed pan standardE0276 IN Bed pan fractureE0277 CR Powered pres-redu air mattrsE0280 IN Bed cradleE0290 CR Hosp bed fx ht w/o rails w/mE0291 CR Hosp bed fx ht w/o rail w/oE0292 CR Hosp bed var ht w/o rail w/oE0293 CR Hosp bed var ht w/o rail w/E0294 CR Hosp bed semi-elect w/ mattrE0295 CR Hosp bed semi-elect w/o mattE0296 CR Hosp bed total elect w/ mattE0297 CR Hosp bed total elect w/o matE0305 CR Rails bed side half lengthE0310 IN Rails bed side full lengthE0325 IN Urinal male jug-typeE0326 IN Urinal female jug-typeE0371 CR Nonpower mattress overlayE0372 CR Powered air mattress overlayE0373 CR Nonpowered pressure mattressE0424 OX Stationary compressed gas 02E0431 OX Portable gaseous 02E0434 OX Portable liquid 02E0439 OX Stationary liquid 02E0441 OX Oxygen contents gas per/unitE0442 OX Oxygen contents liq per/unitE0443 OX Port 02 contents gas/unitE0444 OX Port 02 contents liq/unit

E0450 FS Volume vent stationary/portaE0452 CR Intermit assis device w cpapE0453 FS Ventilator 12 hrs/less per dE0457 IN Chest shellE0459 CR Chest wrapE0460 FS Neg press vent portabl/statnE0462 CR Rocking bed w/ or w/o side rE0480 CR Percussor elect/pneum home mE0500 FS Ippb all typesE0550 CR Humidif extens supple w ippbE0560 IN Humidifier supplemental w/ iE0565 CR Compressor air power sourceE0570 CR Nebulizer with compressionE0575 FS Nebulizer ultrasonicE0580 IN Nebulizer for use w/ regulatE0585 CR Nebulizer w/ compressor & heE0600 CR Suction pump portab hom modlE0601 CR Cont airway pressure deviceE0605 IN Vaporizer room typeE0606 CR Drainage board posturalE0607 IN Blood glucose monitor homeE0608 CR Apnea monitorE0609 IN Blood gluc mon w/special feaE0610 IN Pacemaker monitr audible/visE0615 IN Pacemaker monitr digital/visE0616 IN Cardiac event recorderE0621 IN Patient lift sling or seatE0627 IN Seat lift incorp lift-chairE0628 IN Seat lift for pt furn-electrE0629 IN Seat lift for pt furn-non-elE0630 CR Patient lift hydraulicE0635 CR Patient lift electricE0650 IN Pneuma compresor non-segmentE0651 IN Pneum compressor segmentalE0652 IN Pneum compres w/cal pressureE0655 IN Pneumatic appliance half armE0660 IN Pneumatic appliance full legE0665 IN Pneumatic appliance full armE0666 IN Pneumatic appliance half legE0667 IN Seg pneumatic appl full legE0668 IN Seg pneumatic appl full armE0669 IN Seg pneumatic appli half legE0671 IN Pressure pneum appl full legE0672 IN Pressure pneum appl full armE0673 IN Pressure pneum appl half legE0690 IN Ultraviolet cabinetE0720 TE Tens two leadE0730 TE Tens four leadE0731 IN Conductive garment for tens/E0744 CR Neuromuscular stim for scoliE0745 CR Neuromuscular stim for shockE0747 IN Elec osteogen stim not spine

E0748 IN Elec osteogen stim spinalE0749 CR Elec osteogen stim implantedE0751 PO Pulse generator or receiverE0753 PO Neurostimulator electrodesE0776 IN Iv poleE0779 CR Amb infusion pump mechanicalE0780 IN Mech amb infusion pump <8hrsE0781 CR External ambulatory infus puE0782 IN Non-programble infusion pumpE0783 IN Programmable infusion pumpE0784 CR Ext amb infusn pump insulinE0785 IN Replacement impl pump cathetE0791 CR Parenteral infusion pump staE0840 IN Tract frame attach headboardE0850 IN Traction stand free standingE0855 IN Cervical traction equipmentE0860 IN Tract equip cervical tractE0870 IN Tract frame attach footboardE0880 IN Trac stand free stand extremE0890 IN Traction frame attach pelvicE0900 IN Trac stand free stand pelvicE0910 CR Trapeze bar attached to bedE0920 CR Fracture frame attached to bE0930 CR Fracture frame free standingE0935 FS Exercise device passive motiE0940 CR Trapeze bar free standingE0941 CR Gravity assisted traction deE0942 IN Cervical head harness/halterE0943 IN Cervical pillowE0944 IN Pelvic belt/harness/bootE0945 IN Belt/harness extremityE0946 CR Fracture frame dual w crossE0947 IN Fracture frame attachmnts peE0948 IN Fracture frame attachmnts ceE0950 IN TrayE0951 IN Loop heelE0952 IN Loop tieE0953 IN Pneumatic tireE0954 IN Wheelchair semi-pneumatic caE0958 CR Whlchr att- conv 1 arm driveE0959 IN Amputee adapterE0961 IN Wheelchair brake extensionE0962 IN Wheelchair 1 inch cushionE0963 IN Wheelchair 2 inch cushionE0964 IN Wheelchair 3 inch cushionE0965 IN Wheelchair 4 inch cushionE0966 IN Wheelchair head rest extensiE0967 IN Wheelchair hand rimsE0968 CR Wheelchair commode seatE0969 IN Wheelchair narrowing deviceE0970 IN Wheelchair no. 2 footplatesE0971 IN Wheelchair anti-tipping devi

E0972 IN Transfer board or deviceE0973 IN Wheelchair adjustabl heightE0974 IN Wheelchair grade-aidE0975 IN Wheelchair reinforced seat uE0976 IN Wheelchair reinforced back uE0977 IN Wheelchair wedge cushionE0978 IN Wheelchair belt w/airplane bE0979 IN Wheelchair belt with velcroE0980 IN Wheelchair safety vestE0990 IN Whellchair elevating leg resE0991 IN Wheelchair upholstry seatE0992 IN Wheelchair solid seat insertE0993 IN Wheelchair back upholsteryE0994 IN Wheelchair arm restE0995 IN Wheelchair calf restE0996 IN Wheelchair tire solidE0997 IN Wheelchair caster w/ a forkE0998 IN Wheelchair caster w/o a forkE0999 IN Wheelchr pneumatic tire w/whE1000 IN Wheelchair tire pneumatic caE1001 IN Wheelchair wheelE1031 CR Rollabout chair with castersE1050 CR Whelchr fxd full length armsE1060 CR Wheelchair detachable armsE1065 IN Wheelchair power attachmentE1066 IN Wheelchair battery chargerE1069 IN Wheelchair deep cycle batterE1070 CR Wheelchair detachable foot rE1083 CR Hemi-wheelchair fixed armsE1084 CR Hemi-wheelchair detachable aE1085 CR Hemi-wheelchair fixed armsE1086 CR Hemi-wheelchair detachable aE1087 CR Wheelchair lightwt fixed armE1088 CR Wheelchair lightweight det aE1089 CR Wheelchair lightwt fixed armE1090 CR Wheelchair lightweight det aE1091 CR Wheelchair youthE1092 CR Wheelchair wide w/ leg restsE1093 CR Wheelchair wide w/ foot restE1100 CR Whchr s-recl fxd arm leg resE1110 CR Wheelchair semi-recl detachE1130 CR Whlchr stand fxd arm ft restE1140 CR Wheelchair standard detach aE1150 CR Wheelchair standard w/ leg rE1160 CR Wheelchair fixed armsE1170 CR Whlchr ampu fxd arm leg restE1171 CR Wheelchair amputee w/o leg rE1172 CR Wheelchair amputee detach arE1180 CR Wheelchair amputee w/ foot rE1190 CR Wheelchair amputee w/ leg reE1195 CR Wheelchair amputee heavy dutE1200 CR Wheelchair amputee fixed arm

E1210 CR Whlchr moto ful arm leg restE1211 CR Wheelchair motorized w/ detE1212 CR Wheelchair motorized w fullE1213 CR Wheelchair motorized w/ detE1220 CD Whlchr special size/constrcE1221 CR Wheelchair spec size w footE1222 CR Wheelchair spec size w/ legE1223 CR Wheelchair spec size w footE1224 CR Wheelchair spec size w/ legE1225 CR Wheelchair spec sz semi-reclE1226 IN Wheelchair spec sz full-reclE1227 IN Wheelchair spec sz spec ht aE1228 CR Wheelchair spec sz spec ht bE1230 IN Power operated vehicleE1240 CR Whchr litwt det arm leg restE1250 CR Wheelchair lightwt fixed armE1260 CR Wheelchair lightwt foot restE1270 CR Wheelchair lightweight leg rE1280 CR Whchr h-duty det arm leg resE1285 CR Wheelchair heavy duty fixedE1290 CR Wheelchair hvy duty detach aE1295 CR Wheelchair heavy duty fixedE1296 IN Wheelchair special seat heigE1297 IN Wheelchair special seat deptE1298 IN Wheelchair spec seat depth/wE1310 IN Whirlpool non-portableE1340 RC Repair for DME, per 15 minutesE1372 IN Oxy suppl heater for nebulizE1375 IN Oxygen suppl nebulizer portaE1390 OX Oxygen concentratorE1399 MD DME miscellaneousE1400 OX Oxygen concentrator < 2 liteE1401 OX Oxygen concentrator 2-3 liteE1402 OX Oxygen concentrator 3-4 liteE1403 OX Oxygen concentrator 4-5 liteE1404 OX Oxygen concentrator > 5 liteE1405 OX O2/water vapor enrich w/heatE1406 OX O2/water vapor enrich w/o heE1700 IN Jaw motion rehab systemE1701 SU Repl cushions for jaw motionE1702 SU Repl measr scales jaw motionE1800 CR Adjust elbow ext/flex deviceE1805 CR Adjust wrist ext/flex deviceE1810 CR Adjust knee ext/flex deviceE1815 CR Adjust ankle ext/flex deviceE1820 IN Soft interface materialE1825 CR Adjust finger ext/flex devcE1830 CR Adjust toe ext/flex deviceK0001 CR Standard wheelchairK0002 CR Stnd hemi (low seat) whlchrK0003 CR Lightweight wheelchairK0004 CR High strength ltwt whlchr

K0005 IN Ultralightweight wheelchairK0006 CR Heavy duty wheelchairK0007 CR Extra heavy duty wheelchairK0008 CD Custom manual wheelchair/baseK0009 MD Other manual wheelchair/baseK0010 CR Stnd wt frame power whlchrK0011 CR Stnd wt pwr whlchr w controlK0012 CR Ltwt portbl power whlchrK0013 CD Custom power wheelchair/baseK0015 IN Detach non-adjus hght armrstK0016 IN Detach adjust armrst cmpleteK0017 IN Detach adjust armrest baseK0018 IN Detach adjust armrst upperK0019 IN Arm pad eachK0020 IN Fixed adjust armrest pairK0021 IN Anti-tipping device eachK0022 IN Reinforced back upholsteryK0023 IN Planr back insrt foam w/strpK0024 IN Plnr back insrt foam w/hrdwrK0025 IN Hook-on headrest extensionK0026 IN Back upholst lgtwt whlchrK0027 IN Back upholst other whlchrK0028 IN Manual fully reclining backK0029 IN Reinforced seat upholsteryK0030 IN Solid plnr seat sngl dnsfoamK0031 IN Safety belt/pelvic strapK0032 IN Seat uphols lgtwt whlchrK0033 IN Seat upholstery other whlchrK0034 IN Heel loop eachK0035 IN Heel loop with ankle strapK0036 IN Toe loop eachK0037 IN High mount flip-up footrestK0038 IN Leg strap eachK0039 IN Leg strap h style eachK0040 IN Adjustable angle footplateK0041 IN Large size footplate eachK0042 IN Standard size footplate eachK0043 IN Ftrst lower extension tubeK0044 IN Ftrst upper hanger bracketK0045 IN Footrest complete assemblyK0046 IN Elevat legrst low extensionK0047 IN Elevat legrst up hangr brackK0048 IN Elevate legrest completeK0049 IN Calf pad eachK0050 IN Ratchet assemblyK0051 IN Cam relese assem ftrst/lgrstK0052 IN Swingaway detach footrestK0053 IN Elevate footrest articulateK0054 IN Seat wdth 10-12/15/17/20 wcK0055 IN Seat dpth 15/17/18 ltwt wcK0056 IN Seat ht <17 or >=21 ltwt wcK0057 IN Seat wdth 19/20 hvy dty wc

K0058 IN Seat dpth 17/18 power wcK0059 IN Plastic coated handrim eachK0060 IN Steel handrim eachK0061 IN Aluminum handrim eachK0062 IN Handrim 8-10 vert/obliq projK0063 IN Hndrm 12-16 vert/obliq projK0064 IN Zero pressure tube flat freeK0065 IN Spoke protectorsK0066 IN Solid tire any size eachK0067 IN Pneumatic tire any size eachK0068 IN Pneumatic tire tube eachK0069 IN Rear whl complete solid tireK0070 IN Rear whl compl pneum tireK0071 IN Front castr compl pneum tireK0072 IN Frnt cstr cmpl sem-pneum tirK0073 IN Caster pin lock eachK0074 IN Pneumatic caster tire eachK0075 IN Semi-pneumatic caster tireK0076 IN Solid caster tire eachK0077 IN Front caster assem completeK0078 IN Pneumatic caster tire tubeK0079 IN Wheel lock extension pairK0080 IN Anti-rollback device pairK0081 IN Wheel lock assembly completeK0082 IN 22 nf deep cycl acid batteryK0083 IN 22 nf gel cell battery eachK0084 IN Grp 24 deep cycl acid battryK0085 IN Group 24 gel cell batteryK0086 IN U-1 lead acid battery eachK0087 IN U-1 gel cell battery eachK0088 IN Battry chrgr acid/gel cellK0089 IN Battery charger dual modeK0090 IN Rear tire power wheelchairK0091 IN Rear tire tube power whlchrK0092 IN Rear assem cmplt powr whlchrK0093 IN Rear zero pressure tire tubeK0094 IN Wheel tire for power baseK0095 IN Wheel tire tube each baseK0096 IN Wheel assem powr base compltK0097 IN Wheel zero presure tire tubeK0098 IN Drive belt power wheelchairK0099 IN Pwr wheelchair front casterK0100 IN Amputee adapter pairK0101 CR One-arm drive attachmentK0102 IN Crutch and cane holderK0103 IN Transfer board < 25"K0104 IN Cylinder tank carrierK0105 IN Iv hangerK0106 IN Arm trough eachK0107 IN Wheelchair trayK0108 MD Whlchr component-accessory, NOSK0109 CD Customize whlchr base frame

K0112 PO Trunk vest supprt innr frameK0113 PO Trunk vest suprt w/o inr frmK0114 IN Whlchr back suprt inr frameK0115 IN Back module orthotic systemK0116 IN Back & seat modul orthot sysK0168 IN Disposable nebulizer setK0169 IN Disposable nebulizer smallK0170 IN Non disposable nebulizer setK0171 IN Filtered nebulizer setK0172 IN Disposable nebulizer unfillK0173 IN Disposable nebulizer prefillK0174 IN Reservoir bottle w nebulizerK0175 IN Disposable corrugated tubingK0177 IN Water collec dev w nebulizerK0178 IN Disposbl filter w compressorK0179 IN Non-dispos filter w/compressK0180 IN Aerosol mask with nebulizerK0181 IN Dome & mouthpiece w/ nebulizK0182 SU Water distilled w/ nebulizerK0183 IN Nasal application deviceK0184 IN Nasal pillows/seals pairK0185 IN Pos airway pressure headgearK0186 IN Pos airway prssure chinstrapK0187 IN Pos airway pressure tubingK0188 IN Pos airway pressure filterK0189 IN Filter nondisposable w PAPK0190 IN Disposable canister w/pumpK0191 IN Non-disposbl canister w/pumpK0192 IN Tubing used w/ suction pumpK0195 CR Elevating whlchair leg restsK0268 IN Humidifier nonheated w PAPK0269 CR Aerosol compressor cpap devK0270 CR Ultrasonic generator w nebulK0283 SU Saline solution dispenserK0284 CR External infusion pump reuseK0400 PO Skin support attachment eachK0417 IN Mech infus pump sht trm drugK0452 IN Wheelchair bearingsK0455 FS Pump uninterrupted infusionK0456 CR Heavyduty/xtra wide hosp bedK0457 IN Heavyduty/wide commode chairK0458 IN Heavyduty walker no wheelsK0459 IN Heavy duty wheeled walkerK0460 CR WC power add-on joystickK0461 IN WC power add-on tiller cntrlK0501 CR Aerosol compressor for svnebK0529 SU Sterile H20 or nss w lv nebK0530 IN Nebulizer not used w oxygenK0531 IN Heated humidifier used w papK0532 CR Noninvasive assist wo backupK0533 FS Noninvasive assist w backupK0534 FS Invasive assist w backup

L0100 PO Cerv craniosten helmet moldL0110 PO Cerv craniostenosis hel non-L0120 PO Cerv flexible non-adjustableL0130 PO Flex thermoplastic collar moL0140 PO Cervical semi-rigid adjustabL0150 PO Cerv semi-rig adj molded chnL0160 PO Cerv semi-rig wire occ/mandL0170 PO Cervical collar molded to ptL0172 PO Cerv col thermplas foam 2 piL0174 PO Cerv col foam 2 piece w thorL0180 PO Cer post col occ/man sup adjL0190 PO Cerv collar supp adj cerv baL0200 PO Cerv col supp adj bar & thorL0210 PO Thoracic rib beltL0220 PO Thor rib belt custom fabricaL0300 PO TLSO flex surgical supportL0310 PO Tlso flexible custom fabricaL0315 PO Tlso flex elas rigid post paL0317 PO Tlso flex hypext elas post pL0320 PO Tlso a-p contrl w apron frntL0330 PO Tlso ant-pos-lateral controlL0340 PO Tlso a-p-l-rotary with apronL0350 PO Tlso flex compress jacket cuL0360 PO Tlso flex compress jacket moL0370 PO Tlso a-p-l-rotary hyperextenL0380 PO Tlso a-p-l-rot w/ pos extensL0390 PO Tlso a-p-l control moldedL0400 PO Tlso a-p-l w interface materL0410 PO Tlso a-p-l two piece constrL0420 PO Tlso a-p-l 2 piece w interfaL0430 PO Tlso a-p-l w interface custmL0440 PO Tlso a-p-l overlap frnt custL0500 PO Lso flex surgical supportL0510 PO Lso flexible custom fabricatL0515 PO Lso flex elas w/ rig post paL0520 PO Lso a-p-l control with apronL0530 PO Lso ant-pos control w apronL0540 PO Lso lumbar flexion a-p-lL0550 PO Lso a-p-l control moldedL0560 PO Lso a-p-l w interfaceL0565 PO Lso a-p-l control customL0600 PO Sacroiliac flex surg supportL0610 PO Sacroiliac flexible custm faL0620 PO Sacroiliac semi-rig w apronL0700 PO Ctlso a-p-l control moldedL0710 PO Ctlso a-p-l control w/ interL0810 PO Halo cervical into jckt vestL0820 PO Halo cervical into body jackL0830 PO Halo cerv into milwaukee typL0860 PO Magnetic resonanc image compL0900 PO Torso/ptosis supportL0910 PO Torso & ptosis supp custm fa

L0920 PO Torso/pendulous abd supportL0930 PO Pendulous abdomen supp custmL0940 PO Torso/postsurgical supportL0950 PO Post surg support custom fabL0960 PO Post surgical support padsL0970 PO Tlso corset frontL0972 PO Lso corset frontL0974 PO Tlso full corsetL0976 PO Lso full corsetL0978 PO Axillary crutch extensionL0980 PO Peroneal straps pairL0982 PO Stocking supp grips set of fL0984 PO Protective body sock eachL1000 PO Ctlso milwauke initial modelL1010 PO Ctlso axilla slingL1020 PO Kyphosis padL1025 PO Kyphosis pad floatingL1030 PO Lumbar bolster padL1040 PO Lumbar or lumbar rib padL1050 PO Sternal padL1060 PO Thoracic padL1070 PO Trapezius slingL1080 PO OutriggerL1085 PO Outrigger bil w/ vert extensL1090 PO Lumbar slingL1100 PO Ring flange plastic/leatherL1110 PO Ring flange plas/leather molL1120 PO Covers for upright eachL1200 PO Furnsh initial orthosis onlyL1210 PO Lateral thoracic extensionL1220 PO Anterior thoracic extensionL1230 PO Milwaukee type superstructurL1240 PO Lumbar derotation padL1250 PO Anterior asis padL1260 PO Anterior thoracic derotationL1270 PO Abdominal padL1280 PO Rib gusset (elastic) eachL1290 PO Lateral trochanteric padL1300 PO Body jacket mold to patientL1310 PO Post-operative body jacketL1500 PO Thkao mobility frameL1510 PO Thkao standing frameL1520 PO Thkao swivel walkerL1600 PO Abduct hip flex frejka w cvrL1610 PO Abduct hip flex frejka covrL1620 PO Abduct hip flex pavlik harneL1630 PO Abduct control hip semi-flexL1640 PO Pelv band/spread bar thigh cL1650 PO HO abduction hip adjustableL1660 PO HO abduction static plasticL1680 PO Pelvic & hip control thigh cL1685 PO Post-op hip abduct custom fa

L1686 PO HO post-op hip abductionL1690 PO Combination bilateral HOL1700 PO Leg perthes orth toronto typL1710 PO Legg perthes orth newingtonL1720 PO Legg perthes orthosis trilatL1730 PO Legg perthes orth scottish rL1750 PO Legg perthes slingL1755 PO Legg perthes patten bottom tL1800 PO Knee orthoses elas w staysL1810 PO Ko elastic with jointsL1815 PO Elastic with condylar padsL1820 PO Ko elas w/ condyle pads & joL1825 PO Ko elastic knee capL1830 PO Ko immobilizer canvas longitL1832 PO KO adj jnt pos rigid supportL1834 PO Ko w/0 joint rigid molded toL1840 PO Ko derot ant cruciate customL1843 PO KO single upright custom fitL1844 PO Ko w/adj jt rot cntrl moldedL1845 PO Ko w/ adj flex/ext rotat cusL1846 PO Ko w adj flex/ext rotat moldL1847 PO KO adjustable w air chambersL1850 PO Ko swedish typeL1855 PO Ko plas doub upright jnt molL1858 PO Ko polycentric pneumatic padL1860 PO Ko supracondylar socket moldL1870 PO Ko doub upright lacers moldeL1880 PO Ko doub upright cuffs/lacersL1885 PO Knee upright w/resistanceL1900 PO Afo sprng wir drsflx calf bdL1902 PO Afo ankle gauntletL1904 PO Afo molded ankle gauntletL1906 PO Afo multiligamentus ankle suL1910 PO Afo sing bar clasp attach shL1920 PO Afo sing upright w/ adjust sL1930 PO Afo plasticL1940 PO Afo molded to patient plastiL1945 PO Afo molded plas rig ant tibL1950 PO Afo spiral molded to pt plasL1960 PO Afo pos solid ank plastic moL1970 PO Afo plastic molded w/ankle jL1980 PO Afo sing solid stirrup calfL1990 PO Afo doub solid stirrup calfL2000 PO Kafo sing fre stirr thi/calfL2010 PO Kafo sng solid stirrup w/o jL2020 PO Kafo dbl solid stirrup band/L2030 PO Kafo dbl solid stirrup w/o jL2035 PO KAFO plastic pediatric sizeL2036 PO Kafo plas doub free knee molL2037 PO Kafo plas sing free knee molL2038 PO Kafo w/o joint multi-axis anL2039 PO KAFO

L2040 PO Hkafo torsion bil rot strapsL2050 PO Hkafo torsion cable hip pelvL2060 PO Hkafo torsion ball bearing jL2070 PO Hkafo torsion unilat rot strL2080 PO Hkafo unilat torsion cableL2090 PO Hkafo unilat torsion ball brL2102 PO Afo tibial fx cast plstr molL2104 PO Afo tib fx cast synthetic moL2106 PO Afo tib fx cast plaster moldL2108 PO Afo tib fx cast molded to ptL2112 PO Afo tibial fracture softL2114 PO Afo tib fx semi-rigidL2116 PO Afo tibial fracture rigidL2122 PO Kafo fem fx cast plaster molL2124 PO Kafo fem fx cast synthet molL2126 PO Kafo fem fx cast thermoplasL2128 PO Kafo fem fx cast molded to pL2132 PO Kafo femoral fx cast softL2134 PO Kafo fem fx cast semi-rigidL2136 PO Kafo femoral fx cast rigidL2180 PO Plas shoe insert w ank jointL2182 PO Drop lock kneeL2184 PO Limited motion knee jointL2186 PO Adj motion knee jnt lerman tL2188 PO Quadrilateral brimL2190 PO Waist beltL2192 PO Pelvic band & belt thigh flaL2200 PO Limited ankle motion ea jntL2210 PO Dorsiflexion assist each joiL2220 PO Dorsi & plantar flex ass/resL2230 PO Split flat caliper stirr & pL2240 PO Round caliper and plate attaL2250 PO Foot plate molded stirrup atL2260 PO Reinforced solid stirrupL2265 PO Long tongue stirrupL2270 PO Varus/valgus strap padded/liL2275 PO Plastic mod low ext pad/lineL2280 PO Molded inner bootL2300 PO Abduction bar jointed adjustL2310 PO Abduction bar-straightL2320 PO Non-molded lacerL2330 PO Lacer molded to patient modeL2335 PO Anterior swing bandL2340 PO Pre-tibial shell molded to pL2350 PO Prosthetic type socket moldeL2360 PO Extended steel shankL2370 PO Patten bottomL2375 PO Torsion ank & half solid stiL2380 PO Torsion straight knee jointL2385 PO Straight knee joint heavy duL2390 PO Offset knee joint eachL2395 PO Offset knee joint heavy duty

L2397 PO Suspension sleeve lower extL2405 PO Knee joint drop lock ea jntL2415 PO Knee joint cam lock each joiL2425 PO Knee disc/dial lock/adj flexL2430 PO Knee jnt ratchet lock ea jntL2435 PO Knee joint polycentric jointL2492 PO Knee lift loop drop lock rinL2500 PO Thi/glut/ischia wgt bearingL2510 PO Th/wght bear quad-lat brim mL2520 PO Th/wght bear quad-lat brim cL2525 PO Th/wght bear nar m-l brim moL2526 PO Th/wght bear nar m-l brim cuL2530 PO Thigh/wght bear lacer non-moL2540 PO Thigh/wght bear lacer moldedL2550 PO Thigh/wght bear high roll cuL2570 PO Hip clevis type 2 posit jntL2580 PO Pelvic control pelvic slingL2600 PO Hip clevis/thrust bearing frL2610 PO Hip clevis/thrust bearing loL2620 PO Pelvic control hip heavy dutL2622 PO Hip joint adjustable flexionL2624 PO Hip adj flex ext abduct contL2627 PO Plastic mold recipro hip & cL2628 PO Metal frame recipro hip & caL2630 PO Pelvic control band & belt uL2640 PO Pelvic control band & belt bL2650 PO Pelv & thor control glutealL2660 PO Thoracic control thoracic baL2670 PO Thorac cont paraspinal uprigL2680 PO Thorac cont lat support upriL2750 PO Plating chrome/nickel pr barL2755 PO Carbon graphite laminationL2760 PO Extension per extension perL2770 PO Low ext orthosis per bar/jntL2780 PO Non-corrosive finishL2785 PO Drop lock retainer eachL2795 PO Knee control full kneecapL2800 PO Knee cap medial or lateral pL2810 PO Knee control condylar padL2820 PO Soft interface below knee seL2830 PO Soft interface above knee seL2840 PO Tibial length sock fx or equL2850 PO Femoral lgth sock fx or equaL3224 PO Woman's shoe oxford braceL3225 PO Man's shoe oxford braceL3650 PO Shlder fig 8 abduct restrainL3660 PO Abduct restrainer canvas&webL3670 PO Acromio/clavicular canvas&weL3675 PO Canvas vest SOL3700 PO Elbow orthoses elas w staysL3710 PO Elbow elastic with metal joiL3720 PO Forearm/arm cuffs free motio

L3730 PO Forearm/arm cuffs ext/flex aL3740 PO Cuffs adj lock w/ active conL3800 PO Whfo short opponen no attachL3805 PO Whfo long opponens no attachL3807 PO Whfo w inflatable airchamberL3810 PO Whfo thumb abduction barL3815 PO Whfo second m.p. abduction aL3820 PO Whfo ip ext asst w/ mp ext sL3825 PO Whfo m.p. extension stopL3830 PO Whfo m.p. extension assistL3835 PO Whfo m.p. spring extension aL3840 PO Whfo spring swivel thumbL3845 PO Whfo thumb ip ext ass w/ mpL3850 PO Action wrist w/ dorsiflex asL3855 PO Whfo adj m.p. flexion controL3860 PO Whfo adj m.p. flex ctrl & i.L3900 PO Hinge extension/flex wrist/fL3901 PO Hinge ext/flex wrist fingerL3902 PO Whfo ext power compress gasL3904 PO Whfo electric custom fittedL3906 PO Wrist gauntlet molded to ptL3907 PO Whfo wrst gauntlt thmb spicaL3908 PO Wrist cock-up non-moldedL3910 PO Whfo swanson designL3912 PO Flex glove w/elastic fingerL3914 PO WHO wrist extension cock-upL3916 PO Whfo wrist extens w/ outriggL3918 PO HFO knuckle benderL3920 PO Knuckle bender with outriggeL3922 PO Knuckle bend 2 seg to flex jL3924 PO OppenheimerL3926 PO Thomas suspensionL3928 PO Finger extension w/ clock spL3930 PO Finger extension with wristL3932 PO Safety pin spring wireL3934 PO Safety pin modifiedL3936 PO PalmerL3938 PO Dorsal wristL3940 PO Dorsal wrist w/ outrigger atL3942 PO Reverse knuckle benderL3944 PO Reverse knuckle bend w/ outrL3946 PO HFO composite elasticL3948 PO Finger knuckle benderL3950 PO Oppenheimer w/ knuckle bendL3952 PO Oppenheimer w/ rev knuckle 2L3954 PO Spreading handL3956 PO Add joint upper ext orthosisL3960 PO Sewho airplan desig abdu posL3962 PO Sewho erbs palsey design abdL3963 PO Molded w/ articulating elbowL3964 IN Seo mobile arm sup att to wcL3965 IN Arm supp att to wc rancho ty

L3966 IN Mobile arm supports reclininL3968 IN Friction dampening arm suppL3969 IN Monosuspension arm/hand suppL3970 IN Elevat proximal arm supportL3972 IN Offset/lat rocker arm w/ elaL3974 IN Mobile arm support supinatorL3980 PO Upp ext fx orthosis humeralL3982 PO Upper ext fx orthosis rad/ulL3984 PO Upper ext fx orthosis wristL3985 PO Forearm hand fx orth w/ wr hL3986 PO Humeral rad/ulna wrist fx orL3995 PO Sock fracture or equal eachL4000 PO Repl girdle milwaukee orthL4010 PO Replace trilateral socket brL4020 PO Replace quadlat socket brimL4030 PO Replace socket brim cust fitL4040 PO Replace molded thigh lacerL4045 PO Replace non-molded thigh lacL4050 PO Replace molded calf lacerL4055 PO Replace non-molded calf laceL4060 PO Replace high roll cuffL4070 PO Replace prox & dist uprightL4080 PO Repl met band kafo-afo proxL4090 PO Repl met band kafo-afo calf/L4100 PO Repl leath cuff kafo prox thL4110 PO Repl leath cuff kafo-afo calL4130 PO Replace pretibial shellL4350 PO Pneumatic ankle cntrl splintL4360 PO Pneumatic walking splintL4370 PO Pneumatic full leg splintL4380 PO Pneumatic knee splintL4392 PO Replace AFO soft interfaceL4394 PO Replace foot drop spintL4396 PO Static AFOL4398 PO Foot drop splint recumbentL5000 PO Sho insert w arch toe fillerL5010 PO Mold socket ank hgt w/ toe fL5020 PO Tibial tubercle hgt w/ toe fL5050 PO Ank symes mold sckt sach ftL5060 PO Symes met fr leath socket arL5100 PO Molded socket shin sach footL5105 PO Plast socket jts/thgh lacerL5150 PO Mold sckt ext knee shin sachL5160 PO Mold socket bent knee shin sL5200 PO Kne sing axis fric shin sachL5210 PO No knee/ankle joints w/ ft bL5220 PO No knee joint with artic aliL5230 PO Fem focal defic constant friL5250 PO Hip canad sing axi cons fricL5270 PO Tilt table locking hip singL5280 PO Hemipelvect canad sing axisL5300 PO Bk sach soft cover & finish

L5310 PO Knee disart sach soft cv/finL5320 PO Ak open end sach soft cv/finL5330 PO Hip canadian sach sft cv/finL5340 PO Hemipelvectomy canad cv/finL5400 PO Postop dress & 1 cast chg bkL5410 PO Postop dsg bk ea add cast chL5420 PO Postop dsg & 1 cast chg ak/dL5430 PO Postop dsg ak ea add cast chL5450 PO Postop app non-wgt bear dsgL5460 PO Postop app non-wgt bear dsgL5500 PO Init bk ptb plaster directL5505 PO Init ak ischal plstr directL5510 PO Prep BK ptb plaster moldedL5520 PO Perp BK ptb thermopls directL5530 PO Prep BK ptb thermopls moldedL5535 PO Prep BK ptb open end socketL5540 PO Prep BK ptb laminated socketL5560 PO Prep AK ischial plast moldedL5570 PO Prep AK ischial direct formL5580 PO Prep AK ischial thermo moldL5585 PO Prep AK ischial open endL5590 PO Prep AK ischial laminatedL5595 PO Hip disartic sach thermoplsL5600 PO Hip disart sach laminat moldL5610 PO Above knee hydracadenceL5611 PO Ak 4 bar link w/fric swingL5613 PO Ak 4 bar ling w/hydraul swigL5614 PO 4-bar link above knee w/swngL5616 PO Ak univ multiplex sys frictL5617 PO AK/BK self-aligning unit eaL5618 PO Test socket symesL5620 PO Test socket below kneeL5622 PO Test socket knee disarticulaL5624 PO Test socket above kneeL5626 PO Test socket hip disarticulatL5628 PO Test socket hemipelvectomyL5629 PO Below knee acrylic socketL5630 PO Syme typ expandabl wall scktL5631 PO Ak/knee disartic acrylic socL5632 PO Symes type ptb brim design sL5634 PO Symes type poster opening soL5636 PO Symes type medial opening soL5637 PO Below knee total contactL5638 PO Below knee leather socketL5639 PO Below knee wood socketL5640 PO Knee disarticulat leather soL5642 PO Above knee leather socketL5643 PO Hip flex inner socket ext frL5644 PO Above knee wood socketL5645 PO Ak flexibl inner socket extL5646 PO Below knee air cushion sockeL5647 PO Below knee suction socket

L5648 PO Above knee air cushion sockeL5649 PO Isch containmt/narrow m-l soL5650 PO Tot contact ak/knee disart sL5651 PO Ak flex inner socket ext fraL5652 PO Suction susp ak/knee disartL5653 PO Knee disart expand wall sockL5654 PO Socket insert symesL5655 PO Socket insert below kneeL5656 PO Socket insert knee articulatL5658 PO Socket insert above kneeL5660 PO Sock insrt syme silicone gelL5661 PO Multi-durometer symesL5662 PO Socket insert bk silicone geL5663 PO Sock knee disartic siliconeL5664 PO Socket insert ak silicone geL5665 PO Multi-durometer below kneeL5666 PO Below knee cuff suspensionL5667 PO Socket insert w lock lowerL5668 PO Socket insert w/o lock lowerL5669 PO Below knee socket w/o lockL5670 PO Bk molded supracondylar suspL5672 PO Bk removable medial brim susL5674 PO Bk latex sleeve suspension/eL5675 PO Bk latex sleeve susp/eq hvyL5676 PO Bk knee joints single axis pL5677 PO Bk knee joints polycentric pL5678 PO Bk joint covers pairL5680 PO Bk thigh lacer non-moldedL5682 PO Bk thigh lacer glut/ischia mL5684 PO Bk fork strapL5686 PO Bk back checkL5688 PO Bk waist belt webbingL5690 PO Bk waist belt padded and linL5692 PO Ak pelvic control belt lightL5694 PO Ak pelvic control belt pad/lL5695 PO Ak sleeve susp neoprene/equaL5696 PO Ak/knee disartic pelvic joinL5697 PO Ak/knee disartic pelvic bandL5698 PO Ak/knee disartic silesian baL5699 PO Shoulder harnessL5700 PO Replace socket below kneeL5701 PO Replace socket above kneeL5702 PO Replace socket hipL5704 PO Custom shape covr below kneeL5705 PO Custm shape cover above kneeL5706 PO Custm shape cvr knee disartL5707 PO Custm shape cover hip disartL5710 PO Kne-shin exo sng axi mnl locL5711 PO Knee-shin exo mnl lock ultraL5712 PO Knee-shin exo frict swg & stL5714 PO Knee-shin exo variable frictL5716 PO Knee-shin exo mech stance ph

L5718 PO Knee-shin exo frct swg & staL5722 PO Knee-shin pneum swg frct exoL5724 PO Knee-shin exo fluid swing phL5726 PO Knee-shin ext jnts fld swg eL5728 PO Knee-shin fluid swg & stanceL5780 PO Knee-shin pneum/hydra pneumL5785 PO Exoskeletal bk ultralt materL5790 PO Exoskeletal ak ultra-light mL5795 PO Exoskel hip ultra-light mateL5810 PO Endoskel knee-shin mnl lockL5811 PO Endo knee-shin mnl lck ultraL5812 PO Endo knee-shin frct swg & stL5814 PO Endo knee-shin hydral swg phL5816 PO Endo knee-shin polyc mch staL5818 PO Endo knee-shin frct swg & stL5822 PO Endo knee-shin pneum swg frcL5824 PO Endo knee-shin fluid swing pL5826 PO Miniature knee jointL5828 PO Endo knee-shin fluid swg/staL5830 PO Endo knee-shin pneum/swg phaL5840 PO Multi-axial knee/shin systemL5845 PO Knee-shin sys stance flexionL5846 PO Knee-shin sys microprocessorL5850 PO Endo ak/hip knee extens assiL5855 PO Mech hip extension assistL5910 PO Endo below knee alignable syL5920 PO Endo ak/hip alignable systemL5925 PO Above knee manual lockL5930 PO High activity knee frameL5940 PO Endo bk ultra-light materialL5950 PO Endo ak ultra-light materialL5960 PO Endo hip ultra-light materiaL5962 PO Below knee flex cover systemL5964 PO Above knee flex cover systemL5966 PO Hip flexible cover systemL5968 PO Multiaxial ankle w dorsiflexL5970 PO Foot external keel sach footL5972 PO Flexible keel footL5974 PO Foot single axis ankle/footL5975 PO Combo ankle/foot prosthesisL5976 PO Energy storing footL5978 PO Ft prosth multiaxial ankl/ftL5979 PO Multi-axial ankle/ft prosthL5980 PO Flex foot systemL5981 PO Flex-walk sys low ext prosthL5982 PO Exoskeletal axial rotation uL5984 PO Endoskeletal axial rotationL5985 PO Lwr ext dynamic prosth pylonL5986 PO Multi-axial rotation unitL5987 PO Shank ft w vert load pylonL5988 PO Vertical shock reducing pyloL6000 PO Par hand robin-aids thum rem

L6010 PO Hand robin-aids little/ringL6020 PO Part hand robin-aids no fingL6050 PO Wrst MLd sck flx hng tri padL6055 PO Wrst mold sock w/exp interfaL6100 PO Elb mold sock flex hinge padL6110 PO Elbow mold sock suspension tL6120 PO Elbow mold doub splt soc steL6130 PO Elbow stump activated lock hL6200 PO Elbow mold outsid lock hingeL6205 PO Elbow molded w/ expand interL6250 PO Elbow inter loc elbow forarmL6300 PO Shlder disart int lock elbowL6310 PO Shoulder passive restor compL6320 PO Shoulder passive restor capL6350 PO Thoracic intern lock elbowL6360 PO Thoracic passive restor compL6370 PO Thoracic passive restor capL6380 PO Postop dsg cast chg wrst/elbL6382 PO Postop dsg cast chg elb dis/L6384 PO Postop dsg cast chg shlder/tL6386 PO Postop ea cast chg & realignL6388 PO Postop applicat rigid dsg onL6400 PO Below elbow prosth tiss shapL6450 PO Elb disart prosth tiss shapL6500 PO Above elbow prosth tiss shapL6550 PO Shldr disar prosth tiss shapL6570 PO Scap thorac prosth tiss shapL6580 PO Wrist/elbow bowden cable molL6582 PO Wrist/elbow bowden cbl dir fL6584 PO Elbow fair lead cable moldedL6586 PO Elbow fair lead cable dir foL6588 PO Shdr fair lead cable moldedL6590 PO Shdr fair lead cable directL6600 PO Polycentric hinge pairL6605 PO Single pivot hinge pairL6610 PO Flexible metal hinge pairL6615 PO Disconnect locking wrist uniL6616 PO Disconnect insert locking wrL6620 PO Flexion-friction wrist unitL6623 PO Spring-ass rot wrst w/ latchL6625 PO Rotation wrst w/ cable lockL6628 PO Quick disconn hook adapter oL6629 PO Lamination collar w/ couplinL6630 PO Stainless steel any wristL6632 PO Latex suspension sleeve eachL6635 PO Lift assist for elbowL6637 PO Nudge control elbow lockL6640 PO Shoulder abduction joint paiL6641 PO Excursion amplifier pulley tL6642 PO Excursion amplifier lever tyL6645 PO Shoulder flexion-abduction jL6650 PO Shoulder universal joint

L6655 PO Standard control cable extraL6660 PO Heavy duty control cableL6665 PO Teflon or equal cable liningL6670 PO Hook to hand cable adapterL6672 PO Harness chest/shlder saddleL6675 PO Harness figure of 8 sing conL6676 PO Harness figure of 8 dual conL6680 PO Test sock wrist disart/bel eL6682 PO Test sock elbw disart/aboveL6684 PO Test socket shldr disart/thoL6686 PO Suction socketL6687 PO Frame typ socket bel elbow/wL6688 PO Frame typ sock above elb/disL6689 PO Frame typ socket shoulder diL6690 PO Frame typ sock interscap-thoL6691 PO Removable insert eachL6692 PO Silicone gel insert or equalL6693 PO Lockingelbow forearm cntrbalL6700 PO Terminal device model #3L6705 PO Terminal device model #5L6710 PO Terminal device model #5xL6715 PO Terminal device model #5xaL6720 PO Terminal device model #6L6725 PO Terminal device model #7L6730 PO Terminal device model #7loL6735 PO Terminal device model #8L6740 PO Terminal device model #8xL6745 PO Terminal device model #88xL6750 PO Terminal device model #10pL6755 PO Terminal device model #10xL6765 PO Terminal device model #12pL6770 PO Terminal device model #99xL6775 PO Terminal device model#555L6780 PO Terminal device model #ss555L6790 PO Hooks-accu hook or equalL6795 PO Hooks-2 load or equalL6800 PO Hooks-aprl vc or equalL6805 PO Modifier wrist flexion unitL6806 PO Trs grip vc or equalL6807 PO Term device grip1/2 or equalL6808 PO Term device infant or childL6809 PO Trs super sport passiveL6810 PO Pincher tool otto bock or eqL6825 PO Hands dorrance voL6830 PO Hand aprl vcL6835 PO Hand sierra voL6840 PO Hand becker imperialL6845 PO Hand becker lock gripL6850 PO Term dvc-hand becker plyliteL6855 PO Hand robin-aids voL6860 PO Hand robin-aids vo softL6865 PO Hand passive hand

L6867 PO Hand detroit infant handL6868 PO Passive inf hand steeper/hosL6870 PO Hand child mittL6872 PO Hand nyu child handL6873 PO Hand mech inf steeper or equL6875 PO Hand bock vcL6880 PO Hand bock voL6890 PO Production gloveL6895 PO Custom gloveL6900 PO Hand restorat thumb/1 fingerL6905 PO Hand restoration multiple fiL6910 PO Hand restoration no fingersL6915 PO Hand restoration replacmnt gL6920 PO Wrist disarticul switch ctrlL6925 PO Wrist disart myoelectronic cL6930 PO Below elbow switch controlL6935 PO Below elbow myoelectronic ctL6940 PO Elbow disarticulation switchL6945 PO Elbow disart myoelectronic cL6950 PO Above elbow switch controlL6955 PO Above elbow myoelectronic ctL6960 PO Shldr disartic switch controL6965 PO Shldr disartic myoelectronicL6970 PO Interscapular-thor switch ctL6975 PO Interscap-thor myoelectronicL7010 PO Hand otto back steeper/eq swL7015 PO Hand sys teknik village switL7020 PO Electronic greifer switch ctL7025 PO Electron hand myoelectronicL7030 PO Hand sys teknik vill myoelecL7035 PO Electron greifer myoelectroL7040 PO Prehensile actuator hosmer sL7045 PO Electron hook child michiganL7170 PO Electronic elbow hosmer switL7180 PO Electronic elbow utah myoeleL7185 PO Electron elbow adolescent swL7186 PO Electron elbow child switchL7190 PO Elbow adolescent myoelectronL7191 PO Elbow child myoelectronic ctL7260 PO Electron wrist rotator ottoL7261 PO Electron wrist rotator utahL7266 PO Servo control steeper or equL7272 PO Analogue control unb or equaL7274 PO Proportional ctl 12 volt utaL7360 PO Six volt bat otto bock/eq eaL7362 PO Battery chrgr six volt ottoL7364 PO Twelve volt battery utah/equL7366 PO Battery chrgr 12 volt utah/eL7900 PO Vacuum erection systemL8000 PO Mastectomy braL8010 PO Mastectomy sleeveL8015 PO Ext breastprosthesis garment

L8020 PO Mastectomy formL8030 PO Breast prosthesis silicone/eL8035 PO Custom breast prosthesisL8300 PO Truss single w/ standard padL8310 PO Truss double w/ standard padL8320 PO Truss addition to std pad waL8330 PO Truss add to std pad scrotalL8400 PO Sheath below kneeL8410 PO Sheath above kneeL8415 PO Sheath upper limbL8417 PO Pros sheath/sock w gel cushnL8420 PO Prosthetic sock multi ply BKL8430 PO Prosthetic sock multi ply AKL8435 PO Pros sock multi ply upper lmL8440 PO Shrinker below kneeL8460 PO Shrinker above kneeL8465 PO Shrinker upper limbL8470 PO Pros sock single ply BKL8480 PO Pros sock single ply AKL8485 PO Pros sock single ply upper lL8490 PO Air seal suction reten systmL8500 PO Artificial larynxL8501 PO Tracheostomy speaking valveL8600 PO Implant breast silicone/eqL8603 PO Collagen imp urinary 2.5 CCL8610 PO Ocular implantL8612 PO Aqueous shunt prosthesisL8613 PO Ossicular implantL8614 PO Cochlear device/systemL8619 PO Replace cochlear processorL8630 PO Metacarpophalangeal implantL8641 PO Metatarsal joint implantL8642 PO Hallux implantL8658 PO Interphalangeal joint implntL8670 PO Vascular graftV2020 PO Vision svcs frames purchasesV2100 PO Lens spher single plano 4.00V2101 PO Single visn sphere 4.12-7.00V2102 PO Singl visn sphere 7.12-20.00V2103 PO Spherocylindr 4.00d/12-2.00dV2104 PO Spherocylindr 4.00d/2.12-4dV2105 PO Spherocylinder 4.00d/4.25-6dV2106 PO Spherocylinder 4.00d/>6.00dV2107 PO Spherocylinder 4.25d/12-2dV2108 PO Spherocylinder 4.25d/2.12-4dV2109 PO Spherocylinder 4.25d/4.25-6dV2110 PO Spherocylinder 4.25d/over 6dV2111 PO Spherocylindr 7.25d/.25-2.25V2112 PO Spherocylindr 7.25d/2.25-4dV2113 PO Spherocylindr 7.25d/4.25-6dV2114 PO Spherocylinder over 12.00dV2115 PO Lens lenticular bifocal

V2116 PO Nonaspheric lens bifocalV2117 PO Aspheric lens bifocalV2118 PO Lens aniseikonic singleV2200 PO Lens spher bifoc plano 4.00dV2201 PO Lens sphere bifocal 4.12-7.0V2202 PO Lens sphere bifocal 7.12-20.V2203 PO Lens sphcyl bifocal 4.00d/.1V2204 PO Lens sphcy bifocal 4.00d/2.1V2205 PO Lens sphcy bifocal 4.00d/4.2V2206 PO Lens sphcy bifocal 4.00d/oveV2207 PO Lens sphcy bifocal 4.25-7d/.V2208 PO Lens sphcy bifocal 4.25-7/2.V2209 PO Lens sphcy bifocal 4.25-7/4.V2210 PO Lens sphcy bifocal 4.25-7/ovV2211 PO Lens sphcy bifo 7.25-12/.25-V2212 PO Lens sphcyl bifo 7.25-12/2.2V2213 PO Lens sphcyl bifo 7.25-12/4.2V2214 PO Lens sphcyl bifocal over 12.V2215 PO Lens lenticular bifocalV2216 PO Lens lenticular nonasphericV2217 PO Lens lenticular aspheric bifV2218 PO Lens aniseikonic bifocalV2219 PO Lens bifocal seg width overV2220 PO Lens bifocal add over 3.25dV2300 PO Lens sphere trifocal 4.00dV2301 PO Lens sphere trifocal 4.12-7.V2302 PO Lens sphere trifocal 7.12-20V2303 PO Lens sphcy trifocal 4.0/.12-V2304 PO Lens sphcy trifocal 4.0/2.25V2305 PO Lens sphcy trifocal 4.0/4.25V2306 PO Lens sphcyl trifocal 4.00/>6V2307 PO Lens sphcy trifocal 4.25-7/.V2308 PO Lens sphc trifocal 4.25-7/2.V2309 PO Lens sphc trifocal 4.25-7/4.V2310 PO Lens sphc trifocal 4.25-7/>6V2311 PO Lens sphc trifo 7.25-12/.25-V2312 PO Lens sphc trifo 7.25-12/2.25V2313 PO Lens sphc trifo 7.25-12/4.25V2314 PO Lens sphcyl trifocal over 12V2315 PO Lens lenticular trifocalV2316 PO Lens lenticular nonasphericV2317 PO Lens lenticular aspheric triV2318 PO Lens aniseikonic trifocalV2319 PO Lens trifocal seg width > 28V2320 PO Lens trifocal add over 3.25dV2410 PO Lens variab asphericity singV2430 PO Lens variable asphericity biV2500 PO Contact lens pmma sphericalV2501 PO Cntct lens pmma-toric/prismV2502 PO Contact lens pmma bifocalV2503 PO Cntct lens pmma color visionV2510 PO Cntct gas permeable sphericl

V2511 PO Cntct toric prism ballastV2512 PO Cntct lens gas permbl bifoclV2513 PO Contact lens extended wearV2520 PO Contact lens hydrophilicV2521 PO Cntct lens hydrophilic toricV2522 PO Cntct lens hydrophil bifoclV2523 PO Cntct lens hydrophil extendV2530 PO Contact lens gas impermeableV2531 PO Contact lens gas permeableV2623 PO Plastic eye prosth customV2624 PO Polishing artifical eyeV2625 PO Enlargemnt of eye prosthesisV2626 PO Reduction of eye prosthesisV2627 PO Scleral cover shellV2628 PO Fabrication & fittingV2700 PO Balance lensV2710 PO Glass/plastic slab off prismV2715 PO Prism lens/esV2718 PO Fresnell prism press-on lensV2730 PO Special base curveV2740 PO Rose tint plasticV2741 PO Non-rose tint plasticV2742 PO Rose tint glassV2743 PO Non-rose tint glassV2744 PO Tint photochromatic lens/esV2750 PO Anti-reflective coatingV2755 PO UV lens/esV2760 PO Scratch resistant coatingV2770 PO Occluder lens/esV2780 PO Oversize lens/es