Active LCDs - JA DME
L200 Webinars Claim Examples Needed
To provide suppliers with in-depth insight into LCD requirements via claim examples and real life scenarios, Noridian will begin hosting policy specific L200 webinars.
Fax claim examples to 701-433-5957
Attention:
Provider Outreach and Education
L200 Claim Example ____ Specialty
Active LCDs
In the table below, select an "LCD Title" link to view the locally hosted LCD PDF. To access the official LCD version, visit the CMS Medicare Coverage Database (MCD).
CMS Medicare Coverage Database
| LCD Title | LCD ID Number and Effective Date | Policy Article and Effective Date | HCPCS |
|---|---|---|---|
| Ankle-Foot/Knee-Ankle-Foot Orthosis | L33686 Effective 01/23/24 |
A52457 Effective 01/23/24 |
A4467, A9283, A9285 L1900, L1902, L1904, L1906, L1907, L1910, L1920, L1930, L1932, L1940, L1945, L1950, L1951, L1960, L1970, L1971, L1980, L1990, L2000, L2005, L2006, L2010, L2020, L2030, L2034, L2035, L2036, L2037, L2038, L2106, L2108, L2112, L2114, L2116, L2126, L2128, L2132, L2134, L2136, L2180, L2182, L2184, L2186, L2188, L2190, L2192, L2200, L2210, L2220, L2230, L2232, L2240, L2250, L2260, L2265, L2270, L2275, L2280, L2300, L2310, L2320, L2330, L2335, L2340, L2350, L2360, L2370, L2375, L2380, L2385, L2387, L2390, L2395, L2397, L2405, L2415, L2425, L2430, L2492, L2500, L2510, L2520, L2525, L2526, L2530, L2540, L2550, L2750, L2755, L2760, L2768, L2780, L2785, L2795, L2800, L2810, L2820, L2830, L2840, L2850, L2999, L4002, L4010, L4020, L4030, L4040, L4045, L4050, L4055, L4060, L4070, L4080, L4090, L4100, L4110, L4130, L4205, L4210, L4350, L4360, L4361, L4370, L4386, L4387, L4392, L4394, L4396, L4397, L4398, L4631 |
| Automatic External Defibrillators | L33690 Effective 01/01/20 |
A52458 Effective 10/01/23 |
A9999, E0617, K0606, K0607, K0608, K0609 |
| Bowel Management Devices | L36267 Effective 10/01/21 |
A54516 Effective 10/01/21 |
A4335, A4337, A4453, A4553, A4458, A4459, A4520, A4554, A9270, E0275, E0276, E0350, E0352 |
| Canes and Crutches | L33733 Effective 01/01/20 |
A52459 Effective 01/01/20 |
A4635, A4636, A4637, A9270, E0100, E0105, E0110, E0111, E0112, E0113, E0114, E0116, E0117, E0118, E0153 |
| Cervical Traction Devices | L33823 Effective 01/01/20 |
A52476 Effective 01/01/20 |
E0840, E0849, E0850, E0855, E0856, E0860 |
| Cold Therapy | L33735 Effective 01/01/20 |
A52460 Effective 01/01/20 |
A9270, A9273, E0218 |
| Commodes | L33736 Effective 01/01/20 |
A52461 Effective 01/01/20 |
E0163, E0165, E0167, E0168, E0170, E0171, E0172, E0175, E0244 |
| Enteral Nutrition | L38955 Effective 01/01/24 |
A58833 Effective 10/01/23 |
A9270, B4034, B4035, B4036, B4081, B4082, B4083, B4087, B4088, B4100, B4102, B4103, B4104, B4105, B4148, B4149, B4150, B4152, B4153, B4154, B4155, B4157, B4158, B4159, B4160, B4161, B4162, B9002, B9998, E0776 |
| External Breast Prostheses | L33317 Effective 01/01/24 |
A52478 Effective 01/01/20 |
A4280, L8000, L8001, L8002, L8010, L8015, L8020, L8030, L8031, L8032, L8033, L8035, L8039 |
| External Infusion Pumps | L33794 Effective 10/01/24 |
A52507 Effective 01/12/24 |
A4221, A4222, A4223, A4224, A4225, A4305, A4306, A4602, A9270, A9274, E0776, E0779, E0780, E0781, E0784, E0791, E1399, J0133, J0285, J0287, J0288, J0289, J0895, J1171, J1250, J1265, J1325, J1455, J1457, J1551, J1555, J1558, J1559, J1561, J1562, J1569, J1570, J1574, J1575, J1811, J1813, J1817, J2175, J2260, J2270, J2274, J2278, J3010, J3285, J7340, J7799, J7999, J9000, J9039, J9040, J9065, J9100, J9190, J9200, J9360, J9370, K0455, K0552, K0601, K0602, K0603, K0604, K0605 |
| External Upper Limb Tremor Stimulator Therapy | L39591 Effective 04/07/24 |
A59680 Effective 04/07/24 |
E0734, A4542 |
| Eye Prostheses | L33737 Effective 01/01/20 |
A52462 Effective 01/01/20 |
L9900, V2623, V2624, V2625, V2626, V2627, V2628, V2629 |
| Facial Prostheses | L33738 Effective 01/01/20 |
A52463 Effective 01/01/20 |
A4364, A4450, A4452, A4455, A4456, A5120, L8040, L8041, L8042, L8043, L8044, L8045, L8046, L8047, L8048, L8049, V2623, V2629 |
| Glucose Monitors | L33822 Effective 10/01/24 |
A52464 Effective 10/01/24 |
A4233, A4234, A4235, A4236, A4238, A4239, A4244, A4245, A4246, A4247, A4250, A4253, A4255, A4256, A4257, A4258, A4259, A4271, A9275, A9276, A9277, A9278, E0607, E0620, E2100, E2101, E2102, E2103, E2104 |
| Heating Pads and Heat Lamps | L33784 Effective 01/01/20 |
A52502 Effective 01/01/20 |
A9273, A9999, E0200, E0205, E0210, E0215, E0217, E0225, E0236, E0239, E0249, E1399 |
| High Frequency Chest Wall Oscillation Devices | L33785 Effective 10/01/22 |
A52494 Effective 10/17/24 |
A7025, A7026, E0483 |
| Hospital Beds and Accessories | L33820 Effective 01/01/20 |
A52508 Effective 01/01/20 |
E0250, E0251, E0255, E0256, E0260, E0261, E0265, E0266, E0271, E0272, E0273, E0274, E0280, E0290, E0291, E0292, E0293, E0294, E0295, E0296, E0297, E0301, E0302, E0303, E0304, E0305, E0310, E0315, E0316, E0328, E0329, E0910, E0911, E0912, E0940, E1399 |
| Immunosuppressive Drugs | L33824 Effective 04/01/24 |
A52474 Effective 01/01/23 |
J0485, J2919, J7500, J7501, J7502, J7503, J7504, J7505, J7507, J7508, J7509, J7510, J7511, J7512, J7513, J7515, J7516, J7517, J7518, J7520, J7525, J7527, J7599, J8530, J8610, Q0510, Q0511, Q0512 |
| Infrared Heating Pad Systems | L33825 Effective 01/01/20 |
A52477 Effective 01/01/20 |
A4639, E0221 |
| Intrapulmonary Percussive Ventilation System | L33786 Effective 01/01/20 |
A52495 Effective 01/01/20 |
E0481 |
| Intravenous Immune Globulin | L33610 Effective 01/01/24 |
A52509 Effective 01/01/24 |
A4223, J1459, J1554, J1556, J1557, J1561, J1566, J1568, J1569, J1572, J1573, J1576, J1599, J2791, Q2052 |
| Knee Orthoses | L33318 Effective 10/01/24 |
A52465 Effective 10/01/24 |
A4467, A9270, K0672, L1810, L1812, L1820, L1821, L1830, L1831, L1832, L1833, L1834, L1836, L1840, L1843, L1844, L1845, L1846, L1847, L1848, L1850, L1851, L1852 L1860, L2275, L2320, L2330, L2385, L2390, L2395, L2397, L2405, L2415, L2425, L2430, L2492, L2750, L2755, L2780, L2785, L2795, L2800, L2810, L2820, L2830, L2999, L4002, L4205, L4210, L9900 |
| Lower Limb Prostheses | L33787 Effective 09/01/24 |
A52496 Effective 09/01/24 |
L5000, L5010, L5020, L5050, L5060, L5100, L5105, L5150, L5160, L5200, L5210, L5220, L5230, L5250, L5270, L5280, L5301, L5312, L5321, L5331, L5341, L5400, L5410, L5420, L5430, L5450, L5460, L5500, L5505, L5510, L5520, L5530, L5535, L5540, L5560, L5570, L5580, L5585, L5590, L5595, L5600, L5610, L5611, L5613, L5614, L5615, L5616, L5617, L5618, L5620, L5622, L5624, L5626, L5628, L5629, L5630, L5631, L5632, L5634, L5636, L5637, L5638, L5639, L5640, L5642, L5643, L5644, L5645, L5646, L5647, L5648, L5649, L5650, L5651, L5652, L5653, L5654, L5655, L5656, L5658, L5661, L5665, L5666, L5668, L5670, L5671, L5672, L5673, L5676, L5677, L5678, L5679, L5680, L5681, L5682, L5683, L5684, L5685, L5686, L5688, L5690, L5692, L5694, L5695, L5696, L5697, L5698, L5699, L5700, L5701, L5702, L5703, L5704, L5705, L5706, L5707, L5710, L5711, L5712, L5714, L5716, L5718, L5722, L5724, L5726, L5728, L5780, L5781, L5782, L5783, L5785, L5790, L5795, L5810, L5811, L5812, L5814, L5816, L5818, L5822, L5824, L5826, L5828, L5830, L5840, L5841, L5845, L5848, L5850, L5855, L5856, L5857, L5858, L5859, L5910, L5920, L5925, L5926, L5930, L5940, L5950, L5960, L5961, L5962, L5964, L5966, L5968, L5969, L5970, L5971, L5972, L5973, L5974, L5975, L5976, L5978, L5979, L5980, L5981, L5982, L5984, L5985, L5986, L5987, L5988, L5990, L5991, L5999, L7367, L7368, L7510, L7520, L7600, L7700, L8400, L8410, L8417, L8420, L8430, L8440, L8460, L8470, L8480 |
| Manual Wheelchair Bases | L33788 Effective 01/01/20 |
A52497 Effective 07/01/24 |
E1037, E1038, E1039, E1161, E1229, E1231, E1232, E1233, E1234, E1235, E1236, E1237, E1238, K0001, K0002, K0003, K0004, K0005, K0006, K0007, K0008, K0009 |
| Mechanical In-exsufflation Devices | L33795 Effective 01/01/20 |
A52510 Effective 08/08/24 |
A7020, E0482 |
| Nebulizers | L33370 Effective 01/01/24 |
A52466 Effective 01/01/24 |
A4216, A4217, A4218, A4619, A7003, A7004, A7005, A7006, A7007, A7008, A7009, A7010, A7012, A7013, A7014, A7015, A7016, A7017, A7525, E0565, E0570, E0572, E0574, E0575, E0585, E0580, E1372, G0333, J2545, J7604, J7605, J7606, J7607, J7608, J7609, J7610, J7611, J7612, J7613, J7614, J7615, J7620, J7622, J7624, J7626, J7627, J7628, J7629, J7631, J7632, J7634, J7635, J7636, J7637, J7638, J7639, J7640, J7641, J7642, J7643, J7644, J7645, J7647, J7650, J7657, J7660, J7667, J7669, J7670, J7676, J7677, J7680, J7681, J7682, J7683, J7684, J7685, J7686, J7699, K0730, L5969, Q0513, Q0514, Q4074 |
| Negative Pressure Wound Therapy Pumps | L33821 Effective 01/01/24 |
A52511 Effective 08/15/21 |
A6550, A7000, E2402 |
| Oral Anticancer Drugs | L33826 Effective 01/01/24 |
A52479 Effective 10/01/24 |
A9270, J8498, J8597, J8999, Q0511, Q0512, Busulfan, Capecitabine, Cyclophosphamide, Etoposide, Fludarabine phosphate, Melphalan, Methotrexate, Temozolomide, Topotecan |
| Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) | L33827 Effective 01/01/24 |
A52480 Effective 10/01/24 |
J8501, J8540, J8650, J8655, J8670, Q0161, Q0162, Q0163, Q0164, Q0166, Q0167, Q0169, Q0173, Q0174, Q0175, Q0177, Q0180, Q0181, Q0511, Q0512 |
| Oral Appliances for Obstructive Sleep Apnea | L33611 Effective 08/08/21 |
A52512 Effective 08/08/21 |
A9270, E0485, E0486, E1399 |
| Orthopedic Footwear | L33641 Effective 01/01/20 |
A52481 Effective 11/01/23 |
A9283, L3000, L3001, L3002, L3003, L3010, L3020, L3030, L3031, L3040, L3050, L3060, L3070, L3080, L3090, L3100, L3140, L3150, L3160, L3170, L3201, L3202, L3203, L3204, L3206, L3207, L3208, L3209, L3211, L3212, L3213, L3214, L3215, L3216, L3217, L3219, L3221, L3222, L3224, L3225, L3230, L3250, L3251, L3252, L3253, L3254, L3255, L3257, L3260, L3265, L3300, L3310, L3320, L3330, L3332, L3334, L3340, L3350, L3360, L3370, L3380, L3390, L3400, L3410, L3420, L3430, L3440, L3450, L3455, L3460, L3465, L3470, L3480, L3485, L3500, L3510, L3520, L3530, L3540, L3550, L3560, L3570, L3580, L3590, L3595, L3600, L3610 ,L3620, L3630, L3640, L3649 |
| Osteogenesis Stimulators | L33796 Effective 01/01/24 |
A52513 Effective 07/02/23 |
A4559, E0747, E0748, E0760 |
| Ostomy Supplies | L33828 Effective 01/01/24 |
A52487 Effective 01/01/22 |
A4331, A4357, A4361, A4362, A4363, A4364, A4366, A4367, A4368, A4369, A4371, A4372, A4373, A4375, A4376, A4377, A4378, A4379, A4380, A4381, A4382, A4383, A4384, A4385, A4387, A4388, A4389, A4390, A4391, A4392, A4393, A4394, A4395, A4396, A4398, A4399, A4402, A4404, A4405, A4406, A4407, A4408, A4409, A4410, A4411, A4412, A4413, A4414, A4415, A4416, A4417, A4418, A4419, A4420, A4421, A4422, A4423, A4424, A4425, A4426, A4427, A4428, A4429, A4430, A4431, A4432, A4433, A4434, A4435, A4436, A4437, A4450, A4452, A4455, A4456, A5051, A5052, A5053, A5054, A5055, A5056, A5057, A5061, A5062, A5063, A5071, A5072, A5073, A5081, A5082, A5083, A5093, A5102, A5120, A5121, A5122, A5126, A5131, A6216, A9270 |
| Oxygen and Oxygen Equipment | L33797 Effective 04/01/23 |
A52514 Effective 04/01/23 |
A4575, A4606, A4608, A4615, A4616, A4617, A4619, A4620, A7525, A9900, E0424, E0425, E0430, E0431, E0433, E0434, E0435, E0439, E0440, E0441, E0442, E0443, E0444, E0445, E0446, E0455, E0555, E0580, E1352, E1353, E1354, E1355, E1356, E1357, E1358, E1390, E1391, E1392, E1405, E1406, K0738 |
| Parenteral Nutrition | L38953 Effective 01/01/24 |
A58836 Effective 07/02/23 |
B4164, B4168, B4172, B4176, B4178, B4180, B4185, B4187, B4189, B4193, B4197, B4199, B4216, B4220, B4222, B4224, B5000, B5100, B5200, B9004, B9006, B9999, E0776 |
| Patient Lifts | L33799 Effective 01/01/20 |
A52516 Effective 01/01/20 |
E0621, E0625, E0630, E0635, E0636, E0639, E0640, E1035, E1036 |
| RETIRED - Pneumatic Compression Devices | L33829 Retired 11/14/24 |
A52488 Retired 11/14/24 |
E0650, E0651, E0652, E0655, E0656, E0657, E0660, E0665, E0666, E0667, E0668, E0669, E0670, E0671, E0672, E0673, E0675, E0676 |
| Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea | L33718 Effective 01/01/24 |
A52467 Effective 08/08/21 |
A4604, A7027, A7028, A7029, A7030, A7031, A7032, A7033, A7034, A7035, A7036, A7037, A7038, A7039, A7044, A7045, A7046, E0470, E0471, E0561, E0562, E0601 |
| Power Mobility Devices | L33789 Effective 05/16/23 |
A52498 Effective 05/16/23 |
E0983, E0984, E0986, K0013, K0800, K0801, K0802, K0806, K0807, K0808, K0812, K0813, K0814, K0815, K0816, K0820, K0821, K0822, K0823, K0824, K0825, K0826, K0827, K0828, K0829, K0830, K0831, K0835, K0836, K0837, K0838, K0839, K0840, K0841, K0842, K0843, K0848, K0849, K0850, K0851, K0852, K0853, K0854, K0855, K0856, K0857, K0858, K0859, K0860, K0861, K0862, K0863, K0864, K0868, K0869, K0870, K0871, K0877, K0878, K0879, K0880, K0884, K0885, K0886, K0890, K0891, K0898, K0899 |
| Pressure Reducing Support Surfaces - Group 1 | L33830 Effective 05/01/21 |
A52489 Effective 05/01/21 |
A4640, A9270, E0181, E0182, E0184, E0185, E0186, E0187, E0188, E0189, E0196, E0197, E0198, E0199, E1399 |
| Pressure Reducing Support Surfaces - Group 2 | L33642 Effective 05/01/21 |
A52490 Effective 01/01/20 |
E0193, E0277, E0371, E0372, E0373, E1399 |
| Pressure Reducing Support Surfaces - Group 3 | L33692 Effective 05/01/21 |
A52468 Effective 01/01/20 |
E0194 |
| Refractive Lenses | L33793 Effective 10/01/20 |
A52499 Effective 10/01/20 |
V2020, V2025, V2100, V2101, V2102, V2103, V2104, V2105, V2106, V2107, V2108, V2109, V2110, V2111, V2112, V2113, V2114, V2115, V2118, V2121, V2199, V2200, V2201, V2202, V2203, V2204, V2205, V2206, V2207, V2208, V2209, V2210, V2211, V2212, V2213, V2214, V2215, V2218, V2219, V2220, V2221, V2299, V2300, V2301, V2302, V2303, V2304, V2305, V2306, V2307, V2308, V2309, V2310, V2311, V2312, V2313, V2314, V2315, V2318, V2319, V2320, V2321, V2399, V2410, V2430, V2499, V2500, V2501, V2502, V2503, V2510, V2511, V2512, V2513, V2520, V2521, V2522, V2523, V2524, V2530, V2531, V2599, V2600, V2610, V2615, V2700, V2702, V2710, V2715, V2718, V2730, V2744, V2745, V2750, V2755, V2756, V2760, V2761, V2762, V2770, V2780, V2781, V2782, V2783, V2784, V2786, V2797, V2799 |
| Respiratory Assist Devices | L33800 Effective 01/01/24 |
A52517 Effective 08/08/21 |
A4604, A7027, A7028, A7029, A7030, A7031, A7032, A7033, A7034, A7035, A7036, A7037, A7038, A7039, A7044, A7045, A7046, E0465, E0466, E0467, E0470, E0471, E0561, E0562 |
| Seat Lift Mechanisms | L33801 Effective 07/02/23 |
A52518 Effective 07/02/23 |
E0172, E0627, E0629 |
| Speech Generating Devices | L33739 Effective 10/01/24 |
A52469 Effective 10/01/24 |
E2500, E2502, E2504, E2506, E2508, E2510, E2511, E2512, E2599 |
| Spinal Orthoses: TLSO and LSO | L33790 Effective 01/01/20 |
A52500 Effective 07/07/22 |
A4467, A9270, L0450, L0452, L0454, L0455, L0456, L0457, L0458, L0460, L0462, L0464, L0466, L0467, L0468, L0469, L0470, L0472, L0480, L0482, L0484, L0486, L0488, L0490, L0491, L0492, L0621, L0622, L0623, L0624, L0625, L0626, L0627, L0628, L0629, L0630, L0631, L0632, L0633, L0634, L0635, L0636, L0637, L0638, L0639, L0640, L0641, L0642, L0643, L0648, L0649, L0650, L0651, L0980, L0982, L0984, L4002 |
| Suction Pumps | L33612 Effective 01/01/24 |
A52519 Effective 04/01/23 |
A4216, A4217, A4605, A4624, A4628, A7000, A7001, A7002, A7047, A9272, E0600, E2000, K0743, K0744, K0745, K0746 |
| Surgical Dressings | L33831 Effective 01/01/24 |
A54563 Effective 09/07/23 |
A4450, A4452, A4461, A4463, A4465, A4490, A4495, A4500, A4510, A4649, A6010, A6011, A6021, A6022, A6023, A6024, A6025, A6154, A6196, A6197, A6198, A6199, A6203, A6204, A6205, A6206, A6207, A6208, A6209, A6210, A6211, A6212, A6213, A6214, A6215, A6216, A6217, A6218, A6219, A6220, A6221, A6222, A6223, A6224, A6228, A6229, A6230, A6231, A6232, A6233, A6234, A6235, A6236, A6237, A6238, A6239, A6240, A6241, A6242, A6243, A6244, A6245, A6246, A6247, A6248, A6250, A6251, A6252, A6253, A6254, A6255, A6256, A6257, A6258, A6259, A6260, A6261, A6262, A6266, A6402, A6403, A6404, A6407, A6410, A6411, A6412, A6413, A6441, A6442, A6443, A6444, A6445, A6446, A6447, A6448, A6449, A6450, A6451, A6452, A6453, A6454, A6455, A6456, A6457, A6501, A6502, A6503, A6504, A6505, A6506, A6507, A6508, A6509, A6510, A6511, A6512, A6513, A6531, A6532, A6545, A9270 |
| Therapeutic Shoes for Persons with Diabetes | L33369 Effective 01/01/20 |
A52501 Effective 11/05/20 |
A5500, A5501, A5503, A5504, A5505, A5506, A5507, A5508, A5510, A5512, A5513, A5514, K0903 |
| Tracheostomy Care Supplies | L33832 Effective 01/01/24 |
A52492 Effective 01/01/20 |
A4364, A4402, A4450, A4452, A4456, A4481, A4623, A4625, A4626, A4629, A5120, A7501, A7502, A7503, A7504, A7505, A7506, A7507, A7508, A7509, A7520, A7521, A7522, A7523, A7524, A7526, A7527 |
| Transcutaneous Electrical Joint Stimulation Devices (TEJSD) | L34821 Effective 01/01/20 |
A52713 Effective 01/01/20 |
A4465, A4557, A4595, E0731, E0762 |
| Transcutaneous Electrical Nerve Stimulators (TENS) | L33802 Effective 01/01/24 |
A52520 Effective 01/01/23 |
A4557, A4595, E0720, E0730, E0731 |
| Tumor Treatment Field Therapy (TTFT) | L34823 Effective 01/01/20 |
A52711 Effective 01/01/20 |
A4555, E0766 |
| Urological Supplies | L33803 Effective 01/01/24 |
A52521 Effective 04/01/23 |
A4217, A4310, A4311, A4312, A4313, A4314, A4315, A4316, A4320, A4321, A4322, A4326, A4327, A4328, A4331, A4332, A4333, A4334, A4335, A4336, A4338, A4340, A4341, A4342, A4344, A4346, A4349, A4351, A4352, A4353, A4354, A4355, A4356, A4357, A4358, A4360, A4402, A4450, A4452, A4455, A4456, A4520, A4553, A4554, A5102, A5105, A5112, A5113, A5114, A5131, A5200, A9270 |
| Vacuum Erection Devices (VED) | L34824 Effective 01/01/20 |
A52712 Effective 01/01/20 |
L7900, L7902 |
| Walkers | L33791 Effective 01/01/20 |
A52503 Effective 04/01/24 |
A4636, A4637, A9270, A9900, E0130, E0135, E0140, E0141, E0143, E0144, E0147, E0148, E0149, E0154, E0155, E0156, E0157, E0158, E0159, E1399 |
| Wheelchair Options/Accessories | L33792 Effective 04/01/24 |
A52504 Effective 04/01/24 |
A9270, A9900, E0705, E0950, E0951, E0952, E0954, E0958, E0959, E0961, E0967, E0971, E0973, E0974, E0978, E0981, E0982, E0985, E0988, E0990, E0995, E1002, E1003, E1004, E1005, E1006, E1007, E1008, E1009, E1010, E1011, E1012, E1014, E1015, E1016, E1017, E1018, E1020, E1028, E1029, E1030, E1225, E1226, E2201, E2202, E2203, E2204, E2205, E2206, E2207, E2208, E2209, E2210, E2211, E2212, E2213, E2214, E2215, E2216, E2217, E2218, E2219, E2220, E2221, E2222, E2224, E2225, E2226, E2227, E2228, E2230, E2295, E2298, E2301, E2310, E2311, E2312, E2313, E2321, E2322, E2323, E2324, E2325, E2326, E2327, E2328, E2329, E2330, E2331, E2351, E2358, E2359, E2360, E2361, E2362, E2363, E2364, E2365, E2366, E2367, E2368, E2369, E2370, E2371, E2372, E2373, E2374, E2375, E2376, E2377, E2378, E2381, E2382, E2383, E2384, E2385, E2386, E2387, E2388, E2389, E2390, E2391, E2392, E2394, E2395, E2396, E2397, E2398, K0015, K0017, K0018, K0019, K0020, K0037, K0038, K0039, K0040, K0041, K0042, K0043, K0044, K0045, K0046, K0047, K0050, K0051, K0052, K0053, K0056, K0065, K0069, K0070, K0071, K0072, K0073, K0077, K0098, K0105, K0108, K0195, K0733 |
| Wheelchair Seating | L33312 Effective 01/01/20 |
A52505 Effective 10/17/24 |
A9900, E0953, E0955, E0956, E0957, E0960, E0966, E0992, E1028, E2231, E2291, E2292, E2293, E2294, E2601, E2602, E2603, E2604, E2605, E2606, E2607, E2608, E2609, E2610, E2611, E2612, E2613, E2614, E2615, E2616, E2617, E2619, E2620, E2621, E2622, E2623, E2624, E2625, K0669, K0108 |
Last Updated Nov 14 , 2024
