HCPCS Service Codes - Used durable medical equipment (DME)

HCPCS Service Code A for Used durable medical equipment (DME).

HCPCS Type of Service (TOS) code is an indicator that the contractor places on Form CMS-1500. The indicator is mainly used for data purposes, however in some instances, it affects payment. All HCPCS codes have a corresponding TOS indicator.

Below are all available HCPCS TOS codes. Find an HCPCS code based on the type of service.

HCPCS Codes for Used durable medical equipment (DME)

  • E2603

    Skin protection wheelchair seat cushion, width less than 22 inches, any depth

  • E2604

    Skin protection wheelchair seat cushion, width 22 inches or greater, any depth

  • E2605

    Positioning wheelchair seat cushion, width less than 22 inches, any depth

  • E2606

    Positioning wheelchair seat cushion, width 22 inches or greater, any depth

  • E2607

    Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth

  • E2608

    Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth

  • E2609

    Custom fabricated wheelchair seat cushion, any size

  • E2610

    Wheelchair seat cushion, powered

  • E2611

    General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware

  • E2612

    General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware

  • E2613

    Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware

  • E2614

    Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware

  • E2615

    Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware

  • E2616

    Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware

  • E2617

    Custom fabricated wheelchair back cushion, any size, including any type mounting hardware

  • E2619

    Replacement cover for wheelchair seat cushion or back cushion, each

  • E2620

    Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware

  • E2621

    Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware

  • E2622

    Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth

  • E2623

    Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth

  • E2624

    Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth

  • E2625

    Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth

  • E2626

    Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable

  • E2627

    Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type

  • E2628

    Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining

  • E2629

    Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints)

  • E2630

    Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support

  • E2631

    Wheelchair accessory, addition to mobile arm support, elevating proximal arm

  • E2632

    Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control

  • E2633

    Wheelchair accessory, addition to mobile arm support, supinator

  • K0005

    Ultralightweight wheelchair

  • K0008

    Custom manual wheelchair/base

  • K0009

    Other manual wheelchair/base

  • K0010

    Standard - weight frame motorized/power wheelchair

  • K0011

    Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking

  • K0012

    Lightweight portable motorized/power wheelchair

  • K0013

    Custom motorized/power wheelchair base

  • K0014

    Other motorized/power wheelchair base

  • K0015

    Detachable, non-adjustable height armrest, replacement only, each

  • K0017

    Detachable, adjustable height armrest, base, replacement only, each

  • K0018

    Detachable, adjustable height armrest, upper portion, replacement only, each

  • K0019

    Arm pad, replacement only, each

  • K0020

    Fixed, adjustable height armrest, pair

  • K0037

    High mount flip-up footrest, each

  • K0038

    Leg strap, each

  • K0039

    Leg strap, h style, each

  • K0040

    Adjustable angle footplate, each

  • K0041

    Large size footplate, each

  • K0042

    Standard size footplate, replacement only, each

  • K0043

    Footrest, lower extension tube, replacement only, each