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Dealer Applicationpdf  /  ICD-9 Codes for Wheelchair Seating  /  ICD-9 Diagnosis Codes for PWCs, Scooter, and Rehab

Ergonomic Ultra Lightweight Wheelchairs

Ergonomic Wheelchairs Brochure  /  Ergonomic Wheelchairs Flyerpdf
S-ERGO 115 Poster  /  ERGO LITE Poster  /  ERGO LITE Poster  / ERGO FLIGHT Poster  / S-ERGO ATX Poster

PRODUCT  PRODUCT WEIGHT SEAT SIZE  WEIGHT CAP ORDER FORM  OWNER’S MANUAL HCPCS CODE & LETTER
S-ERGO 105 27 lbs. 16″/18″ 250 lbs. S-ERGO 105 S-ERGO 105 K0004
S-ERGO 106 27 lbs. 16″/18″ 250 lbs. S-ERGO 106 S-ERGO 106 K0004
S-ERGO 115 25 lbs. 16″/18″/20″ 250 lbs. S-ERGO 115 S-ERGO 115 K0004
S-ERGO 125 25 lbs. 16″/18″ 250 lbs. S-ERGO 125 S-ERGO 125 K0004
S-ERGO 305 29 lbs. 16″/18″ 250 lbs. S-ERGO 305 S-ERGO 305 K0005
ERGO FLIGHT 19 lbs. 16″/18″ 220 lbs. ERGO FLIGHT ERGO FLIGHT K0004
ERGO LITE 18 lbs. 16″/18″ 220 lbs. ERGO LITE ERGO LITE E1038
ERGO ATX 15 lbs. 14″/16″/18″ 275 lbs. ERGO ATX ERGO ATX K0005 / E1236

Lightweight Wheelchairs

Lightweight Wheelchairs Flyerpdf

PRODUCT PRODUCT WEIGHT SEAT SIZE WEIGHT CAP ORDER FORM OWNER’S MANUAL HCPCS CODE & LETTER
802-DY 30 lbs. 18″ 250 lbs 802-DY 802-DY K0004
KM-802F 30 lbs. 16″/18″ 250 lbs KM-802F KM-802F K0004
KM-3520 29 lbs. 16″/18″ 250 lbs KM-3520 KM-3520 K0004
KM-9020 25 lbs. 18″ 220 lbs KM-9020 KM-9020 K0004
LT-700T 36 lbs. 16″/18″ 250 lbs LT-700T LT-700T K0003
LT-800T 34 lbs. 16″/18″ 250 lbs LT-800T LT-800T K0003
LT-980 24 lbs. 18″ 250 lbs LT-980 LT-980 K0004
LT-K5 28 lbs. 16″/18″ 250 lbs LT-K5 LT-K5 K0004

 Transport Wheelchairs

Transport Wheelchairs Brochurepdf

PRODUCT PRODUCT WEIGHT SEAT SIZE WEIGHT CAP ORDER FORM OWNER’S MANUAL HCPCS CODE & LETTER
KM-2020 24 lbs. 18″ 250 lbs. KM-2020 E1038
KM-5000-TP 33 lbs. 16″/18″/20″ 250-300 lbs. KM-5000-TP KM-5000 TP K0004 / E1226
MVP-502-TP 34 lbs. 16″/18″/20″ 250 lbs. MVP-502 MVP-502 TP K0003 / E1226
LT-1000-HB 23 lbs. 19″ 250 lbs. LT-1000-HB LT-1000 HB E1038
LT-2000 19 lbs. 17″/18″ 250 lbs. LT-2000 LT-700T E1038
S-115-TP 22 lbs. 16″/18″ 250 lbs. S-115-TP S-115-TP K0004
T-900 40-44 lbs. 20″/22″ 450 lbs. T-900 LT-980 E1038
T-2700 18 lbs. 17″/18″ 250 lbs. T-2700 T-2700 E1038
T-2501 18 lbs. 16″/18″ 220 lbs. T-2501 E1038
TV-10B 18 lbs. 16″/18″ 225 lbs. TV-10B E1038
VIP-515-TP 34 lbs. 16″/18″ 250 lbs. VIP-515 VIP-515 E1161 *

Standard Wheelchairs

PRODUCT  PRODUCT WEIGHT SEAT SIZE WEIGHT CAP ORDER FORM OWNER’S MANUAL HCPCS CODE & LETTER
KN-700T 39 lbs. 16″/18″ 250 lbs. KN-700T K0003
KN-800T 37 lbs. 16″/18″ 250 lbs. KN-800T K0001
LT-700T 36 lbs. 16″/18″ 250 lbs. LT-700T K0003
LT-800T 34 lbs. 16″/18″ 250 lbs. LT-800T K0003

Bariatric Wheelchairs

PRODUCT PRODUCT WEIGHT SEAT SIZE WEIGHT CAP ORDER FORM OWNER’S MANUAL HCPCS CODE & LETTER
KM-BT10-22W KM-BT10-24W KM-BT10-26W KM-BT10-26W KM-BT10-28W KM-BT10-30W 63 lbs. 66 lbs. 69 lbs. 70 lbs. 73 lbs. 76 lbs. 22″ 24″ 26″ 26″ 28″ 30″ 550 lbs KM-BT10 KM-BT10 K0007
KM-8520W KM-8520-22W 35 lbs. 20″ 350 lbs K0007
KN-920W 41 lbs. 20″ 300 lbs KN-920W K0007
KN-922W 49 lbs. 22″ 400 lbs KN-922W K0007
KN-924W KN-926W KN-928W 56 lbs. 87 lbs. 89 lbs. 24″ 26″ 28″ 400 lbs 450 lbs 600 lbs KN-924W K0007
T-920 T-922 40 lbs. 44 lbs. 20″ 22″ 450 lbs T-920 T-920 E0139
KN-880-NE KN-880-WE 50 lbs. 52 lbs. 16″ 20″ 250 lbs 300 lbs KN-880-WE K0003
MVP-502 MVP-502-TP 18 lbs. 16″/18″/20″ 250 lbs MVP-502 MVP-502 K0003 / E1226
KM-5000F KM-5000-TP 36 lbs. 33 lbs. 16″/18″/20″/22″ 16″/18″/20″/22″ 300 lbs 350 lbs KM-5000 KM-5000F K0004 / E1226
PRODUCT  PRODUCT WEIGHT SEAT SIZE WEIGHT CAP ORDER FORM OWNER’S MANUAL HCPCS CODE & LETTER
R-3600 14 lbs. 250 lbs. R-3600 E0143
R-4100 11 lbs. 13″ 250 lbs. R-4100 E0143
R-4100N 11 lbs. 12″ 250 lbs. R-4100N E0143
R-4200 11 lbs. 13″ 250 lbs. R-4200 E0143
R-4600 13 lbs. 13″ 250 lbs. R-4600 E1038
R-4602 14 lbs. 14″ 250 lbs. R-4602 E0143
R-4608 21 lbs. 14″ 250 lbs. R-4608 E1038
R-4700 24 lbs. 18″ 400 lbs. R-4700 E0149
R-4800 20 lbs. 18″ 400 lbs. R-4800 E0141
KW-100 22½ lbs. 15″ 350 lbs. KW-100 E1038

Reclining / Tilt Wheelchairs

PRODUCT  PRODUCT WEIGHT SEAT SIZE WEIGHT CAP ORDER FORM OWNER’S MANUAL HCPCS CODE & LETTER
MVP-502-MS MVP-502-TP 36 lbs. 34 lbs. 16″/18″/20″ 16″/18″/20″ 250 lbs. MVP-502 MVP-502-MS MVP-502-TP K0003 / E1226
KM-5000-TP KM-5000-MS 34 lbs. 38 lbs. 16″/18″/20″/22″ 16″/18″/20″/22″ 250-300 lbs. KM-5000 KM-5000-TP KM-5000-MS K0007 / E1226 K0007 / E1226
KN-880 36 lbs. 16″/18″ 250 lbs. KN-880 K0003 / E1226
VIP-515-TP VIP-515-MS 33 lbs. 36 lbs. 16″/18″ 16″/18″ 250-300 lbs. VIP-515 VIP-515-TP VIP-515-MS E1161

Standing Wheelchairs

PRODUCT  PRODUCT WEIGHT SEAT SIZE WEIGHT CAP ORDER FORM OWNER’S MANUAL HCPCS CODE & LETTER
XO-101 56 lbs. 16″/18″ 250 lbs. XO-101 XO-101 K0009
XO-202 56 lbs. 16″/18″ 250 lbs. XO-202 XO-202 K0009

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