Dynamic List Information
Dynamic List Data
HCPCS Code
E2629
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, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints)