Vertu veitandi og auðlindir
Umsókn um söluaðila
/ ICD-9 númer fyrir sæti í hjólastólum / ICD-9 greiningarkóðar fyrir PWC, hlaupahjól og endurhæfingu
Vistvæn Ultra Léttur Hjólastólar
Vistvæn hjólastólabæklingur / Vinnuvistfræðilegur hjólastóll flugmaður
S-ERGO 115 Veggspjald / ERGO LITE plakat / ERGO LITE plakat / ERGO FLIGHT plakat / S-ERGO ATX veggspjald
| PRODUCT | VÖRUVÆGT | SÆTASTÆRÐ | ÞYGGISLOK | PANTAFORM | LEIÐBEININGAR EIGENDUR | HCPCS CODE & BRÉF |
| S-ERGO 105 | 27 £. | 16 ″ / 18 ″ | 250 £. | S-ERGO 105 | S-ERGO 105 | K0004 |
| S-ERGO 106 | 27 £. | 16 ″ / 18 ″ | 250 £. | S-ERGO 106 | S-ERGO 106 | K0004 |
| S-ERGO 115 | 25 £. | 16 ″ / 18 ″ / 20 ″ | 250 £. | S-ERGO 115 | S-ERGO 115 | K0004 |
| S-ERGO 125 | 25 £. | 16 ″ / 18 ″ | 250 £. | S-ERGO 125 | S-ERGO 125 | K0004 |
| S-ERGO 305 | 29 £. | 16 ″ / 18 ″ | 250 £. | S-ERGO 305 | S-ERGO 305 | K0005 |
| ERGO FLUG | 19 £. | 16 ″ / 18 ″ | 220 £. | ERGO FLUG | ERGO FLUG | K0004 |
| ERGO LITE | 18 £. | 16 ″ / 18 ″ | 220 £. | ERGO LITE | ERGO LITE | E1038 |
| ERGO ATX | 15 £. | 14 ″ / 16 ″ / 18 ″ | 275 £. | ERGO ATX | ERGO ATX | K0005 / E1236 |
Léttur Hjólastólar
Léttur hjólastóll flugmaður
| PRODUCT | VÖRUVÆGT | SÆTASTÆRÐ | ÞYGGISLOK | PANTAFORM | LEIÐBEININGAR EIGENDUR | HCPCS CODE & BRÉF |
| 802-DY | 30 £. | 18 " | 250 pund | 802-DY | 802-DY | K0004 |
| KM-802F | 30 £. | 16 ″ / 18 ″ | 250 pund | KM-802F | KM-802F | K0004 |
| KM-3520 | 29 £. | 16 ″ / 18 ″ | 250 pund | KM-3520 | KM-3520 | K0004 |
| KM-9020 | 25 £. | 18 " | 220 pund | KM-9020 | KM-9020 | K0004 |
| LT-700T | 36 £. | 16 ″ / 18 ″ | 250 pund | LT-700T | LT-700T | K0003 |
| LT-800T | 34 £. | 16 ″ / 18 ″ | 250 pund | LT-800T | LT-800T | K0003 |
| LT-980 | 24 £. | 18 " | 250 pund | LT-980 | LT-980 | K0004 |
| LT-K5 | 28 £. | 16 ″ / 18 ″ | 250 pund | LT-K5 | LT-K5 | K0004 |
Samgöngur Hjólastólar
Bæklingur um flutning á hjólastólum
| PRODUCT | VÖRUVÆGT | SÆTASTÆRÐ | ÞYGGISLOK | PANTAFORM | LEIÐBEININGAR EIGENDUR | HCPCS CODE & BRÉF |
| KM-2020 | 24 £. | 18 " | 250 £. | KM-2020 | - | E1038 |
| KM-5000-TP | 33 £. | 16 ″ / 18 ″ / 20 ″ | 250-300 pund. | KM-5000-TP | KM-5000 TP | K0004 / E1226 |
| MVP-502-TP | 34 £. | 16 ″ / 18 ″ / 20 ″ | 250 £. | MVP-502 | MVP-502 TP | K0003 / E1226 |
| LT-1000-HB | 23 £. | 19 " | 250 £. | LT-1000-HB | LT-1000 HB | E1038 |
| LT-2000 | 19 £. | 17 ″ / 18 ″ | 250 £. | LT-2000 | LT-700T | E1038 |
| S-115-TP | 22 £. | 16 ″ / 18 ″ | 250 £. | S-115-TP | S-115-TP | K0004 |
| T-900 | 40-44 pund. | 20 ″ / 22 ″ | 450 £. | T-900 | LT-980 | E1038 |
| T-2700 | 18 £. | 17 ″ / 18 ″ | 250 £. | T-2700 | T-2700 | E1038 |
| T-2501 | 18 £. | 16 ″ / 18 ″ | 220 £. | T-2501 | - | E1038 |
| Sjónvarp-10B | 18 £. | 16 ″ / 18 ″ | 225 £. | Sjónvarp-10B | - | E1038 |
| VIP-515-TP | 34 £. | 16 ″ / 18 ″ | 250 £. | VIP-515 | VIP-515 | E1161 * |
Standard Hjólastólar
| PRODUCT | VÖRUVÆGT | SÆTASTÆRÐ | ÞYGGISLOK | PANTAFORM | LEIÐBEININGAR EIGENDUR | HCPCS CODE & BRÉF |
| KN-700T | 39 £. | 16 ″ / 18 ″ | 250 £. | - | KN-700T | K0003 |
| KN-800T | 37 £. | 16 ″ / 18 ″ | 250 £. | - | KN-800T | K0001 |
| LT-700T | 36 £. | 16 ″ / 18 ″ | 250 £. | - | LT-700T | K0003 |
| LT-800T | 34 £. | 16 ″ / 18 ″ | 250 £. | - | LT-800T | K0003 |
Bariatric Hjólastólar
| PRODUCT | VÖRUVÆGT | SÆTASTÆRÐ | ÞYGGISLOK | PANTAFORM | LEIÐBEININGAR EIGENDUR | HCPCS CODE & BRÉF |
| KM-BT10-22W KM-BT10-24W KM-BT10-26W KM-BT10-26W KM-BT10-28W KM-BT10-30W | 63 lbs. 66 pund. 69 lbs. 70 pund. 73 pund. 76 lbs. | 22 ″ 24 ″ 26 ″ 26 ″ 28 ″ 30 ″ | 550 pund | KM-BT10 | KM-BT10 | K0007 |
| KM-8520W KM-8520-22W | 35 £. | 20 " | 350 pund | - | - | K0007 |
| KN-920W | 41 £. | 20 " | 300 pund | - | KN-920W | K0007 |
| KN-922W | 49 £. | 22 " | 400 pund | - | KN-922W | K0007 |
| KN-924W KN-926W KN-928W | 56 pund. 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 pund | T-920 | T-920 | E0139 |
| KN-880-NE KN-880-WE | 50 lbs. 52 lbs. | 16 ″ 20 ″ | 250 pund 300 pund | - | KN-880-WE | K0003 |
| MVP-502 MVP-502-TP | 18 £. | 16 ″ / 18 ″ / 20 ″ | 250 pund | MVP-502 | MVP-502 | K0003 / E1226 |
| KM-5000F KM-5000-TP | 36 lbs. 33 lbs. | 16″/18″/20″/22″ 16″/18″/20″/22″ | 300 pund 350 pund | KM-5000 | KM-5000F | K0004 / E1226 |
| PRODUCT | VÖRUVÆGT | SÆTASTÆRÐ | ÞYGGISLOK | PANTAFORM | LEIÐBEININGAR EIGENDUR | HCPCS CODE & BRÉF |
| R-3600 | 14 £. | - | 250 £. | - | R-3600 | E0143 |
| R-4100 | 11 £. | 13 " | 250 £. | - | R-4100 | E0143 |
| R-4100N | 11 £. | 12 " | 250 £. | - | R-4100N | E0143 |
| R-4200 | 11 £. | 13 " | 250 £. | - | R-4200 | E0143 |
| R-4600 | 13 £. | 13 " | 250 £. | - | R-4600 | E1043 |
| R-4602 | 14 £. | 14 " | 250 £. | - | R-4602 | E0143 |
| R-4608 | 21 £. | 14 " | 250 £. | - | R-4608 | E1043 |
| R-4700 | 24 £. | 18 " | 400 £. | - | R-4700 | E0149 |
| R-4800 | 20 £. | 18 " | 400 £. | - | R-4800 | E0149 |
| KW-100 | 22½ pund. | 15 " | 350 £. | - | KW-100 | E1038 |
Halla / Halla Hjólastólar
| PRODUCT | VÖRUVÆGT | SÆTASTÆRÐ | ÞYGGISLOK | PANTAFORM | LEIÐBEININGAR EIGENDUR | HCPCS CODE & BRÉF |
| MVP-502-MS MVP-502-TP | 36 lbs. 34 lbs. | 16″/18″/20″ 16″/18″/20″ | 250 £. | 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 pund. | KM-5000 | KM-5000-TP KM-5000-MS | K0007 / E1226 K0007 / E1226 |
| KN-880 | 36 £. | 16 ″ / 18 ″ | 250 £. | - | KN-880 | K0003 / E1226 |
| VIP-515-TP VIP-515-MS | 33 lbs. 36 lbs. | 16 ″/18 ″ 16 ″/18 ″ | 250-300 pund. | VIP-515 | VIP-515-TP VIP-515-MS | E1161 |