Dynamic List Information
Dynamic List Data
HCPCS Code
E1012
On Master List?
Yes
Prior Authorization Required?
No
PA Effective Dates
N/A
F2F and Written Order Prior to Delivery?
No
F2F and WOPD Effective Dates
N/A
Description: Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each