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Umsókn um söluaðilapdf  /  ICD-9 númer fyrir sæti í hjólastólum  /  ICD-9 greiningarkóðar fyrir PWC, hlaupahjól og endurhæfingu

Vistvæn Ultra Léttur Hjólastólar

Vistvæn hjólastólabæklingur  /  Vinnuvistfræðilegur hjólastóll flugmaðurpdf
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 flugmaðurpdf

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 hjólastólumpdf

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
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 E1038
R-4602 14 £. 14 " 250 £. - R-4602 E0143
R-4608 21 £. 14 " 250 £. - R-4608 E1038
R-4700 24 £. 18 " 400 £. - R-4700 E0149
R-4800 20 £. 18 " 400 £. - R-4800 E0141
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

Standandi Hjólastólar

PRODUCT  VÖRUVÆGT SÆTASTÆRÐ ÞYGGISLOK PANTAFORM LEIÐBEININGAR EIGENDUR HCPCS CODE & BRÉF
XO-101 56 £. 16 ″ / 18 ″ 250 £. XO-101 XO-101 K0009
XO-202 56 £. 16 ″ / 18 ″ 250 £. XO-202 XO-202 K0009

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