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HCPCS/CPT E1227 — Special height arms for wheelchair | No Prior Auth

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`E1227` — Special height arms for wheelchair

HCPCS/CPT

Prior Authorization

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Key Coverage Criteria

Powered or motorized wheelchairs (with or without power seating systems);or
Power Operated Vehicles [POVs];and
Absent or impaired sensation in the area of contact with the seating surface;or
Options or accessories are consideredmedically necessarywhenALLof the followingdevice,general,andspecificcriteria below (AandBandC) are met:
The accessory or option is forANYof the following wheeled mobility devices (1, 2,or3):Manual Wheelchairs (for example, standard, heavy duty, lightweight, or ultra lightweight);orPowered or motorized wheelchairs (with or without power seating systems);orPower Operated Vehicles [POVs];and
Manual Wheelchairs (for example, standard, heavy duty, lightweight, or ultra lightweight);or

1 Active Policy

ANTHEM-CG-DME-34 — CG-DME-34 Wheeled Mobility Devices: Wheelchair Accessories

Related Codes

E0951(1 policies)E0952(1 policies)E0953(1 policies)E0954(1 policies)E0955(1 policies)

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