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E1804 - HCPCS Level II | Verity

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HCPCS Level IIdmeActive

E1804

Adjust elbow flexion dev

BETOS: D1E

Effective: 2025-01-01

Referenced in 2 policies

Description

Dynamic adjustable elbow flexion only device, includes soft interface material

Coverage Policies

This code is referenced in 2 Medicare coverage policies

Sample Policies

AMBETTER-CP.MP.144PayerPolicy

covered

Mechanical Stretching Devices for Joint Stiffness and Contracture

ANTHEM-CG-DME-39PayerPolicycovered

CG-DME-39 Dynamic Low-Load Prolonged-Duration Stretch Devices

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About HCPCS Level II

Healthcare Common Procedure Coding System Level II codes for supplies, equipment, and non-physician services

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