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E1092 |
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Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests
| short | Wheelchair wide w/ leg rests |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
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| PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | | DME | 1.0 | 2 Date of Service Edit: Policy | Nature of Equipment |
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