| K0001 | Standard wheelchair |
| K0002 | Stnd hemi (low seat) whlchr |
| K0003 | Lightweight wheelchair |
| K0004 | High strength ltwt whlchr |
| K0005 | Ultralightweight wheelchair |
| K0006 | Heavy duty wheelchair |
| K0007 | Extra heavy duty wheelchair |
| K0008 | Cstm manual wheelchair/base |
| K0009 | Other manual wheelchair/base |
| K0010 | Stnd wt frame power whlchr |
| K0011 | Stnd wt pwr whlchr w control |
| K0012 | Ltwt portbl power whlchr |
| K0013 | Custom power whlchr base |
| K0014 | Other power whlchr base |
| K0015 | Detach non-adjus hght armrst |
| K0017 | Detach adjust armrest base |
| K0018 | Detach adjust armrst upper |
| K0019 | Arm pad each |
| K0020 | Fixed adjust armrest pair |
| K0037 | High mount flip-up footrest |
| K0038 | Leg strap each |
| K0039 | Leg strap h style each |
| K0040 | Adjustable angle footplate |
| K0041 | Large size footplate each |
| K0042 | Standard size footplate each |
| K0043 | Ftrst lower extension tube |
| K0044 | Ftrst upper hanger bracket |
| K0045 | Footrest complete assembly |
| K0046 | Elevat legrst low extension |
| K0047 | Elevat legrst up hangr brack |
| K0050 | Ratchet assembly |
| K0051 | Cam relese assem ftrst/lgrst |
| K0052 | Swingaway detach footrest |
| K0053 | Elevate footrest articulate |
| K0056 | Seat ht <17 or >=21 ltwt wc |
| K0065 | Spoke protectors |
| K0069 | Rear whl complete solid tire |
| K0070 | Rear whl compl pneum tire |
| K0071 | Front castr compl pneum tire |
| K0072 | Frnt cstr cmpl sem-pneum tir |
| K0073 | Caster pin lock each |
| K0077 | Front caster assem complete |
| K0098 | Drive belt power wheelchair |
| K0105 | Iv hanger |
| K0108 | W/c component-accessory nos |
| K0195 | Elevating whlchair leg rests |
| K0455 | Pump uninterrupted infusion |
| K0462 | Temporary replacement eqpmnt |
| K0552 | Supply/ext inf pump syr type |
| K0601 | Repl batt silver oxide 1.5 v |
| K0602 | Repl batt silver oxide 3 v |
| K0603 | Repl batt alkaline 1.5 v |
| K0604 | Repl batt lithium 3.6 v |
| K0605 | Repl batt lithium 4.5 v |
| K0606 | Aed garment w elec analysis |
| K0607 | Repl batt for aed |
| K0608 | Repl garment for aed |
| K0609 | Repl electrode for aed |
| K0669 | Seat/back cus no dmepdac ver |
| K0672 | Removable soft interface le |
| K0730 | Ctrl dose inh drug deliv sys |
| K0733 | 12-24hr sealed lead acid |
| K0734 | Adj skin pro w/c cus wd<22in |
| K0735 | Adj skin pro wc cus wd>=22in |
| K0736 | Adj skin pro/pos wc cus<22in |
| K0737 | Adj skin pro/pos wc cus>=22" |
| K0738 | Portable gas oxygen system |
| K0739 | Repair/svc dme non-oxygen eq |
| K0740 | Repair/svc oxygen equipment |
| K0741 | Portable gaseous oxygen sys |
| K0742 | Portable gaseous oxygen |
| K0743 | Portable home suction pump |
| K0744 | Absorp drg <= 16 suc pump |
| K0745 | Absorp drg >16<=48 suc pump |
| K0746 | Absorp drg >48 suc pump |
| K0800 | Pov group 1 std up to 300lbs |
| K0801 | Pov group 1 hd 301-450 lbs |
| K0802 | Pov group 1 vhd 451-600 lbs |
| K0806 | Pov group 2 std up to 300lbs |
| K0807 | Pov group 2 hd 301-450 lbs |
| K0808 | Pov group 2 vhd 451-600 lbs |
| K0812 | Power operated vehicle noc |
| K0813 | Pwc gp 1 std port seat/back |
| K0814 | Pwc gp 1 std port cap chair |
| K0815 | Pwc gp 1 std seat/back |
| K0816 | Pwc gp 1 std cap chair |
| K0820 | Pwc gp 2 std port seat/back |
| K0821 | Pwc gp 2 std port cap chair |
| K0822 | Pwc gp 2 std seat/back |
| K0823 | Pwc gp 2 std cap chair |
| K0824 | Pwc gp 2 hd seat/back |
| K0825 | Pwc gp 2 hd cap chair |
| K0826 | Pwc gp 2 vhd seat/back |
| K0827 | Pwc gp vhd cap chair |
| K0828 | Pwc gp 2 xtra hd seat/back |
| K0829 | Pwc gp 2 xtra hd cap chair |
| K0830 | Pwc gp2 std seat elevate s/b |
| K0831 | Pwc gp2 std seat elevate cap |
| K0835 | Pwc gp2 std sing pow opt s/b |
| K0836 | Pwc gp2 std sing pow opt cap |
| K0837 | Pwc gp 2 hd sing pow opt s/b |
| K0838 | Pwc gp 2 hd sing pow opt cap |
| K0839 | Pwc gp2 vhd sing pow opt s/b |
| K0840 | Pwc gp2 xhd sing pow opt s/b |
| K0841 | Pwc gp2 std mult pow opt s/b |
| K0842 | Pwc gp2 std mult pow opt cap |
| K0843 | Pwc gp2 hd mult pow opt s/b |
| K0848 | Pwc gp 3 std seat/back |
| K0849 | Pwc gp 3 std cap chair |
| K0850 | Pwc gp 3 hd seat/back |
| K0851 | Pwc gp 3 hd cap chair |
| K0852 | Pwc gp 3 vhd seat/back |
| K0853 | Pwc gp 3 vhd cap chair |
| K0854 | Pwc gp 3 xhd seat/back |
| K0855 | Pwc gp 3 xhd cap chair |
| K0856 | Pwc gp3 std sing pow opt s/b |
| K0857 | Pwc gp3 std sing pow opt cap |
| K0858 | Pwc gp3 hd sing pow opt s/b |
| K0859 | Pwc gp3 hd sing pow opt cap |
| K0860 | Pwc gp3 vhd sing pow opt s/b |
| K0861 | Pwc gp3 std mult pow opt s/b |
| K0862 | Pwc gp3 hd mult pow opt s/b |
| K0863 | Pwc gp3 vhd mult pow opt s/b |
| K0864 | Pwc gp3 xhd mult pow opt s/b |
| K0868 | Pwc gp 4 std seat/back |
| K0869 | Pwc gp 4 std cap chair |
| K0870 | Pwc gp 4 hd seat/back |
| K0871 | Pwc gp 4 vhd seat/back |
| K0877 | Pwc gp4 std sing pow opt s/b |
| K0878 | Pwc gp4 std sing pow opt cap |
| K0879 | Pwc gp4 hd sing pow opt s/b |
| K0880 | Pwc gp4 vhd sing pow opt s/b |
| K0884 | Pwc gp4 std mult pow opt s/b |
| K0885 | Pwc gp4 std mult pow opt cap |
| K0886 | Pwc gp4 hd mult pow s/b |
| K0890 | Pwc gp5 ped sing pow opt s/b |
| K0891 | Pwc gp5 ped mult pow opt s/b |
| K0898 | Power wheelchair noc |
| K0899 | Pow mobil dev no dmepdac |
| K0900 | Cstm dme other than wheelchr |
